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Measuring Psychological Consequences of Screening: Adaptation of the Psychological Consequences Questionnaire into Dutch

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Abstract

Objective: To assess the psychometric properties of a Dutch adaptation of an originally Australian instrument measuring the psychological impact of breast cancer screening. Methods: The three subscales (emotional, physical, social) of the Psychological Consequences Questionnaire (PCQ) underwent formal linguistic and cultural translation. A total of 524 women under intensive surveillance because of increased breast cancer risk were asked to complete the questionnaire at 2 months prior to screening, at the day of the screening visit preceding the screening, and 1–4 weeks after screening. Acceptability, score distribution, internal consistency, scale structure, responsiveness to change and construct validity were analysed. Results: Response rates were high (98–94%) and there were very few missing answers and non-unique answers. All scales had Cronbach’s αs > 0.70. The physical and social subscale showed ceiling effects. The item-own scale correlations were only slightly higher than the corresponding item-other scale correlations. Factor analysis showed that the assumed three separate subscales were replicated in our study. Pre- and post-screening effect sizes for the emotional scale were larger than for the other two scales. All PCQ scales correlated with the scales of two other psychological measures (p ≤ 0.01). The emotional scale and the total PCQ score were able to differentiate between subgroups varying in affective risk perception (p ≤ 0.01). Conclusion: The Dutch PCQ is useful in measuring psychological impact among women under intensive surveillance because of high breast cancer risk.

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Abbreviations

HADS:

Hospital Anxiety and Depression Scale

IES:

Impact of Event Scale

MRI:

Magnetic Resonance Imaging

MRISC Study:

Magnetic Resonance Imaging Screening Study

PCQ:

Psychological Consequences Questionnaire

References

  1. M Kriege CTM Brekelmans C Boetes et al. (2004) ArticleTitleEfficacy of MRI and mammography for breast-cancer screening in women with a familial or genetic predisposition N Engl J Med 351 427–437 Occurrence Handle1:CAS:528:DC%2BD2cXmtFalu7o%3D Occurrence Handle15282350 Occurrence Handle10.1056/NEJMoa031759

    Article  CAS  PubMed  Google Scholar 

  2. E Warner DB Plewes KA Hill et al. (2004) ArticleTitleSurveillance of BRCA1 and BRCA2 mutation carriers with magnetic resonance imaging, ultrasound, mammography, and clinical breast examination J Am Med Assoc 292 1317–1325 Occurrence Handle1:CAS:528:DC%2BD2cXns12rs78%3D Occurrence Handle10.1001/jama.292.11.1317

    Article  CAS  Google Scholar 

  3. AJ Rijnsburger ML Essink-Bot S Dooren Particlevan et al. (2004) ArticleTitleImpact of screening for breast cancer in high-risk women on health-related quality of life Br J Cancer 91 69–76 Occurrence Handle1:STN:280:DC%2BD2czitlOqsw%3D%3D Occurrence Handle2364757 Occurrence Handle15199386 Occurrence Handle10.1038/sj.bjc.6601912

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. J Cockburn T De Luise S Hurley K Clover (1992) ArticleTitleDevelopment and validation of the PCQ: A questionnaire to measure the psychological consequences of screening mammography Soc Sci Med 34 1129–1134 Occurrence Handle1:STN:280:DyaK38zltFWmtA%3D%3D Occurrence Handle1641674 Occurrence Handle10.1016/0277-9536(92)90286-Y

    Article  CAS  PubMed  Google Scholar 

  5. J Cockburn M Staples SF Hurley T Luise ParticleDe (1994) ArticleTitlePsychological consequences of screening mammography J Med Screen 1 7–12 Occurrence Handle1:STN:280:DyaK28zot1KitA%3D%3D Occurrence Handle8790480

    CAS  PubMed  Google Scholar 

  6. G Ong J Austoker J Brett (1997) ArticleTitleBreast screening: Adverse psychological consequences one month after placing women on early recall because of a diagnostic uncertainty. A multicentre study J Med Screen 4 158–168 Occurrence Handle1:STN:280:DyaK1c%2FjsFegsw%3D%3D Occurrence Handle9368874

    CAS  PubMed  Google Scholar 

  7. J Brett J Austoker G Ong (1998) ArticleTitleDo women who undergo further investigation for breast screening suffer adverse psychological consequences? A multi-centre follow-up study comparing different breast screening result groups five months after their last breast screening appointment J Public Health Med 20 396–403 Occurrence Handle1:STN:280:DyaK1M7itVyhsg%3D%3D Occurrence Handle9923945 Occurrence Handle10.1093/oxfordjournals.pubmed.a024793

    Article  CAS  PubMed  Google Scholar 

  8. JB Lowe KP Balanda C Mar ParticleDel E Hawes (1999) ArticleTitlePsychologic distress in women with abnormal findings in mass mammography screening Cancer 85 1114–1118 Occurrence Handle1:STN:280:DyaK1M7ptVaitQ%3D%3D Occurrence Handle10091796 Occurrence Handle10.1002/(SICI)1097-0142(19990301)85:5<1114::AID-CNCR15>3.0.CO;2-Y

