Psychological effects of false-positive results in cystic fibrosis newborn screening: a two-year follow-up

J Pediatr. 2010 May;156(5):771-6, 776.e1. doi: 10.1016/j.jpeds.2009.12.003. Epub 2010 Feb 20.

Abstract

Objective: To evaluate parental stress after a false-positive result at the time of the cystic fibrosis (CF) newborn screening (NBS), attributable to heterozygotism or persistent hypertrypsinemia.

Study design: A prospective study was conducted in 86 French families at 3, 12, and 24 months after NBS. A psychologist conducted interviews with a questionnaire, the Perceived Stress Scale, and the Vulnerable Child Scale.

Results: Overall, 96.5% of parents said they had been anxious at the time of the sweat test. However, 86% felt entirely reassured 3 months after the test. The mean Perceived Stress Scale score did not differ from that observed in the French population. Mean Vulnerable Child Scale scores were high, associated with a low Parental Perception of Child Vulnerability. These results did not differ significantly at 1 and 2 years. In total, 86% to 100% of families no longer worried about CF. All parents stated that they would have the test performed again for another child.

Conclusions: CF NBS can lead to false-positive results, causing parental anxiety, which quickly decreases after a sweat test performed soon after the phone call.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety / etiology
  • Cystic Fibrosis / diagnosis*
  • Cystic Fibrosis / psychology
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics
  • False Positive Reactions
  • Female
  • Heterozygote
  • Humans
  • Infant, Newborn
  • Male
  • Mutation
  • Neonatal Screening / psychology*
  • Parents / psychology*
  • Sweat / chemistry
  • Trypsin / blood

Substances

  • Cystic Fibrosis Transmembrane Conductance Regulator
  • Trypsin