Marteau T M
Psychology and Genetics Research Group, United Medical School of Guy's, London, UK.
Br J Clin Psychol. 1994 Feb;33(1):1-10. doi: 10.1111/j.2044-8260.1994.tb01089.x.
The success of any health-related screening programme depends primarily upon behavioural factors, namely whether people attend, and for those who do attend, the cognitive, emotional and behavioural consequences of doing so. Some of the problems now evident in screening programmes, such as low attendance or high levels of anxiety following participation are due in part to an under-investigation of the psychological processes and outcomes critical to achieving the goals of screening programmes. These goals include high rates of informed participation and satisfactory psychological outcomes of such participation. The development of psychological models in this area may help in documenting the factors mediating and moderating responses to screening, and may suggest interventions likely to facilitate the achievement of the goals of a screening programme.
任何与健康相关的筛查项目的成功主要取决于行为因素,即人们是否参加筛查,以及对于那些参加筛查的人来说,参加筛查所带来的认知、情感和行为后果。目前在筛查项目中明显存在的一些问题,比如低参与率或参与后高度焦虑,部分原因在于对实现筛查项目目标至关重要的心理过程和结果的研究不足。这些目标包括高比例的知情参与以及这种参与带来的令人满意的心理结果。该领域心理模型的发展可能有助于记录介导和调节对筛查反应的因素,并可能提出有助于实现筛查项目目标的干预措施。