Is psychological wellbeing impaired in long-term survivors of XXXX ?

@entity1 @entity308 @entity0 @entity5 @entity148
OBJECTIVE: To measure @entity148 and @entity308 in long term survivors of @entity0 . DESIGN: Case-control study. SETTING: Follow up of the trial of early detection of @entity0 in the South West Surrey Health District. SUBJECTS: 331 @entity1 with @entity0 aged 50-78, attending mammographic follow up, who had been invited to screening before diagnosis, and 584 controls who had attended the same clinic but did not have @entity0 . The sample included 290 pairs matched by screening attendance pattern and year of birth. MAIN OUTCOME MEASURE: @entity148 and @entity308 scores on the Hospital @entity148 and @entity308 Scale. RESULTS: Significantly fewer symptoms of @entity148 and @entity308 were reported by @entity1 with @entity5 than by controls and significantly fewer had high scores suggesting the presence of psychological morbidity meriting treatment. Among the @entity1 with @entity5 was more common at the first annual follow up than at later visits. Symptom scores were not significantly related to the manner of detection or to the type of initial treatment. Potentially confounding social and personal factors did not account for the differences between @entity1 with @entity5 and controls. CONCLUSION: The prevalence of @entity148 and @entity308 is not increased in long term survivors of @entity0 who are apparently free from disease and is not substantially affected by the manner in which a @entity5 is detected or by the treatment given. In the light of these findings it is difficult to justify large "quality adjustments" to the estimates of recurrence-free years of life saved by screening. Those who counsel @entity1 with @entity0 should be aware that although the initial distress can be severe, meriting psychological treatment, @entity1 do recover their normal ability to enjoy life.
