Psychological distress and bowel cancer screening participation

Article


Anderson, Laura E., Ireland, Michael J., Myers, Larry, Avenell, Claire, Connaughton, Tanaya and Goodwin, BelindaC.. 2023. "Psychological distress and bowel cancer screening participation ." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 32 (2), pp. 229-236. https://doi.org/10.1002/pon.6072
Article Title

Psychological distress and bowel cancer screening participation

ERA Journal ID6624
Article CategoryArticle
AuthorsAnderson, Laura E., Ireland, Michael J., Myers, Larry, Avenell, Claire, Connaughton, Tanaya and Goodwin, BelindaC.
Journal TitlePsycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer
Journal Citation32 (2), pp. 229-236
Number of Pages8
Year01 Feb 2023
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN1057-9249
1099-1611
Digital Object Identifier (DOI)https://doi.org/10.1002/pon.6072
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1002/pon.6072
Abstract

Objective
To better understand barriers to participation in mail-out bowel cancer screening programs, two survey studies tested the relationship between psychological distress and self-reported bowel cancer screening.

Methods
First, a nationally representative sample of Australians N = 5421 completed measures of bowel cancer screening and psychological distress (using the Kessler Psychological Distress Scale; K10). Second, N = 479 completed a survey measuring participation in the National Bowel Cancer Screening Program (NBCSP) and psychological distress using the Depression, Anxiety and Stress Scale. In both studies, logistic regressions were conducted to test relationships between psychological distress and self-reported screening participation.

Results
Study one found that psychological distress had a significant quadratic effect on having ever screened for bowel cancer, where screening rates were similar for those with low, moderate, or high levels of distress, but were lower for those with very high levels of distress. In study two, depression scores had a negative linear relationship with NBCSP participation (higher depression levels were associated with lower screening participation), and anxiety had a quadratic effect whereby NBCSP participation rates were higher with increasing levels of anxiety except in the severe category, where participation was significantly lower.

Conclusions
Findings indicate that psychological distress has a complex relationship with screening, and those with extreme levels of distress consistently show lower participation rates. Special efforts to encourage screening may be required for those experiencing extreme psychological distress and mental health disorders.

