Document Detail

Recalled anxiety: from discovery to diagnosis of a benign breast mass.
MedLine Citation:
PMID:  7854934     Owner:  NLM     Status:  MEDLINE    
PURPOSE/OBJECTIVES: To determine the amount of anxiety recalled by women who have had benign breast biopsies and to describe coping strategies used by these women during the time from discovery of the mass to definitive diagnosis. DESIGN: Descriptive, retrospective. SETTING: Surgical oncology practices, private and academic, treating patients living in five southern states. SAMPLE: 238 women who had excisional biopsies with benign results within the previous two years. Mean age of 52 years, 80% Caucasian, and 20% African American. METHODS: Subjects rated their anxiety from discovery to diagnosis on a 16-point visual analogue scale and answered a short-answer question about the coping strategies used to deal with the anxiety. MAIN RESEARCH VARIABLES: Anxiety and coping strategies. FINDINGS: The mean length of time from discovery to diagnosis was 35 days. No statistically significant relationship was found between the length of time from discovery to diagnosis and the amount of anxiety experienced. However, 58% of the women recalled severe amounts of anxiety during this time. Qualitative analysis grouped coping strategies into five patterns (themes): diversionary, spiritual, interpersonal, hopeful, and avoidance. CONCLUSIONS: The time between discovery of a breast mass and definitive diagnosis is a time of considerable anxiety for many women. Substantial time elapses between discovery and diagnosis, contributing to the possible morbidity associated with severe anxiety. IMPLICATIONS FOR NURSING PRACTICE: Nurses can work to decrease the time occupied by the diagnostic process, counsel women regarding the anxiety being experienced, and present coping strategies that may help.
S Benedict; R D Williams; P L Baron
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Oncology nursing forum     Volume:  21     ISSN:  0190-535X     ISO Abbreviation:  Oncol Nurs Forum     Publication Date:    1994 Nov-Dec
Date Detail:
Created Date:  1995-03-16     Completed Date:  1995-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7809033     Medline TA:  Oncol Nurs Forum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1723-7     Citation Subset:  IM; N    
College of Nursing, Medical University of South Carolina, Charleston.
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MeSH Terms
Adaptation, Psychological
Aged, 80 and over
Analysis of Variance
Anxiety / nursing,  psychology*
Biopsy / psychology
Breast / pathology
Breast Neoplasms / nursing,  pathology,  psychology*
Middle Aged
Retrospective Studies
Southeastern United States
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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