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The psychological effect of a screening programme and clinical trial for hypertension upon the participants

Published online by Cambridge University Press:  09 July 2009

A. H. Mann
A. H. Mann*
Affiliation:
Institute of Psychiatry, London
*
1Address for correspondence: Dr A. H. Mann, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London AE5 8AF.
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Synopsis

Two hundred and thirty-five entrants into the MRC trial for mild to moderate hypertension were matched with control subjects in order to assess the psychological effects of a screening programme and recruitment into a clinical trial. The prevalence and incidence of psychiatric morbidity among the trial participants were compared with those of the controls by means of responses to a self-administered questionnaire and diagnostic psychiatric interviews. No differences among the groups were shown between screening and entry into the trial, but after entry the prevalence of psychiatric morbidity among the trial participants fell. This was due to a greater improvement of those with psychiatric symptoms at entry in this group, the incidence of new morbidity being similar among the groups.

Type
Research Article
Information
Psychological Medicine , Volume 7 , Issue 3 , August 1977 , pp. 431 - 438
Copyright
Copyright © Cambridge University Press 1977

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References

Bond, A. & Lader, M. H. (1974). The use of analogue scales in rating subjective feeling. British Journal of Medical Psychology 47, 211–218.CrossRefGoogle Scholar
Cooper, B., Harwin, B. G., Depla, C. & Shepherd, M. (1975). Mental health care in the community: an evaluative study. Psychological Medicine 5, 372–380.CrossRefGoogle ScholarPubMed
Goldberg, D. (1972). The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph no. 21. Oxford University Press: London.Google Scholar
Goldberg, D., Cooper, B., Eastwood, M., Kedward, H. & Shepherd, M. (1970). A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine 24, 18–23.Google ScholarPubMed
Mann, A. H. (1977). Psychiatric morbidity and hostility in hypertension. Psychological Medicine 7 (in the press).CrossRefGoogle ScholarPubMed
Mann, A. H. & Tsegos, I. K. An evaluation of the General Health Questionnaire. In preparation.Google Scholar
Miall, W. E., Brennan, P. J. & Mann, A. H. (1976). Medical Research Council's treatment trial for mild hypertension: an interim report. Clinical Science and Molecular Medicine 51, Suppl., 563–565.Google Scholar
MRC Report (1977). A randomized controlled trial for mild to moderate hypertension; design and pilot trial experience. British Medical Journal i, 1437–1441.Google Scholar
Priestman, T. J. & Baum, M. (1976). Evaluation of the quality of life in patients receiving treatment for advanced breast cancer. Lancet i, 899–901.CrossRefGoogle Scholar
Sims, A. C. & Salmons, P. H. (1975). Severity of symptoms of psychiatric hospital outpatients: use of the General Health Questionnaire in hospital and general practice. Psychological Medicine 5, 62–66.CrossRefGoogle ScholarPubMed
Veterans Administration Cooperative Study Group (1967). The effect of treatment and morbidity in hypertension. Journal of the American Medical Association 202, 1028–1034.Google Scholar
WHO Report of Joint WHO – ISH Meeting, Madrid (1975). Obtainable on request from WHO: Geneva.Google Scholar