1 Aristotle University of Thessaloniki, Greece.
2 Fox Chase Cancer Center, USA.
J Health Psychol. 2018 Dec;23(14):1800-1809. doi: 10.1177/1359105316671188. Epub 2016 Oct 10.
Despite conflicting guidelines, a significant subset of high-risk men decide to undergo routine prostate cancer screening. Yet, there is a scarcity of available programs, and no studies evaluating interventions to support men in dealing with the psychosocial impact of screening. In this study, one of the first to explore the responses of high-risk men enrolling in a Prostate Cancer Risk Assessment Program ( N = 128), patients underwent a prostate cancer risk counseling visit immediately followed by either a cognitive-affective preparation session designed to help them process the information they received or a general health education session. All men in this self-selected sample chose to participate in prostate cancer screening. Men were assessed 3 weeks and 6 months post-counseling. The impact of the enhanced counseling condition on knowledge, perceived risk, expectancies, and intrusive ideation was a function of racial and coping style group. Implications for tailored interventions to maximize preparedness for risk and screening counseling are discussed.
尽管存在相互矛盾的指南，但仍有相当一部分高风险男性决定进行常规前列腺癌筛查。然而，可利用的项目却很少，也没有研究评估干预措施来支持男性应对筛查带来的心理社会影响。在这项研究中，我们首次探索了参加前列腺癌风险评估计划的高风险男性（N=128）的反应，这些患者在接受前列腺癌风险咨询访问后，立即参加了认知-情感准备会议，旨在帮助他们处理所收到的信息，或者参加一般健康教育会议。在这个自我选择的样本中，所有男性都选择参加前列腺癌筛查。男性在咨询后 3 周和 6 个月进行评估。强化咨询条件对知识、感知风险、期望和侵入性思维的影响取决于种族和应对方式群体。讨论了针对风险和筛查咨询的定制干预措施，以最大限度地提高准备度的意义。
