Anxiety after an abnormal screening mammogram is a serious problem

被引：19

作者：

Keyzer-Dekker, Claudia M. G. ^{[1
]}

De Vries, Jolanda ^{[2
,3
]}

van Esch, Lotje ^{[2
]}

Ernst, Miranda F. ^{[4
]}

Nieuwenhuijzen, Grard A. P. ^{[5
]}

Roukema, Jan A. ^{[2
,6
]}

van der Steeg, Alida F. W. ^{[2
,6
]}

机构：

[1] Med Ctr Alkmaar, Dept Surg, Alkmaar, Netherlands

[2] Tilburg Univ, Ctr Res Psychol Somat Dis CoRPS, NL-5000 LE Tilburg, Netherlands

[3] St Elizabeth Hosp, Dept Med Psychol, Tilburg, Netherlands

[4] Jeroen Bosch Ziekenhuis, Dept Surg, Shertogenbosch, Netherlands

[5] Catharina Hosp, Dept Surg, Eindhoven, Netherlands

[6] St Elizabeth Hosp, Dept Surg, Tilburg, Netherlands

来源：

BREAST | 2012年 / 21卷 / 01期

关键词：

Breast cancer screening; Mammogram; False positive; Personality; Quality of life; BREAST-CANCER; PSYCHOLOGICAL CONSEQUENCES; SHORT-FORM; WOMEN; SCALE; NETHERLANDS; DIAGNOSIS; DISTRESS; BENEFITS;

D O I：

10.1016/j.breast.2011.08.137

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose: The aim of this study was to analyze the possible negative psychological consequences of a false positive screening mammogram (FPSM). We compared anxiety evoked by first (FSM) versus repeat screening mammogram (RSM). Questionnaires were completed prior to the diagnosis and during follow up. Results: No differences in anxiety, depressive symptoms, and Quality of Life (QoL) were found between FSM (N = 186) or RSM (N = 296) groups. All women experienced high anxiety before diagnosis was known. High trait anxiety was predictive for more anxiety, depressive symptoms, and lower QoL. Women with low score on trait anxiety were more momentary anxious in FSM group compared with RSM group (p = 0.048). Conclusion: Negative psychological consequences after an FPSM are seen in all women. These effects are strengthened by personality and timing of the screening mammogram. All women should receive correct information concerning the negative psychological effects and should be offered psychosocial support if needed. (C) 2011 Elsevier Ltd. All rights reserved.

引用

页码：83 / 88

页数：6

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