ASSESSMENT OF THE PSYCHOLOGICAL IMPACT OF A BREAST SCREENING-PROGRAM
ASSESSMENT OF THE PSYCHOLOGICAL IMPACT OF A BREAST SCREENING-PROGRAM
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DOI：
10.1259/0007-1285-64-762-510
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发表时间：
1991-06-01
影响因子：
2.6
通讯作者：
CAMPBELL, MJ
中科院分区：
文献类型：
--
作者：
BULL, AR;CAMPBELL, MJ
为了评估乳房X线摄影筛查的心理影响，问卷调查（其中包括心理测试）被发送到750名妇女的邀请，并在6周后筛选，420名妇女正常后的第一次乳房X线摄影，240名妇女正常后的特殊评估，68名妇女正常后开放活检。调查程度的增加与乳房自我检查频率的增加有关（10%的妇女在筛查前每周至少进行一次乳房自我检查，而经过特殊评估的妇女为24%，进行开放性活检的妇女为35%（p < 0.001），并且有更大的信心，任何乳腺癌都会被发现。心理测量分数显示，在筛查组中，焦虑或抑郁的总体水平没有增加。对于焦虑，四组的异常百分比分别为5、4、2和6，对于抑郁，异常百分比分别为5、4、4和6; 10%的筛查妇女更担心筛查导致乳腺癌。至少有10%的妇女进行开放活检的良性病变需要专业的咨询和支持。在没有进行这一最后调查的妇女中，心理测试没有发现心理不良影响。行为变化确实表明接受筛查的人群对潜在癌症的认识或恐惧有所提高。
In order to assess the psychological effect of mammographic screening, questionnaires (which included psychometric tests) were sent to 750 women at invitation and, 6 weeks after screening, to 420 women normal after the first mammograph, to 240 women normal after special assessment, and to 68 women normal after open biopsy. Increasing degree of the investigation was associated both with increasing frequency of breast self examination (10% were practising breast self-examination at least once a week before screening compared with 24% for women after special assessment and 35% of women who had had an open biopsy (p < 0.001), and with greater confidence that any malignancy in the breast would have been found. Psychometric scores showed no increase of general levels of anxiety or depression in the screened groups. For anxiety, percentages abnormal were 5, 4, 2 and 6 for the four groups, respectively, and for depression the percentages abnormal were 5, 4, 4 and 6, respectively; 10% of screened women were more anxious about having breast cancer as a result of the screening. At least 10% of women proceeding to open biopsy of benign lesions require professional counselling and support. Psychological ill effects were not detected by the psychometric test among women who did not proceed to this final investigation. Behavioural changes did suggest a raised awareness or fear of potential cancer among the screened population.