Demographics, family histories, and psychological characteristics of prostate carcinoma screening participants Journal Article


Authors: Taylor, K. L.; DiPlacido, J.; Redd, W. H.; Faccenda, K.; Greer, L.; Perlmutter, A.
Article Title: Demographics, family histories, and psychological characteristics of prostate carcinoma screening participants
Abstract: BACKGROUND. The goals of this study were to 1) understand the reasons that men seek prostate carcinoma screening, in light of the ongoing medical controversy surrounding screening; and 2) assess the level of psychological distress and perceived risk among men seeking screening, and whether or not these variables were dependent on a man's family history of prostate carcinoma. METHODS. The subjects were 126 men (40% had a family history of prostate carcinoma) who participated in a free prostate carcinoma detection program. Questionnaires, which were completed prior to prostate carcinoma screening, included demographic and medical information, reasons for screening participation, general and cancer-related psychological distress, and perceived risk for prostate carcinoma. RESULTS. Among both family history groups, self-referral was the most common reason for attending the screening, compared with receiving a recommendation from a health professional or from a friend or family member. Men with a positive family history were not more distressed than those without a family history; but as the authors predicted, men with a positive family history of prostate carcinoma did report higher levels of perceived risk relative to those without a family history. In addition, an interaction revealed that psychological distress was greater among men with a family history only among those who also reported elevated perceived risk. CONCLUSIONS. Similar to other prostate carcinoma screening programs, men in the current sample largely elected to attend the screening on their own. Furthermore, although perceived risk was higher among men with a family history compared with those without a family history, psychological distress was greater among men with a family history only among those who also reported elevated perceived risk. Thus, among men with a family history of the disease, perceived risk may be a marker of elevated psychological distress. Screening programs should assess family history and perceived risk because of the potential psychological implications for screening participants.
Keywords: adult; aged; middle aged; major clinical study; cancer risk; demography; risk factors; cancer screening; attitude to health; mass screening; questionnaires; prostatic neoplasms; psychological aspect; family history; socioeconomic factors; patient acceptance of health care; stress, psychological; prostate carcinoma; psychological distress; perceived risk; humans; human; male; priority journal; article; prostate carcinoma screening
Journal Title: Cancer
Volume: 85
Issue: 6
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1999-03-15
Start Page: 1305
End Page: 1312
Language: English
DOI: 10.1002/(sici)1097-0142(19990315)85:6<1305::aid-cncr13>3.0.co;2-i
PUBMED: 10189136
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 16 August 2016 -- Source: Scopus
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  1. William H. Redd
    48 Redd