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

Mountifield, R, Bampton, P, Prosser, R, Mikocka-Walus, Antonina and Andrews, J M 2014, Colon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?, Internal medicine journal, vol. 44, no. 2, pp. 131-138, doi: 10.1111/imj.12317.

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Title Colon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?
Author(s) Mountifield, R
Bampton, P
Prosser, R
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina
Andrews, J M
Journal name Internal medicine journal
Volume number 44
Issue number 2
Start page 131
End page 138
Total pages 8
Publisher Wiley
Place of publication Milton, Qld.
Publication date 2014-02
ISSN 1445-5994
Keyword(s) CRC
cancer surveillance
inflammatory bowel disease
risk perception
Summary 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.
Language eng
DOI 10.1111/imj.12317
Field of Research 110399 Clinical Sciences not elsewhere classified
111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Wiley
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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