Do no harm: No psychological harm from colorectal cancer screening

Benedicte Kirkøen, Paula Berstad, Edoardo Botteri, Tone Lise Avitsland, Alvilde Maria Ossum, Thomas De Lange, Geir Hoff, Tomm Bernklev

Research output: Contribution to journalArticle

Abstract

Background:Participation in cancer screening programmes might cause worries in the population outweighting the benefits of reduced mortality. The present study aimed to investigate possible psychological harm of participation in a colorectal cancer (CRC) screening pilot in Norway.Methods:In a prospective, randomised trial participants (aged 50-74 years) were invited to either flexible sigmoidoscopy (FS) screening, faecal immunochemical test (FIT), or no screening (the control group; 1: 1: 1). Three thousand two hundred and thirteen screening participants (42% of screened individuals) completed the Hospital Anxiety and Depression Scale questionnaire as well as the SF-12 - a health-related quality of life (HRQOL) questionnaire when invited to screening and when receiving the screening result. A control group was invited to complete the questionnaires only. Two thousand six hundred and eighteen control participants (35% of invited individuals) completed the questionnaire.Results:A positive screening result did not increase participants' level of anxiety or depression, or decrease participants' level of HRQOL. Participants who received a negative result reported decreased anxiety and improvement on some HRQOL dimensions. However, no change was considered to be of clinical relevance.Conclusion:The current study showed no clinically relevant psychological harm of receiving a positive CRC screening result or of participating in FS or FIT screening, in a Norwegian population.

Original languageEnglish
Pages (from-to)497-504
Number of pages8
JournalBritish Journal of Cancer
Volume114
Issue number5
DOIs
Publication statusPublished - Mar 1 2016

Fingerprint

Early Detection of Cancer
Colorectal Neoplasms
Psychology
Sigmoidoscopy
Anxiety
Quality of Life
Depression
Control Groups
Norway
Population
Health Status
Mortality
Surveys and Questionnaires

Keywords

  • Anxiety
  • Colorectal Cancer Screening
  • Faecal Immunochemical Test
  • Flexible Sigmoidoscopy
  • Health-Related Quality of Life

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Kirkøen, B., Berstad, P., Botteri, E., Avitsland, T. L., Ossum, A. M., De Lange, T., ... Bernklev, T. (2016). Do no harm: No psychological harm from colorectal cancer screening. British Journal of Cancer, 114(5), 497-504. https://doi.org/10.1038/bjc.2016.14

Do no harm : No psychological harm from colorectal cancer screening. / Kirkøen, Benedicte; Berstad, Paula; Botteri, Edoardo; Avitsland, Tone Lise; Ossum, Alvilde Maria; De Lange, Thomas; Hoff, Geir; Bernklev, Tomm.

In: British Journal of Cancer, Vol. 114, No. 5, 01.03.2016, p. 497-504.

Research output: Contribution to journalArticle

Kirkøen, B, Berstad, P, Botteri, E, Avitsland, TL, Ossum, AM, De Lange, T, Hoff, G & Bernklev, T 2016, 'Do no harm: No psychological harm from colorectal cancer screening', British Journal of Cancer, vol. 114, no. 5, pp. 497-504. https://doi.org/10.1038/bjc.2016.14
Kirkøen B, Berstad P, Botteri E, Avitsland TL, Ossum AM, De Lange T et al. Do no harm: No psychological harm from colorectal cancer screening. British Journal of Cancer. 2016 Mar 1;114(5):497-504. https://doi.org/10.1038/bjc.2016.14
Kirkøen, Benedicte ; Berstad, Paula ; Botteri, Edoardo ; Avitsland, Tone Lise ; Ossum, Alvilde Maria ; De Lange, Thomas ; Hoff, Geir ; Bernklev, Tomm. / Do no harm : No psychological harm from colorectal cancer screening. In: British Journal of Cancer. 2016 ; Vol. 114, No. 5. pp. 497-504.
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