The relationship between holding back from communicating about breast concerns and anxiety in the year following breast biopsy.
The relationship between holding back from communicating about breast concerns and anxiety in the year following breast biopsy.
复制标题
乳房活检后一年内不愿沟通乳房问题与焦虑之间的关系。
DOI：
10.1080/07347332.2017.1395939
复制
发表时间：
2018
影响因子：
2.1
通讯作者：
Shelby,RebeccaA
中科院分区：
文献类型：
--
作者：
Dorfman,CarolineS;Lamb,Eneka;VanDenburg,Alyssa;Wren,AnavaA;Soo,MaryScott;Faircloth,Kaylee;Gandhi,Vicky;Shelby,RebeccaA
目的：有证据表明，关于乳腺癌问题的公开交流可以促进心理调整，而退缩可能会导致负面结果。对乳腺活检后沟通与痛苦之间的关系知之甚少。设计/样本：女性（N = 128）在乳腺活检时进行评估，并在结果后1周、3个月、6个月和12个月再次进行评估。线性混合模型检查了良性结果（n= 94）或DCIS/浸润性疾病（n= 34）女性的退缩和焦虑之间的关系结果：在良性结果的女性中，焦虑增加，而不是低水平或平均水平的退缩。退缩与乳腺癌幸存者的焦虑后结果呈正相关，随着时间的推移，随着焦虑减少。结论/影响：干预措施，以加强沟通是必要的，和知识的妇女之间的差异与良性结果和/或DCIS/浸润性疾病可能允许量身定制的干预措施的发展。
Purpose: Evidence suggests open communication about breast cancer concerns promotes psychological adjustment, while holding back can lead to negative outcomes. Little is known about the relationship between communication and distress following breast biopsy.Design/ Sample: Women (N = 128) were assessed at the time of breast biopsy and again one week and three, six, and 12 months post-result.Methods: Linear mixed modeling examined relationships between holding back and anxiety for women with benign results (n= 94) or DCIS/invasive disease (n= 34) following breast biopsy.Findings: Anxiety increased among women with a benign result engaging in high but not low or average levels of holding back. Holding back was positively associated with anxiety post-result in breast cancer survivors, with anxiety decreasing over time.Conclusions/ Implications: Interventions to enhance communication are warranted, and knowledge of the differences among women with benign results and/or DCIS/invasive disease may allow for the development of tailored interventions.