Premium
Colon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?
Author(s) -
Mountifield R.,
Bampton P.,
Prosser R.,
MikockaWalus A.,
Andrews J. M.
Publication year - 2014
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.12317
Subject(s) - medicine , anxiety , quality of life (healthcare) , locus of control , colorectal cancer , disease , depression (economics) , inflammatory bowel disease , colonoscopy , cancer , psychiatry , psychology , nursing , economics , psychotherapist , macroeconomics
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 S hort F orm 36 ( SF ‐36) survey to assess quality of life, the S pielberger S tate‐ T rait P ersonality I nventory, the M ultidimensional H ealth L ocus of C ontrol, and a R isk P erception Q uestionnaire. Results One hundred and thirty‐nine of 286 (49%) subjects responded, 53% male, 46% C rohn 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 S pielberger S tate‐ T rait P ersonality I nventory: 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 .