Psychological and Behavioral Impact of Participation in Ovarian Cancer Screening

Evaluation of costs and benefits associated with cancer screening should include consideration of any psychological and behavioral impact associated with screening participation. Research examining the psychological and behavioral impact of screening asymptomatic women for ovarian cancer (OC) was co...

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Main Author: Michael A. Andrykowski
Format: Article
Language:English
Published: MDPI AG 2017-03-01
Series:Diagnostics
Subjects:
Online Access:http://www.mdpi.com/2075-4418/7/1/15
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author Michael A. Andrykowski
author_facet Michael A. Andrykowski
author_sort Michael A. Andrykowski
collection DOAJ
description Evaluation of costs and benefits associated with cancer screening should include consideration of any psychological and behavioral impact associated with screening participation. Research examining the psychological and behavioral impact of screening asymptomatic women for ovarian cancer (OC) was considered. Research has focused upon potential negative psychological (e.g., distress) and behavioral (e.g., reduced future screening participation) impact of false positive (FP) OC test results. Results suggest FP OC screening results are associated with greater short-term OC-specific distress. While distress dissipates over time it may remain elevated relative to pre-screening levels for several weeks or months even after clinical follow-up has ruled out malignancy. The likelihood of participation in future OC screening may also be reduced. Research focused upon identification of any beneficial impact of participation in OC screening associated with receipt of “normal” results was also considered. This research suggests that a “normal” screening test result can have psychological benefits, including increased positive affect and beliefs in the efficacy of screening. It is concluded that any psychological or behavioral harms attributable to OC screening are generally very modest in severity and duration and might be counterbalanced by psychological benefits accruing to women who participate in routine OC screening and receive normal test results.
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spelling doaj.art-354a45a051ad4a929a99c0558cbf59bb2022-12-22T04:00:48ZengMDPI AGDiagnostics2075-44182017-03-01711510.3390/diagnostics7010015diagnostics7010015Psychological and Behavioral Impact of Participation in Ovarian Cancer ScreeningMichael A. Andrykowski0Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY 40536-0086, USAEvaluation of costs and benefits associated with cancer screening should include consideration of any psychological and behavioral impact associated with screening participation. Research examining the psychological and behavioral impact of screening asymptomatic women for ovarian cancer (OC) was considered. Research has focused upon potential negative psychological (e.g., distress) and behavioral (e.g., reduced future screening participation) impact of false positive (FP) OC test results. Results suggest FP OC screening results are associated with greater short-term OC-specific distress. While distress dissipates over time it may remain elevated relative to pre-screening levels for several weeks or months even after clinical follow-up has ruled out malignancy. The likelihood of participation in future OC screening may also be reduced. Research focused upon identification of any beneficial impact of participation in OC screening associated with receipt of “normal” results was also considered. This research suggests that a “normal” screening test result can have psychological benefits, including increased positive affect and beliefs in the efficacy of screening. It is concluded that any psychological or behavioral harms attributable to OC screening are generally very modest in severity and duration and might be counterbalanced by psychological benefits accruing to women who participate in routine OC screening and receive normal test results.http://www.mdpi.com/2075-4418/7/1/15ovarian cancerpsychologicalpsychosocialbehavioralscreeningfalse positive test result
spellingShingle Michael A. Andrykowski
Psychological and Behavioral Impact of Participation in Ovarian Cancer Screening
Diagnostics
ovarian cancer
psychological
psychosocial
behavioral
screening
false positive test result
title Psychological and Behavioral Impact of Participation in Ovarian Cancer Screening
title_full Psychological and Behavioral Impact of Participation in Ovarian Cancer Screening
title_fullStr Psychological and Behavioral Impact of Participation in Ovarian Cancer Screening
title_full_unstemmed Psychological and Behavioral Impact of Participation in Ovarian Cancer Screening
title_short Psychological and Behavioral Impact of Participation in Ovarian Cancer Screening
title_sort psychological and behavioral impact of participation in ovarian cancer screening
topic ovarian cancer
psychological
psychosocial
behavioral
screening
false positive test result
url http://www.mdpi.com/2075-4418/7/1/15
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