Psychological consequences of screening for cardiovascular risk factors in an un-selected general population: results from the Inter99 randomised intervention study

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Standard

Psychological consequences of screening for cardiovascular risk factors in an un-selected general population : results from the Inter99 randomised intervention study. / Løkkegaard, Thomas; S. Andersen, John; K. Jacobsen, Rikke; Badsberg, Jens H.; Jørgensen, Torben; Pisinger, Charlotta.

I: Scandinavian Journal of Public Health, Bind 43, Nr. 1, 02.2015, s. 102-110.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Løkkegaard, T, S. Andersen, J, K. Jacobsen, R, Badsberg, JH, Jørgensen, T & Pisinger, C 2015, 'Psychological consequences of screening for cardiovascular risk factors in an un-selected general population: results from the Inter99 randomised intervention study', Scandinavian Journal of Public Health, bind 43, nr. 1, s. 102-110. https://doi.org/10.1177/1403494814557886

APA

Løkkegaard, T., S. Andersen, J., K. Jacobsen, R., Badsberg, J. H., Jørgensen, T., & Pisinger, C. (2015). Psychological consequences of screening for cardiovascular risk factors in an un-selected general population: results from the Inter99 randomised intervention study. Scandinavian Journal of Public Health, 43(1), 102-110. https://doi.org/10.1177/1403494814557886

Vancouver

Løkkegaard T, S. Andersen J, K. Jacobsen R, Badsberg JH, Jørgensen T, Pisinger C. Psychological consequences of screening for cardiovascular risk factors in an un-selected general population: results from the Inter99 randomised intervention study. Scandinavian Journal of Public Health. 2015 feb;43(1):102-110. https://doi.org/10.1177/1403494814557886

Author

Løkkegaard, Thomas ; S. Andersen, John ; K. Jacobsen, Rikke ; Badsberg, Jens H. ; Jørgensen, Torben ; Pisinger, Charlotta. / Psychological consequences of screening for cardiovascular risk factors in an un-selected general population : results from the Inter99 randomised intervention study. I: Scandinavian Journal of Public Health. 2015 ; Bind 43, Nr. 1. s. 102-110.

Bibtex

@article{d0ec824ed23140dc8401bbcd465b5459,
title = "Psychological consequences of screening for cardiovascular risk factors in an un-selected general population: results from the Inter99 randomised intervention study",
abstract = "Background: Concerns that general health checks, including screening for risk factors to ischemic heart disease (IHD),have negative psychological consequences seem widely unfounded; however, previous studies are only based on selfreports from participants. Aim: To investigate if risk factor screening in healthy adults leads to mental distress in the study population, independent of participation. Methods: The Inter99 study (1999 – 2006) was a randomised intervention in the general population, aiming to prevent IHD by a healthier lifestyle. We included the whole study population, independent ofparticipation (n = 60,915). We merged data with information on the use of psychotropic medication and/or hospitalisation due to psychiatric diagnoses, as retrieved from national registers in Denmark, 4 years before and 5 years after the study began. We conducted analyses using generalised estimating equations. Results: There was no significant difference between the intervention and control groups in their use of antipsychotics, hypnotics/sedatives, antidepressants or anxiolytics. As regards admission to the hospital with mental disorders, no significant difference was seen. These findings were true based on a yearly basis, and when investigating both short-term and a long-term effects of the intervention. There was no interaction with socioeconomic status. Of the 918 persons with a psychiatric diagnosis before the study start, 303 (33{\%}) were re-admitted in the intervention period. Pre-screening of psychological status did not influence the psychological impact of screening. Conclusions: This large, randomised intervention study supports that screening for risk factors to IHD does not increase mental distress, not even in the mentally or socioeconomically most vulnerable persons.This study included the whole Inter99 study population (not only study participants).",
author = "Thomas L{\o}kkegaard and {S. Andersen}, John and {K. Jacobsen}, Rikke and Badsberg, {Jens H.} and Torben J{\o}rgensen and Charlotta Pisinger",
year = "2015",
month = "2",
doi = "10.1177/1403494814557886",
language = "English",
volume = "43",
pages = "102--110",
journal = "Scandinavian Journal of Public Health",
issn = "1403-4948",
publisher = "SAGE Publications",
number = "1",

