What is the clinical evidence from this study?

Study design: Systematic Review. Population: Cancer and acute myocardial infarction. Intervention: Intensity of fear vs. Low levels of fear or no fear. Primary outcome: Patient's delay in health care seeking behavior.

What does this research mean for the field?

High levels of fear are associated with earlier healthcare-seeking behavior in patients with cancer and myocardial infarction. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 13, 2010International Journal of Public HealthOpen Access

The impact of the intensity of fear on patient’s delay regarding health care seeking behavior: a systematic review

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Key result

High fear and panic are linked to earlier help-seeking behavior in acute myocardial infarction.

Why the study?

The role of the intensity of fear in patient delay for seeking health care in cancer and myocardial infarction was unclear.

Does high intensity of fear reduce patient's delay regarding health care seeking behavior in patients with cancer or myocardial infarction?

Comparison

High intensity of fear vs low intensity of fear

Design

Systematic review

Authors

TDTatiana DubayováUniversity of Prešov JDJitse P. van DijkUniversity Medical Center Groningen INIveta NagyováUniversity of Pavol Jozef Šafárik

Discussion

Member takes

Implication

High fear may accelerate MI presentation; confirms cross-disease associations but leaves low-fear effects unresolved for intervention trials.

Study Design

Type

Systematic Review

Structured PICO

Does high intensity of fear reduce patient's delay regarding health care seeking behavior in patients with cancer or myocardial infarction?

Population

Systematic review of 15 studies evaluating the impact of the intensity of fear on patient delay in seeking health care for cancer and acute myocardial infarction.

Exposure

High intensity of fear

Comparator

Low intensity of fear

Outcome

Patient's delay regarding health care seeking behavior

High levels of fear prompt earlier healthcare-seeking behavior in patients experiencing symptoms of cancer or myocardial infarction.

Limitations

Analyzed studies did not use the same instruments for measuring fear or anxiety.
Measurement of fear was not the primary aim in several analyzed studies.
All patients were assessed retrospectively after they had been admitted to the hospital.
Potential publication bias towards positive findings.
Lack of operationalization of fear or anxiety in studies not using validated measurements.

Cite This Study

Dubayová et al. (2010) conducted a systematic review in Cancer and acute myocardial infarction. Intensity of fear vs. Low levels of fear or no fear was evaluated on Patient's delay in health care seeking behavior. High levels of fear, such as anxiety and panic, are associated with earlier help-seeking behavior in patients with cancer and acute myocardial infarction.

synapsesocial.com/papers/6ab8999d6eb3f00ea3f92609 https://doi.org/10.1007/s00038-010-0149-0

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Implication

High fear may accelerate MI presentation; confirms cross-disease associations but leaves low-fear effects unresolved for intervention trials.

The impact of the intensity of fear on patient’s delay regarding health care seeking behavior: a systematic review

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

The impact of the intensity of fear on patient’s delay regarding health care seeking behavior: a systematic review

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

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