title: No long-term psychological reaction to information about increased risk of coronary heart disease in general practice.
abstract: BACKGROUND
  Randomised, controlled trials focusing on long-term psychological reactions to information about increased risk of coronary heart disease are scarce.
  
  
  METHODS
  A population-based randomised, controlled, 5-year follow-up trial was conducted in general practice.
  
  
  METHODS
  In 1991, invitations were sent to 2,000 middle-aged people registered in the general practices in the district of Ebeltoft, Denmark. A total of 1,507 (75.4%) agreed to participate and were randomised into a control group and two intervention groups: one included health screening, a written feedback and an optional follow-up visit with the general practitioner; the other included health screening, written feedback and a planned 45-min follow-up visit with the general practitioner. The participants were informed at screening about their risk of developing coronary heart disease. Psychological distress was measured by the GHQ-12 before screening and at the 1 and the 5-year follow-up.
  
  
  RESULTS
  Before the screening (0 year), 1 and 5 years after there were no significant differences in the GHQ-12 score between the control group and the two intervention groups. Nor were there any differences related to information about increased risk of coronary heart disease between scores obtained at the 1 and the 5-year follow-up.
  
  
  CONCLUSIONS
  Middle-aged persons had no long-term psychological reaction after information about increased risk of developing coronary heart disease following a health screening in general practice evaluated by the GHQ-12, 1 year and 5 years after the examinations.
authors.affiliation: The Department of General Practice, University of Aarhus, Vennelyst Boulevard 6, DK-8000 Aarhus C, Denmark.
authors.forename: Bo
authors.initials: B
authors.lastname: Christensen
authors.forename: Marianne
authors.initials: M
authors.lastname: Engberg
authors.forename: Torsten
authors.initials: T
authors.lastname: Lauritzen
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003327:Coronary Disease / Q000523:psychology*; D003718:Denmark; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D010817:Physician-Patient Relations; D011320:Primary Health Care; D012307:Risk Factors; D011795:Surveys and Questionnaires