当前位置： SCI文献检索 > INTERNAL MEDICINE JOURNAL期刊下所有文献 > Colon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?

Colon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?

Abstract：

BACKGROUND:Surveillance for colorectal neoplasia in inflammatory bowel disease (IBD) is widely practised despite a lack of convincing mortality reduction. The psychological impact of this approach is largely unexplored. AIM:To examine psychological well-being among IBD subjects undergoing colonoscopic surveillance for colorectal cancer (CRC). METHODS:A cross-sectional study was performed by interrogating an IBD database for subjects currently enrolled in colonoscopic surveillance programmes. Identified surveillance subjects were age- and gender-matched with IBD control subjects not meeting surveillance criteria. Subjects were mailed a questionnaire including demographic details, the Short Form 36 (SF-36) survey to assess quality of life, the Spielberger State-Trait Personality Inventory, the Multidimensional Health Locus of Control, and a Risk Perception Questionnaire. RESULTS:One hundred and thirty-nine of 286 (49%) subjects responded, 53% male, 46% Crohn disease. Fifty-six per cent respondents were in the surveillance group. Surveillance subjects were older (55.4 vs 51.1 years; P = .048) with longer disease duration, but otherwise had comparable demographics with controls. Overall, quality of life was not significantly different between cohorts (mean SF-36 63.82 vs 65.48; P = 0.70). Groups did not differ on any locus of control classification (P = 0.52), nor was there any difference between mean scores on 'state' subscales of the Spielberger State-Trait Personality Inventory: anxiety (P = 0.91), curiosity (P = 0.12), anger (P = 0.81) or depression (P = 0.70). Both groups grossly overestimated their perceived lifetime risk of CRC at 50%, with no difference between surveillance and control subjects (P = 1.0). CONCLUSIONS:Enrolment in colonoscopic colon cancer surveillance does not appear to impair psychological well-being in individuals with IBD despite longer disease duration. IBD patients overestimate their risk of CRC.

journal_name

Intern Med J

journal_title

Internal medicine journal

authors

Mountifield R,Bampton P,Prosser R,Mikocka-Walus A,Andrews JM

doi

10.1111/imj.12317

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

131-8

issue

eissn

1444-0903

issn

1445-5994

journal_volume

pub_type

杂志文章

在线工具

Colon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?