Psychological impact of lifestyle-related disease disclosure at general checkup: a prospective cohort study
| Autor: | Takamasa Watanabe, Yuko Nakano, Yasuki Fujinuma, Masato Matsushima, Yoko Hirayama, Tomokazu Tominaga, Takuya Nagata, Akinari Moriya |
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| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Population Psychological Techniques Disease Anxiety Truth Disclosure Cohort Studies Japan Diagnosis Adaptation Psychological Lifestyle-related disease Diabetes Mellitus medicine Humans Prospective Studies Psychiatry education Prospective cohort study Life Style Aged Dyslipidemias Response rate (survey) education.field_of_study Primary Health Care business.industry Middle Aged Relative risk Hypertension Female medicine.symptom business Family Practice Attitude to Health General checkup Research Article Cohort study |
| Zdroj: | BMC Family Practice |
| ISSN: | 1471-2296 |
| DOI: | 10.1186/s12875-015-0272-3 |
| Popis: | Background Little is known about psychological impact of disclosing lifestyle-related diseases. Previous studies discussed the long-term psychological impact of disease disclosure, and a significant psychological impact was not observed. This study clarified the psychological impact on anxiety state of patients when lifestyle-related diseases are disclosed at general checkups for local residents. In particular, this study evaluated the short-term impact on patients, and how the notification of abnormal values and the disclosure of disease at general checkups affect patients’ subsequent behavioral changes. Methods The study design was a prospective cohort study. We compared the anxiety state of participants using a self-administered anxiety assessment scale, State–Trait Anxiety Inventory (STAI), before and after Physician’s explanation of abnormal values in markers of lifestyle-related diseases. The participants were those between the age of 40 and 75 years who underwent general checkups at two primary care facilities. In addition, we assessed the effects on lifestyle habits and the psychological impact caused by general checkup using STAI and a survey on behavioral changes one month after the checkup. Results The valid response rate at the survey of the general checkup was 92% (534/578). Of those who showed abnormal levels in markers of lifestyle-related diseases, anxiety was augmented significantly among those who responded that the physician had told them of their diagnosis compared to those who responded that the physician had not told them of their diagnosis (Wilcoxon rank-sum test, P |
| Databáze: | OpenAIRE |
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