Feasibility of familial PSA screening: psychosocial issues and screening adherence

Sweetman, Joseph ORCID: https://orcid.org/0000-0002-2829-1503, Watson, M., Norman, A., Bunstead, Z., Hopwood, P., Melia, J., Moss, S., Eeles, R., Dearnaley, D. and Moynihan, C. 2006. Feasibility of familial PSA screening: psychosocial issues and screening adherence. British Journal of Cancer 94 (4) , pp. 507-512. 10.1038/sj.bjc.6602959

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Abstract

This study examined factors that predict psychological morbidity and screening adherence in first-degree relatives (FDRs) taking part in a familial PSA screening study. Prostate cancer patients (index cases – ICs) who gave consent for their FDRs to be contacted for a familial PSA screening study to contact their FDRs were also asked permission to invite these FDRs into a linked psychosocial study. Participants were assessed on measures of psychological morbidity (including the General Health Questionnaire; Cancer Worry Scale; Health Anxiety Questionnaire; Impact of Events Scale); and perceived benefits and barriers, knowledge; perceived risk/susceptibility; family history; and socio-demographics. Of 255 ICs, 155 (61%) consented to their FDRs being contacted. Of 207 FDRs approached, 128 (62%) consented and completed questionnaires. Multivariate logistic regression revealed that health anxiety, perceived risk and subjective stress predicted higher cancer worry (P=0.05). Measures of psychological morbidity did not predict screening adherence. Only past screening behaviour reliably predicted adherence to familial screening (P=0.05). First-degree relatives entering the linked familial PSA screening programme do not, in general, have high levels of psychological morbidity. However, a small number of men exhibited psychological distress.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Uncontrolled Keywords:	prostate cancer, psychological morbidity, screening, adherence, cancer distress
Publisher:	Nature Publishing Group
ISSN:	0007-0920
Last Modified:	21 Oct 2022 10:17
URI:	https://orca.cardiff.ac.uk/id/eprint/39717

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