Uncertainty During Breast Diagnostic Evaluation: State of the Science

Montgomery, M.

doi:10.1188/10.onf.77-83

Cited by 34 publications

(35 citation statements)

References 53 publications

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“…Some studies have indicated that receipt of an abnormal mammogram may result in negative social consequences, including withdrawal from one's family and friends (Austin, Ahmad, McNally, & Stewart, 2002; Cockburn, De Luise, Hurley, & Clover, 1992; Lowe, Balanda, Del Mar, & Hawes, 1999). Conversely, social support has been seen as protective with regard to reduced psychological distress (Andrés-Hyman et al, 2006; Molina et al, 2013; Montgomery, 2010). Social withdrawal may be particularly problematic for Latinas, given the cultural importance placed on strong interpersonal relationships (Marin & Marin, 1991).…”

mentioning

confidence: 99%

“…Coping has been linked to psychological distress and well-being across the cancer continuum (Boinon, Charles, Dauchy, & Sultan, 2011; Bond et al, 2013; Kreuter & McClure, 2004), including in response to an abnormal mammogram result (Andrés-Hyman et al, 2006; Austin et al, 2002; Molina et al, 2013; Montgomery, 2010; Moy, Park, Feibelmann, Chiang, & Weissman, 2006). Ethnic differences in coping are largely unknown in the context of the abnormal mammography experience, but hypotheses can be drawn from existing literature on Latinas’ coping strategies in other phases of the cancer continuum.…”

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confidence: 99%

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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

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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.

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confidence: 99%

mentioning

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

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“…False-positive (FP) recalls for additional imaging after screening mammography occur for 14% of women at first screening and for 8% at subsequent exams (2,6), causing many women inconvenience and anxiety. Recommendations for fine needle aspiration or surgical biopsy after screening mammography are less common (2) but have more severe consequences (7,8).…”

Section: Introductionmentioning

confidence: 99%

Cumulative Probability of False-Positive Recall or Biopsy Recommendation After 10 Years of Screening Mammography

Hubbard

Kerlikowske

Flowers

et al. 2012

Obstetrical &Amp; Gynecological Survey

112

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“…Uncertainty and anxiety is greatest before, but also persists after diagnosis [19] and is universal in breast cancer sufferers [20,21], being greater in those undergoing mastectomy as opposed to BCT [22]. Screening has also been shown to elicit emotional responses, most commonly anxiety, but also contemplation regarding mortality [23,24].…”

Section: Psychological Impact Of Breast Assessment and Disease In Womenmentioning

confidence: 99%

Psychological Impact of Male Breast Disorders: Literature Review and Survey Results

Kipling

Ralph

Callanan³

2014

Breast Care

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Background: Referrals of men to breast assessment clinics are increasing. While most of the men will have benign disease, some of them will have breast cancer. Whichever pathology they have, men should be offered a service tailored to their needs, rather than being ‘shoe-horned' into a service designed to care for women. This paper explores the psychological impact on men of their condition and of attending a breast assessment clinic. Methods: The literature regarding male experience of breast problems is reviewed, and screening for psychological morbidity is discussed. Results of a survey regarding an all-male breast assessment clinic are reported, with a plan for future research. Results: Many of the 78 men surveyed described negative feelings relating to their condition although they did not want to be seen in an all-male breast assessment clinic if that meant a longer wait. Men reported feelings of anxiety, embarrassment, emasculation and even depression regarding their condition. Conclusions: Men are distressed by gynaecomastia and need psychological support for any breast-related presentation. More formalised research into this area is needed, although the men's distress does not translate into the desire to attend an all-male assessment clinic if this means a longer wait before being seen.

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Uncertainty During Breast Diagnostic Evaluation: State of the Science

Abstract: Nurses can be invaluable in assisting women in coping with the uncertainty experience by providing positive communication and support. Nursing interventions should be designed and tested for their effects on uncertainty experienced by women undergoing a breast diagnostic evaluation.

Cited by 34 publications

References 53 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

Cumulative Probability of False-Positive Recall or Biopsy Recommendation After 10 Years of Screening Mammography

Psychological Impact of Male Breast Disorders: Literature Review and Survey Results

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