Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Immediate mammogram reading may decrease stress associated with abnormal results

07.04.2004


Women who receive the results of their screening mammograms immediately after their examination have less stress and anxiety compared with women who have to wait several days for their test results, according to a study in the April 7 issue of the Journal of the National Cancer Institute. Surprisingly, however, an educational intervention that taught skills to cope with anxiety was not associated with decreased anxiety among a similar group of women.



In the United States, 5% to 11% of all screening mammograms result in a recommendation for follow-up to eliminate the possibility of breast cancer, and of those recommended for follow-up, 95% will turn out to be false-positives (abnormal mammograms that do not result in a breast cancer diagnosis within 1 year). Women who are told they have an abnormal mammogram and need a follow-up evaluation often experience anxiety and distress, even when further evaluation does not find breast cancer.

To study ways to help decrease the anxiety and stress associated with abnormal mammograms, Mary B. Barton, M.D., of Harvard Medical School and Harvard Pilgrim Health Care, Boston, and colleagues evaluated the psychological status of women undergoing screening mammograms who received one of two interventions, both interventions, or no intervention. One intervention consisted of providing women with a video and a pamphlet during their office visit that explained breast cancer risk, the reasons for abnormal mammograms, and coping strategies for dealing with the results. The second intervention involved the immediate reading of the mammograms by a radiologist so that any follow-up tests needed (except for a biopsy) could be conducted immediately in the same office visit.


There were 6801 (80%) women who had normal mammograms and 1742 (20%) women who had abnormal mammograms that were later classified as false-positives. (Women who were diagnosed with breast cancer as a result of their screening mammogram were excluded from the study.) Three weeks after their mammograms, 50% of women who had a false-positive reading reported having symptoms of anxiety about the mammogram, compared with 28% of women with normal mammograms. Overall, 3 months after their mammograms, women who had false-positive mammograms still had an elevated level of anxiety.

Three weeks after their mammogram, women with false-positive readings who received the results of their mammogram immediately reported less anxiety than women who had to wait several days to receive their results. Furthermore, more than half of these women reported that their mammogram had been normal, which suggests, the authors say, that the immediate completion of follow-up may have minimized the effect of a false-positive reading to the extent that they never perceived their mammogram as being abnormal.

In contrast, women with false-positive results who were given the educational intervention did not report less stress or anxiety than women who did not receive the educational materials. "Our finding that the radiology intervention was associated with less anxiety than the educational intervention indicates that rapid evaluation of mammographic abnormalities may be a more effective approach to decreasing women’s anxieties than trying to change emotional reactions to an abnormal mammogram," the authors write.


Contact: John Lacey, Harvard Medical School, 617-432-0441, John_Lacey@hms.harvard.edu

Citation:
Barton MB, Morley DS, Moore S, Allen JD, Kleinman KP, Emmons KM, Fletcher SW. Decreasing women’s anxieties after abnormal mammograms: a controlled trial. J Natl Cancer Inst 2004;96:529–38.

Katherine Arnold | EurekAlert!
Further information:
http://jncicancerspectrum.oupjournals.org/

More articles from Social Sciences:

nachricht Fixating on faces
26.01.2017 | California Institute of Technology

nachricht Internet use in class tied to lower test scores
16.12.2016 | Michigan State University

All articles from Social Sciences >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: A Challenging European Research Project to Develop New Tiny Microscopes

The Institute of Semiconductor Technology and the Institute of Physical and Theoretical Chemistry, both members of the Laboratory for Emerging Nanometrology (LENA), at Technische Universität Braunschweig are partners in a new European research project entitled ChipScope, which aims to develop a completely new and extremely small optical microscope capable of observing the interior of living cells in real time. A consortium of 7 partners from 5 countries will tackle this issue with very ambitious objectives during a four-year research program.

To demonstrate the usefulness of this new scientific tool, at the end of the project the developed chip-sized microscope will be used to observe in real-time...

Im Focus: Giant Magnetic Fields in the Universe

Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.

The results will be published on March 22 in the journal „Astronomy & Astrophysics“.

Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...

Im Focus: Tracing down linear ubiquitination

Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.

Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...

Im Focus: Perovskite edges can be tuned for optoelectronic performance

Layered 2D material improves efficiency for solar cells and LEDs

In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...

Im Focus: Polymer-coated silicon nanosheets as alternative to graphene: A perfect team for nanoelectronics

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

International Land Use Symposium ILUS 2017: Call for Abstracts and Registration open

20.03.2017 | Event News

CONNECT 2017: International congress on connective tissue

14.03.2017 | Event News

ICTM Conference: Turbine Construction between Big Data and Additive Manufacturing

07.03.2017 | Event News

 
Latest News

Transport of molecular motors into cilia

28.03.2017 | Life Sciences

A novel hybrid UAV that may change the way people operate drones

28.03.2017 | Information Technology

NASA spacecraft investigate clues in radiation belts

28.03.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>