}

RIS

TY - JOUR

T1 - Psychological consequences of screening for cardiovascular risk factors in an un-selected general population

T2 - results from the Inter99 randomised intervention study

AU - Løkkegaard, Thomas

AU - S. Andersen, John

AU - K. Jacobsen, Rikke

AU - Badsberg, Jens H.

AU - Jørgensen, Torben

AU - Pisinger, Charlotta

PY - 2015/2

Y1 - 2015/2

N2 - Background: Concerns that general health checks, including screening for risk factors to ischemic heart disease (IHD),have negative psychological consequences seem widely unfounded; however, previous studies are only based on selfreports from participants. Aim: To investigate if risk factor screening in healthy adults leads to mental distress in the study population, independent of participation. Methods: The Inter99 study (1999 – 2006) was a randomised intervention in the general population, aiming to prevent IHD by a healthier lifestyle. We included the whole study population, independent ofparticipation (n = 60,915). We merged data with information on the use of psychotropic medication and/or hospitalisation due to psychiatric diagnoses, as retrieved from national registers in Denmark, 4 years before and 5 years after the study began. We conducted analyses using generalised estimating equations. Results: There was no significant difference between the intervention and control groups in their use of antipsychotics, hypnotics/sedatives, antidepressants or anxiolytics. As regards admission to the hospital with mental disorders, no significant difference was seen. These findings were true based on a yearly basis, and when investigating both short-term and a long-term effects of the intervention. There was no interaction with socioeconomic status. Of the 918 persons with a psychiatric diagnosis before the study start, 303 (33%) were re-admitted in the intervention period. Pre-screening of psychological status did not influence the psychological impact of screening. Conclusions: This large, randomised intervention study supports that screening for risk factors to IHD does not increase mental distress, not even in the mentally or socioeconomically most vulnerable persons.This study included the whole Inter99 study population (not only study participants).

AB - Background: Concerns that general health checks, including screening for risk factors to ischemic heart disease (IHD),have negative psychological consequences seem widely unfounded; however, previous studies are only based on selfreports from participants. Aim: To investigate if risk factor screening in healthy adults leads to mental distress in the study population, independent of participation. Methods: The Inter99 study (1999 – 2006) was a randomised intervention in the general population, aiming to prevent IHD by a healthier lifestyle. We included the whole study population, independent ofparticipation (n = 60,915). We merged data with information on the use of psychotropic medication and/or hospitalisation due to psychiatric diagnoses, as retrieved from national registers in Denmark, 4 years before and 5 years after the study began. We conducted analyses using generalised estimating equations. Results: There was no significant difference between the intervention and control groups in their use of antipsychotics, hypnotics/sedatives, antidepressants or anxiolytics. As regards admission to the hospital with mental disorders, no significant difference was seen. These findings were true based on a yearly basis, and when investigating both short-term and a long-term effects of the intervention. There was no interaction with socioeconomic status. Of the 918 persons with a psychiatric diagnosis before the study start, 303 (33%) were re-admitted in the intervention period. Pre-screening of psychological status did not influence the psychological impact of screening. Conclusions: This large, randomised intervention study supports that screening for risk factors to IHD does not increase mental distress, not even in the mentally or socioeconomically most vulnerable persons.This study included the whole Inter99 study population (not only study participants).

U2 - 10.1177/1403494814557886

DO - 10.1177/1403494814557886

M3 - Journal article

C2 - 25381314

VL - 43

SP - 102

EP - 110

JO - Scandinavian Journal of Public Health

JF - Scandinavian Journal of Public Health

SN - 1403-4948

IS - 1

ER -

ID: 140496012