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

nachricht Geographers provide new insight into commuter megaregions of the US
01.12.2016 | Dartmouth College

All articles from Social Sciences >>>

The most recent press releases about innovation >>>

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

Im Focus: Traffic jam in empty space

New success for Konstanz physicists in studying the quantum vacuum

An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...

Im Focus: How gut bacteria can make us ill

HZI researchers decipher infection mechanisms of Yersinia and immune responses of the host

Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...

Im Focus: Interfacial Superconductivity: Magnetic and superconducting order revealed simultaneously

Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.

While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...

Im Focus: Studying fundamental particles in materials

Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales

Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...

Im Focus: Designing Architecture with Solar Building Envelopes

Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.

As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Sustainable Water use in Agriculture in Eastern Europe and Central Asia

19.01.2017 | Event News

12V, 48V, high-voltage – trends in E/E automotive architecture

10.01.2017 | Event News

2nd Conference on Non-Textual Information on 10 and 11 May 2017 in Hannover

09.01.2017 | Event News

 
Latest News

Helmholtz International Fellow Award for Sarah Amalia Teichmann

20.01.2017 | Awards Funding

An innovative high-performance material: biofibers made from green lacewing silk

20.01.2017 | Materials Sciences

Ion treatments for cardiac arrhythmia — Non-invasive alternative to catheter-based surgery

20.01.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>