Abstract | OBJECTIVE: The purpose of this study is to investigate the long-term effects of participation in a cardiovascular screening program and of dietary counseling on self-reported psychosocial outcomes and health concerns. METHODS: High-risk subjects ( n=563) with hyperlipidemia from the Oslo Diet and Antismoking Study (1972-1977) were reexamined after 25 years and randomly assigned to a new 3-year prospective 2x2 factorial placebo-controlled study in 1997 of n-3 polyunsaturated fatty acids and/or dietary counseling. Hospital Anxiety and Depression Scale ( HADS), Life Satisfaction Index (LSI), and a new questionnaire on health concerns and behavior in response to risk information were collected at the 25-year follow-up. Hospital Anxiety and Depression Scale and LSI were evaluated at the end of the 3-year Diet and Omega-3 Intervention Trial on atherosclerosis (DOIT) in 505 subjects. RESULTS: Twenty-five years after the screening program, HADS-anxiety was similar to the Norwegian norms (3.3 vs. 3.5), while HADS-depression was significantly lower (3.6 vs. 4.1, P<.01). Patients reported that 25 years of awareness of hyperlipidemia had influenced health concerns through a moderate change in diet habits, some restriction in life conduct, but an improvement of the total life situation. After a novel 3-year intervention in DOIT, there was no difference between the dietary counseling and control group with regard to anxiety, depression, or life satisfaction, but HADS-anxiety increased significantly (4.0 vs. 3.3, P<.001) in both groups. CONCLUSION: Compared to the general population, screening-positive subjects did not have increased mental distress 25 years after screening, and beneficial health behavior persisted. Dietary counseling did not affect psychosocial outcomes.
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Authors | Gunnar Einvik, Oivind Ekeberg, Jorgen Glatved Lavik, Ingrid Ellingsen, Tor Ole Klemsdal, Elsa M Hjerkinn |
Journal | Journal of psychosomatic research
(J Psychosom Res)
Vol. 68
Issue 6
Pg. 567-72
(Jun 2010)
ISSN: 1879-1360 [Electronic] England |
PMID | 20488274
(Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial)
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Copyright | Copyright 2010 Elsevier Inc. All rights reserved. |
Chemical References |
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Topics |
- Adult
- Anxiety Disorders
(diagnosis, psychology)
- Atherosclerosis
(diet therapy, psychology)
- Attitude to Health
- Awareness
- Depressive Disorder
(diagnosis, psychology)
- Diet, Fat-Restricted
(psychology)
- Diet, Reducing
(psychology)
- Fatty Acids, Omega-3
(administration & dosage)
- Feeding Behavior
(psychology)
- Follow-Up Studies
- Humans
- Hypercholesterolemia
(diet therapy, psychology)
- Life Style
- Male
- Mass Screening
- Middle Aged
- Norway
- Patient Compliance
(psychology)
- Patient Education as Topic
- Personality Inventory
(statistics & numerical data)
- Prospective Studies
- Quality of Life
(psychology)
- Risk Factors
- Smoking Cessation
- Surveys and Questionnaires
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