Adverse psychological effects in women attending a second-stage breast cancer screening
Adverse psychological effects in women attending a second-stage breast cancer screening
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DOI：
10.1016/s0022-3999(01)00227-6
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发表时间：
2002-05-01
影响因子：
4.7
通讯作者：
Santed, MA
中科院分区：
文献类型：
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作者：
Sandin, B;Chorot, P;Santed, MA
目的：本研究的目的是研究与乳腺癌第二阶段筛查相关的情绪和精神病理影响。方法：采用短期纵向设计。访谈对象为1195名年龄在45-65岁之间的女性，分别在三种时间状态下(乳房X光检查前、乳房X光检查后和随访)。参与者包括定期接受乳腺癌筛查的妇女，她们被召回进行进一步的乳房X光检查(即第二阶段乳腺癌筛查)，以及没有被召回的妇女。对癌症的情感认知担忧(担忧、恐惧和感知到的脆弱性)使用10分的利克特量表进行评级。采用修订后的霍普金斯症状自评量表(SCL-90-R)进行精神病理学评定。结果：参加第二阶段筛查的女性表现出明显高于在获得乳房X光检查结果之前接受常规筛查的女性对乳腺癌的担忧、恐惧和信念。这种情感-情绪的影响很快就消失了，并且在乳房X光检查后2个月不再相关。尽管事实是，在乳房X光检查前的情况下，精神病理症状的水平更高，但在这些测量上，组之间没有差异。结论：这些结果支持了这样的假设，即召回进行进一步乳房X光检查的女性倾向于经历高水平的情感认知障碍，而不是精神病理症状。此外，结果并不支持这样的预测，即这种心理影响会持续到收到负面结果之后。最后提出了一些减少这些心理副作用的建议。(C)2002 Elsevier Science Inc.保留所有权利。
Objective: The purpose of this study was to examine the emotional and psychopathological impact associated with a second-stage screening for breast cancer. Method: We used a short-term longitudinal design. Interviews were conducted with 1195 women of 45-65 years old in three temporal conditions (premammogram, postmammogram, and follow-up). Participants included women attending for regular breast cancer screening who were recalled for a further mammogram (i.e., second-stage breast cancer screening) and women who were not recalled. Affective-cognitive concerns about cancer (worry, fear, and perceived vulnerability) were rated using a 10-point Likert scale. Psychopathology was assessed using the Hopkins Symptom Check List-Revised (SCL-90-R). Results: Women attending the second-stage screening exhibited significantly higher levels of breast cancer worries, fears, and beliefs than women attending for routine screening before obtaining the results of the mammogram. This affective-emotional impact disappeared quickly and was not relevant 2 months following the mammogram. Despite the fact that levels of psychopathological symptoms were higher in the premammogram condition, there were no differences between groups on these measures. Conclusion: These results provide support for the hypothesis that women recalled for further mammograms tend to experience high levels of affective-cognitive distress but not psychopathological symptoms. Moreover, results do not sustain the prediction that this psychological impact persists beyond receipt of a negative result. Some recommendations to reduce these psychological side effects are suggested. (C) 2002 Elsevier Science Inc. All rights reserved.