Anxiety, fear of cancer, and perceived risk of cancer following lung cancer screening
Abstract
Background. Lung cancer screening can result in a high rate of indeterminate findings and has not yet been proven to be efficacious in reducing mortality. To date, the psychological consequences of receiving an indeterminate screening result are not known. Methods. Four hundred individuals were recruited into this study. Participants completed 4 surveys: baseline, after lung screening results were known, and at 6 and 12 mo after screening. Demographics, state/trait anxiety, fear of cancer, and perceived risk of lung cancer were measured. Mixed-model regressions were used to determine whether the levels and time trends of outcome variables were different among individuals with different screening outcomes. Results. An indeterminate screening result increased state anxiety of participants, although anxiety then decreased over time. The objective risk of cancer is lower for individuals with an indeterminate screen than their initial perceived risk, and screening did not change their perceived risk of cancer. Those with a suspicious screening result had increased perceived risk of cancer and fear of cancer after screening, and these effects also diminished over time. Individuals with a negative screen had a temporary reduction in perceived risk of cancer. Conclu sions. Individuals who are screened for lung cancer and receive an indeterminate or suspicious screening result have some negative psychological effects from being screened. The results suggest that individuals who are considering screening should be fully informed of the risk of negative psychosocial consequences and that individuals who have been screened should receive clear and detailed information on interpreting screening results.
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STAI has been used in breast, colon, and lung cancer screening programs and in patients with cirrhosis.
“which has been used in breast, colon, and lung cancer screening programs24–26 and in patients with cirrhosis.27”
From Depression and anxiety are common among patients with cirrhosis (2022) · cites this paper as [26]
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Depression and anxiety are common among patients with cirrhosis
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- Authors
- Byrne, M. M., Weissfeld, J., & Roberts, M. S.
- Affiliations
- University of Miami (US)
- University of Pittsburgh (US)
- Corresponding author
- Byrne, Margaret M.
- Venue
- Medical Decision Making
- Publisher
- SAGE Publications
- Published
- 2008-08-25
- Volume
- 28
- Issue
- 6
- Pages
- 917-925
- ISSN
- 0272-989X (ISSN-L)
- 1552-681X
- OpenAlex
- W2164472128
- Cited by
- 135
- References
- 35
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 6 · 2022: 12 · 2021: 11 · 2020: 10 · 2019: 7 · 2018: 7 · 2017: 6 · 2016: 12 · 2015: 4 · 2014: 13 · 2013: 9 · 2012: 9
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Decision Making (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Cancer Institute (K07 CA10181)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- lung cancer screening, anxiety, fear of cancer, cancer risk perception, negative screening results, screening result interpretation, state anxiety
- MeSH terms
- Anxiety, Decision Making, Demography, Fear, Female, Humans, Lung Neoplasms, Male, Middle Aged, Psychometrics, Regression Analysis, Smoking, Risk Assessment
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