CT scan screening is associated with increased distress among subjects of the APExS

Paris, Christophe; Maurel, Marion; Luc, Amandine; Stoufflet, Audrey; Pairon, Jean-Claude; Letourneux, Marc
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p647
Academic Journal
Background: The aim of this study was to assess the psychological consequences of HRCT scan screening in retired asbestos-exposed workers. Methods: A HRCT-scan screening program for asbestos-related diseases was carried out in four regions of France. At baseline (T1), subjects filled in self-administered occupational questionnaires. In two of the regions, subjects also received a validated psychological scale, namely the psychological consequences questionnaire (PCQ). The physician was required to provide the subject with the results of the HRCT scan at a final visit. A second assessment of psychological consequences was performed 6 months after the HRCT-scan examination (T2). PCQ scores were compared quantitatively (t-test, general linear model) and qualitatively (chi²-test, logistic regression) to screening results. Multivariate analyses were adjusted for gender, age, smoking, asbestos exposure and counseling. Results: Among the 832 subjects included in this psychological impact study, HRCT-scan screening was associated with a significant increase of the psychological score 6 months after the examination relative to baseline values (8.31 to 10.08, p < 0.0001, t-test). This increase concerned patients with an abnormal HRCT-scan result, regardless of the abnormalities, but also patients with normal HRCT-scans after adjustment for age, gender, smoking status, asbestos exposure and counseling visit. The greatest increase was observed for pleural plaques (+3.60; 95%CI [+2.15;+5.06]), which are benign lesions. Detection of isolated pulmonary nodules was also associated with a less marked but nevertheless significant increase of distress (+1.88; 95%CI [+0.34;+3.42]). However, analyses based on logistic regressions only showed a close to significant increase of the proportion of subjects with abnormal PCQ scores at T2 for patients with asbestosis (OR = 1.92; 95%CI [0.97-3.81]) or with two or more diseases (OR = 2.04; 95%CI [0.95-4.37]). Conclusion: This study suggests that HRCT-scan screening may be associated with increased distress in asbestosexposed subjects. If confirmed, these results may have consequences for HRCT-scan screening recommendations.


Related Articles

  • High Prevalence of Anxiety.  // Fertility Weekly;2/13/2012, p10 

    The article reports on the study that compares the prevalence of anxiety symptoms in women with polycystic ovary syndrome (PCOS) and controls. The study reveals an increased odds of anxiety symptoms in women with PCOS. It suggests that adult women with PCOS should be routinely screened for...

  • Screening for Problem Drinking: Does a Single Question Work? Nazhat Taj; Devera-Sales, Amelia; Vinson, Daniel C. // Journal of Family Practice;Apr1998, Vol. 46 Issue 4, p328 

    BACKGROUND. Brief interventions with problem drinkers have been shown to be effective, but physicians often do not ask about alcohol use. If a single question could effectively screen for problem drinking, it might facilitate intervention with problem drinkers. METHODS. A cross-sectional study...

  • Assessing the psychometric properties and the perceived usefulness of the BasisRaadsOnderzoek (BARO) as a first-line screening instrument for juvenile offenders.  // Child & Adolescent Psychiatry & Mental Health;2011, Vol. 5 Issue 1, p24 

    The article presents a research which examines the efficacy of the BasisRaadsOnderzoek (BARO) as a first-line screening instrument for juvenile offenders in the Netherlands. According to the research, the BARO has sufficient to good psychometric properties because of which the Child Protection...

  • Corrections.  // American Family Physician;4/1/2013, Vol. 87 Issue 7, p464 

    Corrections to the articles "Screening for Depression," that appeared in the January 15, 2012 and "ACIP Releases 2013 Immunization Schedules," that appeared in the February 1, 2013 are presented.

  • Development and validation of a psychosocial screening instrument for cancer. Linden, Wolfgang; Dahyun Yi; Barroetavena, Maria Cristina; MacKenzie, Regina; Doll, Richard // Health & Quality of Life Outcomes;2005, Vol. 3, p54 

    Background: We are reporting on the development of a psychosocial screening tool for cancer patients. The tool was to be brief, at a relatively low reading level, capture psychological variables relevant to distress and health-related quality-of-life in cancer patients, possess good reliability...

  • Pulmonary complications of asbestos exposure. Lordi, George M.; Reichman, Lee B. // American Family Physician;12/1/1993, Vol. 48 Issue 8, p1471 

    Examines the occurrence of pulmonary complications caused by asbestos exposure. Pleural plaques and pleural thickening as symptoms; Clinical criteria for the diagnosis of asbestosis; Reliable history of asbestos exposure.

  • Lymphocyte B and T cell subsets in peripheral blood from patients with asbestosis Liming, Peng; Xun, Wang // British Journal of Industrial Medicine;Feb1993, Vol. 50 Issue 2, p183 

    No abstract available.

  • Asbestosis: a study of dose-response relationships in an asbestos textile factory Lewinsohn, H. C.; Gilson, J. C.; Berry, G.; Holmes, S.; Roach, S. A. // British Journal of Industrial Medicine;May1979, Vol. 36 Issue 2, p98 

    No abstract available.

  • Westminster could face ...15m asbestos insurance claims. Wild, Damian // Public Finance;03/22/96, p2 

    Presents that Westminster LBC had allegedly risked the lives of families it moved into asbestos-ridden towers. Number of families suffering from asbestosis-related disease Mesothelioma; Damages awarded per person; Potential liability of Westminster.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics