Literature DB >> 15331869

Psychological distress and breast self-examination frequency in women at increased risk for hereditary or familial breast cancer.

S van Dooren1, A J Rijnsburger, C Seynaeve, A Kriege, H J Duivenvoorden, C C M Bartels, M L Essink-Bot, H J de Koning, A Tibben.   

Abstract

BACKGROUND: The Magnetic Resonance Imaging Screening study evaluates the efficacy and psychological impact of a surveillance program for women at increased risk for hereditary or familial breast cancer in the Netherlands. Surveillance consists of biannual physical examination, annual mammography, annual MRI and monthly breast self-examination (BSE).
OBJECTIVE: To examine the association between psychological distress and reported BSE frequency.
METHODS: Two months prior to surveillance demographics, BSE frequency, general distress (Hospital Anxiety and Depression Scale and the somatic scale of the Symptom Checklist-90) and breast cancer-specific distress (Impact of Event Scale) were assessed in 316 women (mean age 40.5 years, range 21-63 years).
RESULTS: The majority (57%) reported performing monthly BSE. Ten percent reported never performing BSE, 20% less frequently than once a month and 13% at least once a week. Women below the age of 40 who examined their breasts more frequently than recommended (i.e. at least once a week) were shown to be significantly more distressed than the other women in the sample (p = 0.03). These women represented 15% of all the women below the age of 40 years in our study sample.
CONCLUSION: Higher breast cancer-specific distress scores were observed among younger women who examined their breasts at least once a week. It is important for physicians to be aware of this hypervigilant behaviour, especially since it is correlated with breast cancer-specific distress. Copyright 2004 S. Karger AG, Basel

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Year:  2003        PMID: 15331869     DOI: 10.1159/000079385

Source DB:  PubMed          Journal:  Community Genet        ISSN: 1422-2795


  9 in total

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  9 in total

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