Khaira H S, Herbert L M, Crowson M C
Department of Surgery, Good Hope Hospital NHS Trust, Sutton Coldfield, West Midlands.
Ann R Coll Surg Engl. 1998 Sep;80(5):341-2.
Screening can lead to harmful psychological effects in the screened population--an argument used against abdominal aortic aneurysm (AAA) screening. However, there is no evidence for this in AAA screening. We applied the Hospital Anxiety and Depression Scale (HADS) to a group of men undergoing screening for AAA. The HADS questionnaire was completed by subjects found not to have AAA, subjects with known small aneurysms attending for follow-up scans, subjects with known AAA on waiting lists for surgery, and controls not involved in the screening programme. The groups were well matched for age and the number of additional diseases. There was no significant difference in the distribution of patients for anxiety and depression according to the HADS questionnaire (chi 2 test, P > 0.1). The results from this study suggest that AAA screening does not increase anxiety or depression in the screened subjects--contrary to the argument put forward against screening for this condition.
筛查可能会给受筛查人群带来有害的心理影响——这是反对腹主动脉瘤（AAA）筛查的一个理由。然而，在AAA筛查中并没有证据支持这一点。我们对一组接受AAA筛查的男性应用了医院焦虑抑郁量表（HADS）。未患AAA的受试者、已知患有小动脉瘤并前来进行随访扫描的受试者、在手术等候名单上已知患有AAA的受试者以及未参与筛查项目的对照组完成了HADS问卷。这些组在年龄和其他疾病数量方面匹配良好。根据HADS问卷，焦虑和抑郁患者的分布没有显著差异（卡方检验，P>0.1）。这项研究的结果表明，AAA筛查不会增加受筛查者的焦虑或抑郁——这与反对针对这种情况进行筛查的观点相反。
