Ovarian cancer screening and psychosocial issues: relevance to clinical practice.

摘要: Ovarian cancer is usually diagnosed when the disease tions, like screening tests for cancer, using either an information-seeking (monitoring) or information-avoiding (bluntat advanced stage. The low survival rates associated with ovarian have contributed to concern that ing) coping style [4, 5]. minimizers in Robinson article would be expected show a preference blunting effective developed detect at earlier, and potentially more treatable, However, style; they are apparently avoiding information about their risk. It should noted this appears serious diseases such as not without drawbacks. In addition limitations of screento quite managing negative affect; had lowest levels depression anxiety. Moning methods themselves, can affect, affected by, psychological distress individuals itors, on other hand, actively seek out attempt manage anxiety; may amplify threats undergoing process. Psychological factors affect person’s approach cognitively emotionally [5]. These most likely genetic testmedical care preventive actions. Such been studied respect screening, although ing overutilize it. Monitors perceive themselves higher risk [6] less time psychosocial research has focused procedures recommended large sectors successfully distress. will lower if able receive general population (e.g., mammography, pap tests, fecal occult blood testing, flexible sigmoidoscopy). seek; stressed by situations which adequate provided [7]. Why clinicians concerned issues process? et al. points second implication screening. colleagues [1] featured issue Gynecologic Oncology highlights one reason. PsyThe characteristics patients before appeared way filtered chological impact who presents interpreted A high level was related perscreening. found women attending clinic were depressed ceived after counseling risk, regardless estimated relayed patient anxious than population. Additionally, only 17% ‘‘minimizer’’ group, clinical team. investigators accurately perceived being i.e., those who, educated team elevated depressed, followed group estimates received still lower. percentage surprising, perin session (the ‘‘overestimators’’). Returning monitoring constructs, we ceive despite evidence contrary much Low infer ‘‘overestimator’’ identified shows negatively obtaining cervical breast canstyle; characteristic fashion amplified cancer. cer some studies well [2, 3]. Suzanne Miller two styles If individuals’ affects how interpret based family history data, stressful useful understanding these data. theorizes people cope situawe also expect