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Illness representations and coping following an abnormal colorectal cancer screening result

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  • Orbell, Sheina
  • O'Sullivan, Ian
  • Parker, Ron
  • Steele, Bob
  • Campbell, Christine
  • Weller, David

Abstract

Receipt of an abnormal screening test result is likely to activate an illness representation that guides emotional, cognitive and behavioural responses. The study investigates relationships between illness representations specified by self-regulation theory, and coping responses in people receiving abnormal faecal occult blood test (FOBT) screening results during the UK colorectal cancer screening pilot. After completion of all clinical investigations and treatment, men and women diagnosed with invasive cancer (NÂ =Â 196), adenoma (NÂ =Â 208), or no neoplasia (NÂ =Â 293) completed measures of illness representations, coping and state anxiety. Gender, socioeconomic status and diagnosis explained significant variance in different coping strategies while illness representations contributed between 5% and 21% additional explained variance. While identity, causal attributions and emotional representations explained variance in the use of avoidance and distancing, perceived personal control was important in explaining efforts to make health behavioural changes following an abnormal result. Relatively more use of escape-avoidance coping following a first abnormal screen was significantly associated with non-participation in screening 2 years later.

Suggested Citation

  • Orbell, Sheina & O'Sullivan, Ian & Parker, Ron & Steele, Bob & Campbell, Christine & Weller, David, 2008. "Illness representations and coping following an abnormal colorectal cancer screening result," Social Science & Medicine, Elsevier, vol. 67(9), pages 1465-1474, November.
  • Handle: RePEc:eee:socmed:v:67:y:2008:i:9:p:1465-1474
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    References listed on IDEAS

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    1. Orbell, Sheina & Johnston, Marie & Rowley, David & Espley, Arthur & Davey, Peter, 1998. "Cognitive representations of illness and functional and affective adjustment following surgery for osteoarthritis," Social Science & Medicine, Elsevier, vol. 47(1), pages 93-102, July.
    2. Shaw, Chris & Abrams, Keith & Marteau, Theresa M., 1999. "Psychological impact of predicting individuals' risks of illness: a systematic review," Social Science & Medicine, Elsevier, vol. 49(12), pages 1571-1598, December.
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    1. Schroeder, Ryan D. & Hill, Terrence D. & Haynes, Stacy Hoskins & Bradley, Christopher, 2011. "Physical health and crime among low-income urban women: An application of general strain theory," Journal of Criminal Justice, Elsevier, vol. 39(1), pages 21-29.
    2. Ana V. Nikčević & Chiara Sacchi & Claudia Marino & Neil O’Gorman & Liona C. Poon & Kypros H. Nicolaides, 2023. "Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial," IJERPH, MDPI, vol. 20(7), pages 1-12, April.
    3. Gaspar, Mark & Rosenes, Ron & Burchell, Ann N. & Grennan, Troy & Salit, Irving & Grace, Daniel, 2020. "Diagnosing uncertainty: The challenges of implementing medical screening programs for minority sub-populations in Canada," Social Science & Medicine, Elsevier, vol. 244(C).

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