Keywordsanxiety; bowel; cancer; colorectal; depression; faecal occult blood testing (FOBT); oncology; psycho-oncology; screening; stress
ANZSRC Field of Research 2020520304. Health psychology
420603. Health promotion
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsCancer Council Queensland, Australia
School of Psychology and Wellbeing
Centre for Health Research
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March, Sonja, Day, Jamin, Ritchie, Gabrielle, Rowe, Arlen, Gough, Jeffrey, Hall, Tanya, Yuen, Chin Yan Jackie, Donovan, Caroline Leanne and Ireland, Michael. 2018. "Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey." Journal of Medical Internet Research. 20 (2). https://doi.org/10.2196/jmir.9109
The Interactive Child Distress Screener: development and preliminary feasibility testing
March, Sonja, Day, Jamin, Zieschank, Kirsty and Ireland, Michael. 2018. "The Interactive Child Distress Screener: development and preliminary feasibility testing." JMIR mHealth and uHealth. 6 (4), pp. 1-15. https://doi.org/10.2196/mhealth.9456
Ego depletion in real-time: an examination of the sequential-task paradigm
Arber, Madeleine M., Ireland, Michael J., Feger, Roy, Marrington, Jessica, Tehan, Joshua and Tehan, Gerald. 2017. "Ego depletion in real-time: an examination of the sequential-task paradigm." Frontiers in Psychology. 8, pp. 1-12. https://doi.org/10.3389/fpsyg.2017.01672
Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review
Clough, Bonnie A., March, Sonja, Chan, Raymond J., Casey, Leanne M., Phillips, Rachel and Ireland, Michael J.. 2017. "Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review." Systematic Reviews. 6, pp. 1-19. https://doi.org/10.1186/s13643-017-0526-3
Psychometric testing of the revised “Families’ Importance in Nursing Care—Nurses’ Attitudes instrument”
Mackie, Benjamin R., Marshall, Andrea, Mitchell, Marion and Ireland, Michael J.. 2017. "Psychometric testing of the revised “Families’ Importance in Nursing Care—Nurses’ Attitudes instrument” ." Journal of Advanced Nursing. 74 (2), pp. 482-490. https://doi.org/10.1111/jan.13442
Can alcohol sponsorship be diluted by health messaging?
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2018. "Can alcohol sponsorship be diluted by health messaging?" Sport in Society. 21 (3), pp. 434-451. https://doi.org/10.1080/17430437.2017.1346617
Internet-based delivery of cognitive behaviour therapy compared to monitoring, feedback and support for problem gambling: a randomised controlled trial
Casey, Leanne M., Oei, Tian P. S., Raylu, Namrata, Horrigan, Katherine, Day, Jamin, Ireland, Michael and Clough, Bonnie A.. 2017. "Internet-based delivery of cognitive behaviour therapy compared to monitoring, feedback and support for problem gambling: a randomised controlled trial." Journal of Gambling Studies. 33 (3), pp. 993-1010. https://doi.org/10.1007/s10899-016-9666-y
Farmers tell us how to help improve their mental health help-seeking
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers tell us how to help improve their mental health help-seeking." 9th Australian Rural and Remote Mental Health Symposium. Albury, Australia 11 - 13 Oct 2017 Nerang, Qld, Australia.
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners
Ireland, Michael J., Clough, Bonnie, Gill, Kim, Langan, Fleur, O'Connor, Angela and Spencer, Lyndall. 2017. "A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners." Medical Teacher. 39 (4), pp. 409-414. https://doi.org/10.1080/0142159X.2017.1294749
The impact of alcohol sponsorship in sport upon varsity sportspeople
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Alpert, Frank. 2014. "The impact of alcohol sponsorship in sport upon varsity sportspeople." Journal of Sport Management. 28 (4), pp. 418-432. https://doi.org/10.1123/jsm.2013-0078
Young consumers’ exposure to alcohol sponsorship in sport
Kelly, Sarah, Ireland, Michael, Alpert, Frank and Mangan, John. 2015. "Young consumers’ exposure to alcohol sponsorship in sport." International Journal of Sports Marketing and Sponsorship. 16 (2), pp. 2-21. https://doi.org/10.1108/IJSMS-16-02-2015-B002
Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors
Clough, Bonnie A., Ireland, Michael J. and March, Sonja. 2018. "Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors." Journal of Mental Health. 28 (1), pp. 26-33. https://doi.org/10.1080/09638237.2017.1370642
Farmers are not seeking help: what does service provision have to do with it?
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers are not seeking help: what does service provision have to do with it?" 14th World Rural Health Conference (Wonca 2017). Cairns, QLD 29 Apr - 02 May 2017
Farmers aren't seeking help for mental health: their partners tell us why
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2017. "Farmers aren't seeking help for mental health: their partners tell us why." Coleman, Leanne (ed.) 14th National Rural Health Conference. Cairns, Australia 26 - 29 Mar 2017 Canberra, Australia.
Stories from Queensland farmers: 'why we don't seek help for mental health'
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2016. "Stories from Queensland farmers: 'why we don't seek help for mental health'." 8th Rural and Remote Mental Health Symposium (2016). Kingscliff, Australia 03 - 04 Nov 2016
Applying a revised two-factor model of impulsivity to predict health behaviour and well-being
Goodwin, Belinda C., Browne, Matthew, Hing, Nerilee and Russell, Alex M. T.. 2017. "Applying a revised two-factor model of impulsivity to predict health behaviour and well-being." Personality and Individual Differences. 111, pp. 250-255. https://doi.org/10.1016/j.paid.2017.02.029
The cognitive emotion regulation questionnaire: factorial, convergent, and criterion validity analyses of the full and short versions
Ireland, Michael J., Clough, Bonnie A. and Day, Jamin J.. 2017. "The cognitive emotion regulation questionnaire: factorial, convergent, and criterion validity analyses of the full and short versions." Personality and Individual Differences. 110, pp. 90-95. https://doi.org/10.1016/j.paid.2017.01.035