    Article  CAS  PubMed  Google Scholar 

  9. L Bowland J Cockburn J Cawson HC Anderson S Moorehead M Kenny (2003) ArticleTitleCounselling interventions to address the psychological consequences of screening mammography: A randomised trial Patient Educ Couns 49 189–198 Occurrence Handle12566215 Occurrence Handle10.1016/S0738-3991(02)00118-0

    Article  PubMed  Google Scholar 

  10. J Brodersen H Thorsen (2003) ArticleTitlePsychosocial consequences of false positive screening mammography – an adaptation of the Psychological Consequences Questionnaire (PCQ) into Danish. Abstract 1265 Qual Life Res 12 798

    Google Scholar 

  11. J Brodersen H Thorsen J Cockburn (2004) ArticleTitleThe adequacy of measurement of short and long-term consequences of false-positive screening mammography J Med Screen 11 39–44 Occurrence Handle15006113 Occurrence Handle10.1258/096914104772950745

    Article  PubMed  Google Scholar 

  12. F Guillemin C Bombardier D Beaton (1993) ArticleTitleCross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines J Clin Epidemiol 46 1417–1432 Occurrence Handle1:STN:280:DyaK2c%2Foslalsg%3D%3D Occurrence Handle8263569 Occurrence Handle10.1016/0895-4356(93)90142-N

    Article  CAS  PubMed  Google Scholar 

  13. M Kriege CTM Brekelmans C Boetes et al. (2001) ArticleTitleMRI screening for breast cancer in women with familial or genetic predisposition: Design of the Dutch National Study (MRISC) Fam Cancer 1 163–168 Occurrence Handle1:STN:280:DC%2BD3svps1Smsg%3D%3D Occurrence Handle14574173 Occurrence Handle10.1023/A:1021135809870

    Article  CAS  PubMed  Google Scholar 

  14. JM Bland DG Altman (1997) ArticleTitleCronbach’s alpha Br Med J 314 572 Occurrence Handle1:STN:280:DyaK2s3gvVOktA%3D%3D Occurrence Handle10.1136/bmj.314.7080.572

    Article  CAS  Google Scholar 

  15. IT Jolliffe BJT Morgan (1992) ArticleTitlePrincipal component analysis and exploratory factor analysis Stat Methods Med Res 1 69–95 Occurrence Handle10.1177/096228029200100105

    Article  Google Scholar 

  16. MJ Staquet RD Hays PM Fayers (1998) Quality of Life Assessment in Clinical Trials, Methods and Practice Oxford University Press Oxford

    Google Scholar 

  17. J Cohen (1977) Statistical Power Analysis for the Behavioral Sciences Academic Press New York

    Google Scholar 

  18. AS Zigmond RP Snaith (1983) ArticleTitleThe hospital anxiety and depression scale Acta Psychiatr Scand 67 361–370 Occurrence Handle1:STN:280:DyaL3s3nvFWjug%3D%3D Occurrence Handle6880820 Occurrence Handle10.1111/j.1600-0447.1983.tb09716.x

    Article  CAS  PubMed  Google Scholar 

  19. M Horowitz N Wilner W Alvarez (1979) ArticleTitleImpact of Event Scale: A measure of subjective stress Psychosom Med 41 209–218 Occurrence Handle1:STN:280:DyaE1M3kslGjug%3D%3D Occurrence Handle472086

    CAS  PubMed  Google Scholar 

  20. S Dooren Particlevan AJ Rijnsburger C Seynaeve et al. (2004) ArticleTitlePsychological distress in women at increased risk for breast cancer: The role of risk perception Eur J Cancer 40 2056–2063 Occurrence Handle15341979 Occurrence Handle10.1016/j.ejca.2004.05.004

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands

    A. J. Rijnsburger, M. L. Essink-Bot, E. van As & H. J. de Koning

  2. Department of Medical Oncology, Erasmus MC – Daniel den Hoed Cancer Center, University Medical Center Rotterdam, Groene Hilledijk 301, 3075, EA, Rotterdam, The Netherlands

    A. J. Rijnsburger

  3. Faculty of Health, School of Medical Practice and Population Health, University of Newcastle, Newcastle, Australia

    J. Cockburn

Authors
  1. A. J. Rijnsburger
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  2. M. L. Essink-Bot
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  3. E. van As
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  4. J. Cockburn
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  5. H. J. de Koning
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Correspondence to A. J. Rijnsburger.

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Rijnsburger, A.J., Essink-Bot, M.L., van As, E. et al. Measuring Psychological Consequences of Screening: Adaptation of the Psychological Consequences Questionnaire into Dutch. Qual Life Res 15, 933–940 (2006). https://doi.org/10.1007/s11136-005-5093-8

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  • DOI: https://doi.org/10.1007/s11136-005-5093-8

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