Evidence map›Paper›PMID 28391710›Full record

ArticlePsychology & health2018

Does psychosocial stress exacerbate avoidant responses to cancer information in those who are afraid of cancer? A population-based survey among older adults in England.

Charlotte Vrinten, David Boniface, Siu Hing Lo, Lindsay C Kobayashi, Christian von Wagner, Jo Waller

Abstract read
In one paragraph

Article in Psychology & health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Prevalence and predictors of medical information avoidance: a systematic review and meta-analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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  5. Post-traumatic growth experiences of breast cancer patients and spouses: a dyadic qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Charlotte Vrintena Research Department of Behavioural Science and Health , University College London , London , UK.
David Bonifacea Research Department of Behavioural Science and Health , University College London , London , UK.
Siu Hing Loa Research Department of Behavioural Science and Health , University College London , London , UK.
Lindsay C Kobayashia Research Department of Behavioural Science and Health , University College London , London , UK.
Christian von Wagnera Research Department of Behavioural Science and Health , University College London , London , UK.
Jo Wallera Research Department of Behavioural Science and Health , University College London , London , UK.

Funding

Cancer Research UK 14134
6 · The paper itself

Abstract

objectiveCommunication of cancer information is an important element of cancer control, but cancer fear may lead to information avoidance, especially when coping is low. We examined the association between cancer fear and cancer information avoidance, and tested whether this was exacerbated by psychosocial stress.

designCross-sectional survey of 1258 population-based adults (58-70 years) in England.

main outcome measuresCancer fear (intensity and frequency), perceived psychosocial stress and cancer information avoidance. Control variables were age, gender, ethnicity, marital status and education.

resultsA quarter (24%) of respondents avoided cancer information. Ordinal logistic regression analyses showed main effects of psychosocial stress (OR = 1.17, 95% CI 1.07-1.29) and cancer fear: cancer information avoidance was lowest in those with no cancer fear (13%), followed by those with moderate (24%; OR = 2.15, 95% CI: 1.49-3.12), and high cancer fear (35%; OR = 3.90, 95% CI: 2.65-5.73). In the adjusted model, the interaction between cancer fear and stress was significant (OR = 1.14, 95% CI 1.004-1.29, p < .05): 40% of those with high fear/high stress avoided cancer information compared with 29% with high fear/low stress.

conclusionCancer fear and psychosocial stress interact to produce disengagement with cancer-related information, highlighting the importance of affective processes to cancer control efforts.

Indexed as

Avoidance LearningAgedConsumer Health InformationCross-Sectional StudiesEnglandFearFemaleHumansMaleMiddle AgedNeoplasmsStress, Psychologicalavoidancecancerfearhealth communicationpsychosocial stressworry

Identifiers

PMID28391710
PMCPMC5750809

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.