Psychosocial Effects of Screening for Disease Prevention and Detection

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Robert T. Croyle
Oxford University Press, 1995 M07 27 - 232 pages
As screening programs for HIV, high cholesterol, high blood pressure, genetic abnormalities and other risk factors continue to proliferate, difficult questions are continually raised concerning the psychological and behavioral effects on the participants. Although members of the public health community have debated the costs and benefits of screening programs for over three decades, these questions have become especially pertinent with the current emphasis on early disease detection and prevention. While advocates argue that risk notification provides the impetus for individuals to improve their health habits and seek early treatment, skeptics contend that risk screening can have an adverse labeling effect, leading to increased anxiety, work absenteeism, and fatalism. Now, for the first time, the widely scattered body of research on the effects of risk factor screening is comprehensively reviewed and evaluated in this volume. Here, an internationally recognized group of expert contributors summarizes and discusses current knowledge about the psychosocial consequences of risk factor testing, taking into account individual differences, gender differences, risk status, and intervention strategies. Both the public health and behavioral science viewpoints are explored through up-to-date reviews and stimulating commentary. Bridging the gap between data, theory and public health policy, this volume is essential reading for researchers, professionals and policymakers concerned with the prevention of acute and chronic disease.

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Page 60 - Report of the National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel II).
Page 79 - Psychological distress and surveillance behaviors of women with a family history of breast cancer.
Page 61 - The cholesterol facts. A summary of the evidence relating dietary fats, serum cholesterol, and coronary heart disease. A joint statement by the American Heart Association and the National Heart, Lung, and Blood Institute.
Page 33 - Opinion: predictive testing for Huntington disease in childhood: challenges and implications. American Journal of Human Genetics, 46, 1-4. Bloch, M., Adam, S., Wiggins, S., Huggins, M. and Hayden, MR (1992) Predictive testing for Huntington disease in Canada: the experience of those receiving an increased risk.
Page 79 - Engstrom, P. (1993). Mammography adherence and psychological distress among women at risk for breast cancer.
Page 81 - ... Medical Association, 273, 302-305. Schwartz, WB 1979. "Decision Analysis: A Look at the Chief Complaints." New England Journal of Medicine, 300, 556-559. Scott, DW 1983. "Anxiety, Critical Thinking and Information Processing during and after Breast Biopsy." Nursing Research, 32, 24-28. Siminoff, LA, and Petting, JH 1989. "Effects of Outcome Framing on Treatment Decisions in the Real World: Impact of Framing on Adjuvant Breast Cancer Decisions.
Page 124 - ... Survey. John Wiley and Sons, New York. Morabia, A., Steinig-Stamm, M., and Unger, P.-F., et al. 1994. "Applicability of Decision Analysis for Everyday Clinical Practice: A Controlled Feasibility Trial." Journal of General Internal Medicine. 9: 496-502. Moulton, JM, Stempel, RR, and Abachetti, P.. et al. 1991. "Results of a One Year Longitudinal Study of HIV Antibody Test Notification from the San Francisco General Hospital Cohort,
Page 34 - Huggins, M., Bloch, M., Wiggins, S., Adam, S., Suchowersky, O., Trew, M., Klimek, M., Greenberg, CR, Eleff, M., Thompson, LP, Knight, J., MacLeod, P., Girard, K., Theilmann, T., Hedrick, A., and Hayden, MR (1992).
Page 179 - McCaul KD, Thiesse-Duffy E, Wilson P 1992 Coping with medical diagnosis: The effects of at-risk versus disease labels over time.

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