Anticipatory psychological distress in women scheduled for diagnostic and curative breast cancer surgery
Anticipatory psychological distress in women scheduled for diagnostic and curative breast cancer surgery
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DOI：
10.1080/10705500701783843
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发表时间：
2008-01-01
影响因子：
2.7
通讯作者：
Bovbjerg, Dana H.
中科院分区：
文献类型：
--
作者：
Schnur, Julie B.;Montgomery, Guy H.;Bovbjerg, Dana H.
背景：心理困扰是面临诊断和治疗乳腺癌手术的女性的主要经历。目的：本研究旨在预测187名计划接受切除乳腺活检或肿块切除术的妇女的预期痛苦。法参与者完成了评估情绪困扰和这种困扰的预测因素（手术类型，担心手术程序，担心外科医生会发现什么）的问卷调查。结果如下：研究发现，在四项痛苦测量中的三项（所有ps < 0.05）上，乳房肿瘤切除术患者比切除乳腺活检患者经历了更大的预期痛苦，并且担心外科医生可能会发现部分介导这些影响。结论：结果表明，虽然等待乳房肿瘤切除术的妇女比等待活检的妇女更痛苦，两组报告大量的痛苦，因此，心理社会干预建议两组。
Background: Psychological distress is a central experience for women facing diagnostic and curative breast cancer surgery. Purpose: The present study was designed to predict anticipatory distress in 187 women scheduled to undergo excisional breast biopsy or lumpectomy. Method. Participants completed questionnaires assessing emotional distress and predictors of this distress (surgery type, worry about the surgical procedure, and worry about what the surgeon will find). Results: The study found that lumpectomy patients experienced greater anticipatory distress than excisional breast biopsy patients on three of the four distress measures (all ps < 0.05) and that worry about what the surgeon might find partially mediated these effects. Conclusion: The results suggest that although women awaiting lumpectomy are more distressed than women awaiting biopsy, both groups report substantial distress, and, consequently, psychosocial interventions are recommended for both groups.