Clinical, Demographic, and Situational Factors Linked to Distress Associated with Benign Breast Biopsy

Steffens, Rachel F.; Wright, Heather Harris; Hester, Molly; Andrykowski, Michael A.

doi:10.1080/07347332.2011.534024

Cited by 18 publications

(14 citation statements)

References 59 publications

(69 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Future research could use instruments used in research and clinical settings (e.g., National Comprehensive Cancer Network Distress Thermometer) to better inform practice. The majority of baseline surveys were conducted prior to administration of biopsies and cancer diagnoses, which are likely to influence coping strategies and distress (Steffens, Wright, Hester, & Andrykowski, 2011). The authors did not collect data on the history of previous receipt of abnormal results, which may have influenced distress and coping strategies.…”

Section: Discussionmentioning

confidence: 99%

Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Molina¹,

Beresford²,

Espinoza³

et al. 2014

Oncology Nursing Forum

View full text Add to dashboard Cite

Purpose/Objectives To explore ethnic differences in psychological distress and social withdrawal after receiving an abnormal mammogram result and to assess if coping strategies mediate ethnic differences. Design Descriptive correlational. Setting Two urban mobile mammography units and a rural community hospital in the state of Washington. Sample 41 Latina and 41 non-Latina Caucasian (NLC) women who had received an abnormal mammogram result. Methods Women completed standard sociodemographic questions, Impact of Event Scale–Revised, the social dimension of the Psychological Consequences Questionnaire, and the Brief COPE. Main Research Variables Ethnicity, psychological distress, social withdrawal, and coping. Findings Latinas experienced greater psychological distress and social withdrawal compared to NLC counterparts. Denial as a coping strategy mediated ethnic differences in psychological distress. Religious coping mediated ethnic differences in social withdrawal. Conclusions Larger population-based studies are necessary to understand how ethnic differences in coping strategies can influence psychological outcomes. This is an important finding that warrants additional study among women who are and are not diagnosed with breast cancer following an abnormal mammogram. Implications for Nursing Nurses may be able to work with Latina patients to diminish denial coping and consequent distress. Nurses may be particularly effective, given cultural values concerning strong interpersonal relationships and respect for authority figures.

show abstract

Section: Discussionmentioning

confidence: 99%

Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Molina¹,

Beresford²,

Espinoza³

et al. 2014

Oncology Nursing Forum

View full text Add to dashboard Cite

show abstract

“…Although stereotactic and MR imagingguided biopsies have less comfortable positioning, require breast compression throughout the procedure, and have longer average biopsy procedure times than US-guided procedures, there was no significant association between (26) found that younger women were more distressed not only by the biopsy experience but also by some of the steps leading up to the biopsy, such as awaiting diagnostic mammography after a screening examination with abnormal findings. Using the State Trait Anxiety Inventory, Seckel and Birney (27) found that as women approach the age of 40 years, biopsy-associated stress increased; however, beyond age 40 years the degree of stress decreased with patient age.…”

Section: Breast Imaging: Percutaneous Breast Biopsy: Effects On Shortmentioning

confidence: 43%

Percutaneous Breast Biopsy: Effect on Short-term Quality of Life

Humphrey¹,

Lee²,

Donelan³

et al. 2014

Radiology

View full text Add to dashboard Cite

women undergoing percutaneous breast biopsy in an academic medical center were recruited to participate in a mixed-mode survey 2-4 days after biopsy. Patients described their biopsy experience by using the Testing Morbidities Index (TMI), a validated instrument for assessing short-term quality of life related to diagnostic testing. The scale ranged from 0 (worst possible experience) to 100 (no adverse effects). Seven attributes were assessed: pain or discomfort before and during testing, fear or anxiety before and during testing, embarrassment during testing, and physical and mental function after testing. Demographic and clinical information were also collected. Univariate and multivariate linear regression analyses were performed to identify significant predictors of TMI score. Results:In 188 women (mean age, 51.4 years; range, 22-80 years), the mean TMI score (6standard deviation) was 82 6 12. Univariate analysis revealed age and race as significant predictors of the TMI score (P , .05). In the multivariate model, only patient age remained a significant independent predictor (P = .001). TMI scores decreased by approximately three points for every decade decrease in patient age, which suggests that younger women were more adversely affected by the biopsy experience. Conclusion:Younger patient age is a significant predictor of decreased short-term quality of life related to percutaneous breast biopsy procedures. Tailored prebiopsy counseling may better prepare women for percutaneous biopsy procedures and improve their experience.q RSNA, 2013

show abstract

“…All the patients that undergo breast biopsy state that they experience biopsy-related stress even though the results are benign. Once the decision for biopsy is made, the procedure being conducted and the time that elapses until the results are received raises the stress levels of patients (27). Furthermore, the anxiety that patients experience due to biopsy are much higher than the anxiety that develops after the request for an additional study or due to follow-up mammography examinations (28,29).…”

Section: Discussionmentioning

confidence: 99%

How Many of the Biopsy Decisions Taken at Inexperienced Breast Radiology Units Were Correct?

2017

View full text Add to dashboard Cite

Objective: In this study, we aimed to determine the need for biopsy in patients referred from other clinics for the performance of biopsy with the suspicion of breast cancer. Materials and Methods:112 patients were included in the study. It was decided that their biopsies be performed following examinations in other clinics and they presented to the breast radiology unit of our hospital for a second opinion. The demographic characteristics, diagnostic studies completed in the other centers, properties of lesions, decision made as a result of examinations and BI-RADS (Breast Imaging Reporting and Data Systems) categorizations were recorded on the registration forms of the study patients. In addition, the quality of examinations, reasons of repeat tests, additional tests features and the last decision of our clinic were documented. The obtained data were analyzed in terms of re-examination, additional tests and change in the biopsy decision. Changes in the biopsy decisions for patients were specifically inquired. Results:The biopsy decisions were cancelled in our breast radiology unit for 63 out of 112 patients (56.3%) whose biopsy decisions were made at an external institute. For 42 patients, examinations made by the other clinics were deemed adequate, yet there was no need for biopsy in 22 of them. The biopsy decisions were cancelled for 27 out of 47 patients (57.4%) with repeat examination and 18 out of 28 patients (64.3%) with additional tests because of the insufficient test quality. Conclusion:Incorrect, inadequate breast screening and false positivity were higher at inexperienced institutes.

show abstract

Clinical, Demographic, and Situational Factors Linked to Distress Associated with Benign Breast Biopsy

Cited by 18 publications

References 59 publications

Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Percutaneous Breast Biopsy: Effect on Short-term Quality of Life

How Many of the Biopsy Decisions Taken at Inexperienced Breast Radiology Units Were Correct?

Contact Info

Product

Resources

About