The influence of a false-positive mammogram on a woman's subsequent behaviour for detecting breast cancer

被引:45
作者
Lampic, C
Thurfjell, E
Sjödén, PO
机构
[1] Uppsala Univ, Sect Caring Sci, Dept Publ Hlth & Caring Sci, SE-75183 Uppsala, Sweden
[2] Uppsala Univ, Sect Radiol, Dept Oncol Radiol & Clin Immunol, Uppsala, Sweden
关键词
breast neoplasms; mass screening; breast self-examination; anxiety;
D O I
10.1016/S0959-8049(02)00451-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim was to investigate the influence of undergoing further examinations due to a false-positive mammogram on women's reattendance at the next scheduled screening and their frequency of breast self-examination (BSE). Study participants included 517 women (62% response) recalled due to findings on screening mammograms indicating possible malignancies, and a matched control group of 285 women (68% response) with normal mammograms. Participants completed five and three questionnaires, respectively, during the 2 years following screening participation. While the groups did not differ significantly in screening re-attendance, women recalled due to false-positive mammograms reported significantly higher levels of anxiety related to the next screening than did women with normal mammograms. At the 1-year assessment, women with false-positive mammograms reported a significantly higher frequency of BSE than did women with normal mammograms. The present results indicate that being recalled due to a false-positive mammogram does not seem to negatively affect screening re-attendance, and may have a positive impact on BSE. (C) 2002 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1730 / 1737
页数:8
相关论文
共 26 条
[1]   14 years of follow-up from the Edinbugh randomised trial of breast-cancer screening [J].
Alexander, FE ;
Anderson, TJ ;
Brown, HK ;
Forrest, APM ;
Hepburn, W ;
Kirkpatrick, AE ;
Muir, BB ;
Prescott, RJ ;
Smith, A .
LANCET, 1999, 353 (9168) :1903-1908
[2]   False-positive findings in mammography screening induces shortterm distress - breast cancer-specific concern prevails longer [J].
Aro, AR ;
Absetz, SP ;
van Elderen, TM ;
van der Ploeg, E ;
van der Kamp, LJT .
EUROPEAN JOURNAL OF CANCER, 2000, 36 (09) :1089-1097
[3]  
Benedict S, 1994, Oncol Nurs Forum, V21, P1467
[4]   Do women who undergo further investigation for breast screening suffer adverse psychological consequences? A multi-centre follow-up study comparing different breast screening result groups five months after their last breast screening appointment [J].
Brett, J ;
Austoker, J ;
Ong, G .
JOURNAL OF PUBLIC HEALTH MEDICINE, 1998, 20 (04) :396-403
[5]   Effect of false-positive mammograms on interval breast cancer screening in a health maintenance organization [J].
Burman, ML ;
Taplin, SH ;
Herta, DF ;
Elmore, JG .
ANNALS OF INTERNAL MEDICINE, 1999, 131 (01) :1-+
[6]  
Cockburn J, 1994, J Med Screen, V1, P7
[7]   Ten-year risk of false positive screening mammograms and clinical breast examinations [J].
Elmore, G ;
Barton, MB ;
Moceri, VM ;
Polk, S ;
Arena, PJ ;
Fletcher, SW .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (16) :1089-1096
[8]   Positive psychological states and coping with severe stress [J].
Folkman, S .
SOCIAL SCIENCE & MEDICINE, 1997, 45 (08) :1207-1221
[9]  
Howell D. C., 1992, STAT METHODS PSYCHOL
[10]  
KERLIKOWSKI K, 1995, JAMA-J AM MED ASSOC, V173, P149