Connected and isolated victims of relational aggression: associations with peer group status and differences between girls and boys
Zimmer-Gembeck, Melanie J., Pronk, Rhiarne E., Goodwin, Belinda, Mastro, Shawna and Crick, Nicki R.. 2013. "Connected and isolated victims of relational aggression: associations with peer group status and differences between girls and boys." Sex Roles: a journal of research. 68 (5-6), pp. 363-377. https://doi.org/10.1007/s11199-012-0239-y
Comparing reports of peer rejection: associations with rejection sensitivity, victimization, aggression, and friendship
Zimmer-Gembeck, Melanie J., Nesdale, Drew, McGregor, Leanne, Mastro, Shawna, Goodwin, Belinda and Downey, Geraldine. 2013. "Comparing reports of peer rejection: associations with rejection sensitivity, victimization, aggression, and friendship." Journal of Adolescence. 36 (6), pp. 1237-1246. https://doi.org/10.1016/j.adolescence.2013.10.002
Preferred electronic gaming machine environments of recreational versus problem gamblers: an in-venue mixed methods study
Thorne, Hannah Briony, Goodwin, Belinda, Langham, Erika, Rockloff, Matthew and Rose, Judy. 2016. "Preferred electronic gaming machine environments of recreational versus problem gamblers: an in-venue mixed methods study." Journal of Gambling Issues. https://doi.org/10.4309/jgi.2016.34.12
It works two ways: impacts of sponsorship alliance upon sport and sponsor image
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2016. "It works two ways: impacts of sponsorship alliance upon sport and sponsor image." Sport Marketing Quarterly. 25 (4), pp. 241-259.
Reflective minds and open hearts: cognitive style and personality predict religiosity and spiritual thinking in a community sample
Browne, Matthew, Pennycook, Gordan, Goodwin, Belinda and McHenry, Melinda. 2014. "Reflective minds and open hearts: cognitive style and personality predict religiosity and spiritual thinking in a community sample." European Journal of Social Psychology. 44 (7), pp. 736-742. https://doi.org/10.1002/ejsp.2059
EGM jackpots and player behaviour: an in-venue shadowing study
Browne, Matthew, Langham, Erika, Rockloff, Matthew J., Li, En, Donaldson, Phillip and Goodwin, Belinda. 2015. "EGM jackpots and player behaviour: an in-venue shadowing study." Journal of Gambling Studies. 31 (4), pp. 1695-1714. https://doi.org/10.1007/s10899-014-9485-y
Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Loxton, Natalie J.. 2016. "Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal." Personality and Individual Differences. 94, pp. 206-210. https://doi.org/10.1016/j.paid.2016.01.030
Differential effects of reward drive and rash impulsivity on the consumption of a range of hedonic stimuli
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Loxton, Natalie. 2016. "Differential effects of reward drive and rash impulsivity on the consumption of a range of hedonic stimuli ." Journal of Behavioral Addictions. 5 (2), pp. 192-203. https://doi.org/10.1556/2006.5.2016.047
Do gamblers eat more salt? Testing a latent trait model of covariance in consumption
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Donaldson, Phillip. 2015. "Do gamblers eat more salt? Testing a latent trait model of covariance in consumption." Journal of Behavioural Addictions. 4 (3), pp. 170-180. https://doi.org/10.1556/2006.4.2015.022
Measuring preference for supernormal over natural rewards: a two-dimensional anticipatory pleasure scale
Goodwin, B. C., Browne, M. and Rockloff, M.. 2015. "Measuring preference for supernormal over natural rewards: a two-dimensional anticipatory pleasure scale." Evolutionary Psychology. 13 (4). https://doi.org/10.1177/1474704915613914
Innovative mental health solutions for regional well-being and resilience
March, Sonja, Ireland, Michael, Brownlow, Charlotte, Goh, Hong Eng, Antonio, Amy, Tehan, Gerry and Keppell, Mike. 2014. "Innovative mental health solutions for regional well-being and resilience." Keppell, Mike and Reushle, Shirley (ed.) 2nd Digital Rural Futures Conference 2014. Toowoomba, Australia 25 - 27 Jun 2014 Toowoomba, Australia.
The nature of youth care tasks in families experiencing chronic illness/disability: development of the Youth Activities of Caregiving Scale (YACS)
Ireland, Michael James and Pakenham, Kenneth Ian. 2010. "The nature of youth care tasks in families experiencing chronic illness/disability: development of the Youth Activities of Caregiving Scale (YACS)." Psychology and Health: an international journal. 25 (6), pp. 713-731. https://doi.org/10.1080/08870440902893724
Youth adjustment to parental illness or disability: the role of illness characteristics, caregiving, and attachment
Ireland, Michael J. and Pakenham, Kenneth I.. 2010. "Youth adjustment to parental illness or disability: the role of illness characteristics, caregiving, and attachment." Psychology, Health and Medicine. 15 (6), pp. 632-645. https://doi.org/10.1080/13548506.2010.498891
Meditation and psychological health and functioning: a descriptive and critical review
Ireland, Michael. 2012. "Meditation and psychological health and functioning: a descriptive and critical review." The Scientific Review of Mental Health Practice. 9 (1), pp. 4-19.
Meditation and psychological health: modeling theoretically derived predictors, processes, and outcomes
Ireland, Michael James. 2013. "Meditation and psychological health: modeling theoretically derived predictors, processes, and outcomes." Mindfulness. 4 (4), pp. 362-374. https://doi.org/10.1007/s12671-012-0136-z
Meditative insight: conceptual and measurement development
Ireland, Michael J.. 2013. "Meditative insight: conceptual and measurement development." Mental Health, Religion and Culture. 16 (1), pp. 79-99. https://doi.org/10.1080/13674676.2011.645225
Effect of context on performance approach orientation
Izadikhah, Zahra, Jackson, Chris and Ireland, Michael J.. 2012. "Effect of context on performance approach orientation." American Journal of Psychology. 125 (2), pp. 193-207. https://doi.org/10.5406/amerjpsyc.125.2.0193