Document Detail


Women with false positive screening mammograms: how do they cope?
MedLine Citation:
PMID:  10444727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the long term psychological impact on women who were recalled for further investigation after mammography screening and to find any factors that might predict coping ability in order to identify those subjects who require additional support at an earlier stage. SETTING: Counties of Västerbotten and Västernorrland, Sweden. METHODS: A prospective design was used in which 252 recalled women completed questionnaires twice--once within a week of having received the all-clear and again at follow up six months later. A group of 1104 randomly selected, screen negative women were followed up in the same way for comparison. The questionnaire included the Psychological Consequences Questionnaire (PCQ) and basic sociodemographic data. The main outcome measure was the total score on the PCQ at six months. RESULTS: Of the 252 women, 235 (93%) completed both questionnaires. In the control group, 987 (89.4%) women responded. Six months after the all-clear, recalled women were still significantly more anxious (p < 0.001) than those who had been screened but not recalled. The strongest predictor of psychological distress at six months was the PCQ score at the first measurement. Other predictors were a low level of education, living in high density urban areas, and having only one child or no children at all. Widows appeared to cope better than other women. CONCLUSIONS: It is possible to define a group of women with false positive results who are already at risk of coping less effectively at the time of recall. Offering these women counselling or other types of support should be considered.
Authors:
P Olsson; K Armelius; G Nordahl; P Lenner; G Westman
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of medical screening     Volume:  6     ISSN:  0969-1413     ISO Abbreviation:  J Med Screen     Publication Date:  1999  
Date Detail:
Created Date:  1999-09-23     Completed Date:  1999-09-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9433359     Medline TA:  J Med Screen     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  89-93     Citation Subset:  IM    
Affiliation:
Department of Family Medicine, University of Umeå, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
Aged
Breast Neoplasms / prevention & control,  psychology*,  radiography*
False Positive Reactions
Female
Humans
Mammography / psychology*
Mass Screening / psychology*,  standards
Middle Aged
Multivariate Analysis
Prospective Studies
Psychology
Questionnaires
Sweden
Urban Population

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


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