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www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening-2004
May 04, 2004 - are few data to assess the magnitude of harms from screening, such as needless surgery or increased anxiety … ovarian cancer being recalled each year for further assessment, resulting in potential distress and anxiety
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Fbj5RkuC7VEsKFULEsfwUg
January 01, 2016 - False-positive results also cause anxiety. … While some women don’t mind the anxiety that often accompanies a false-positive
mammogram, others consider
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/wKNN62XVsRkD-e2bnPQCrZ
August 21, 2023 - Potential harms of screening include the time, effort, and anxiety
associated with further testing after
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/E-CnBfHDL-yEo_V2hLFPnY
August 10, 2021 - treatment
• There is adequate evidence that the harms of screening for gestational
diabetes, such as anxiety … Potential Harms
Potential harms of screening for gestational diabetes include psy-
chological harms (anxiety … Three studies pro-
vided data on potential psychosocial harms (ie, anxiety, depressive
symptoms, or both … There was no increase in anxiety/
depression with screening or receiving a false-positive test result … and
a small, transient increase in anxiety associated with gestational dia-
betes diagnosis.
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/WYvNt2GWJf8uGcAm3p_PFJ
October 05, 2021 - treatment
• There is adequate evidence that the harms of screening for gestational
diabetes, such as anxiety … Potential Harms
Potential harms of screening for gestational diabetes include psy-
chological harms (anxiety … Three studies pro-
vided data on potential psychosocial harms (ie, anxiety, depressive
symptoms, or both … There was no increase in anxiety/
depression with screening or receiving a false-positive test result … and
a small, transient increase in anxiety associated with gestational dia-
betes diagnosis.
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening
October 23, 2018 - Outcomes measured included IPV, quality of life, depression, and anxiety. … groups. 43 One RCT (n = 272) found no difference between groups in the percentage of women who had anxiety … abuse (eg, unwanted pregnancy, sexually transmitted infections), psychological abuse (eg, depression, anxiety … not specific to counseling for IPV; reporting bias not detected
Low (IPV, QOL)
Insufficient (anxiety … different measures (3 RCTs found significant benefit and 2 did not)
Inconsistent, imprecise
Anxiety
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/KCmFv9dqmRCBKVJQenJVFz
March 14, 2022 - include testing results that show someone has an infection when they do not, leading
to unnecessary anxiety
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/hearing-loss-in-older-adults-screening
February 14, 2019 - likelihood ratio, and diagnostic odds ratio
KQs 3, 5: False-positive results, overdiagnosis, labeling, anxiety
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/bcdraftrecbulletin.pdf
April 21, 2015 - While some women do not
mind the anxiety that accompanies a false-positive mammogram, other women consider
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-mellitus-screening
January 14, 2014 - The cohort study ( n = 258) showed no significant difference in preeclampsia. 12
In ACHOIS, anxiety … There was no significant difference between groups in anxiety, but there were significantly lower rates … percentile. 1 , 13
Harms of Screening and Treatment
Maternal Outcomes
One RCT (ACHOIS) assessed anxiety … These results should be interpreted with caution because the assessment of depression and anxiety was
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer--brca-testing-ovarian-cancer-screeni
September 15, 2005 - their knowledge and perception of absolute risk for breast and ovarian cancer, and can often reduce anxiety … outcomes. 1 These studies examined the impact of genetic counseling on worrying about breast cancer, anxiety … genetic counseling, and 2 studies showed no significant effect. 1 Three studies reported decreased anxiety … effect. 1 Results of a meta-analysis showed that genetic counseling significantly decreased generalized anxiety
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-mellitus-screening-january-2014
January 14, 2014 - The cohort study ( n = 258) showed no significant difference in preeclampsia. 12
In ACHOIS, anxiety … There was no significant difference between groups in anxiety, but there were significantly lower rates … percentile. 1 , 13
Harms of Screening and Treatment
Maternal Outcomes
One RCT (ACHOIS) assessed anxiety … These results should be interpreted with caution because the assessment of depression and anxiety was
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/atrial-fibrillation-screening
January 25, 2022 - SAFE reported no difference in anxiety scores between those screened with ECG compared with pulse palpation … For harms of screening, 1 RCT reported that anxiety was not significantly different between participants … KQ4: Harms of screening
4 RCTs (43,633) 15-19 , 33 , 43-45 , 47 j 1 cohort (5214) k
Anxiety … scores not reported for comparison of invitation to ECG screening vs no screening
Insufficient for anxiety … a subset of 1940 of the 14,802 participants in the SAFE study, although study reporting relating to anxiety
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan88/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
February 18, 2014 - began
Weight gain
Emotional distress (e.g., worsening of symptoms such as depression, anxiety
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan88/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions-september-2015
February 18, 2014 - began
Weight gain
Emotional distress (e.g., worsening of symptoms such as depression, anxiety
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/HMTQY64cVavMZjxR3mCe5E
January 01, 2020 - support breastfeeding, which in theory could include guilt related
to not breastfeeding, increased anxiety … One trial found no significant differences in maternal
anxiety between groups at 2 weeks. … The other trial reported that a
few mothers expressed feelings of anxiety and decreased confi-
dence
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/Nw6T9w3t3yVcBzNar9vkfW
March 15, 2022 - to –4.66)
YBOCS-BE 14 30212 31McElroy et al,48 2003 –2.55 (–4.29 to –0.81)
Topiramate (depression, anxiety … Heterogeneity: τ2 = 5.31, I2 = 82.75%, H2 = 5.80 –5.75 (–8.32 to –3.17)
HAM-A indicates Hamilton Anxiety … behavioral therapy;
EDE, Eating Disorder Examination; EDE-Q, EDE Questionnaire; HADS-Dep, Hospital Anxiety … change, −6.40 (P < .001)
and −2.55 (P = .004)
Other outcomes assessed by 1 trial
each (depression, anxiety … Fluoxetine in
the treatment of anxiety, depressive symptoms,
and eating-related symptoms in bulimia nervosa
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2002
December 01, 2002 - Screening is associated with important harms, including frequent false‐positive results and unnecessary anxiety … The screening process is likely associated with some increase in anxiety, but the number of men affected … and the magnitude of the increased anxiety are largely unknown.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/breast-cancer-screening-adults
May 06, 2021 - Recall rate (need for further evaluation)
Overdiagnosis and overtreatment
Psychological harms (e.g., anxiety
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/iron-deficiency-anemia-during-pregnancy-screening-supplementation
July 07, 2022 - ferritin levels; low birth weight, small for gestational age, and preterm delivery
KQ 2: Overdiagnosis, anxiety