Psychosocial consequences of false-positive results in screening mammography

Introduction: To evaluate the psychosocial impact of benign breast biopsies on Lebanese women after a screening mammography and the effect of these biopsies on patients' attitudes toward subsequent screening. Methods: In this retrospective study (January 2005 till April 2011), 109 consecutive p...

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Main Authors: Zeina El Hachem, Marouan Zoghbi, Souheil Hallit
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=2;spage=419;epage=425;aulast=El
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author Zeina El Hachem
Marouan Zoghbi
Souheil Hallit
author_facet Zeina El Hachem
Marouan Zoghbi
Souheil Hallit
author_sort Zeina El Hachem
collection DOAJ
description Introduction: To evaluate the psychosocial impact of benign breast biopsies on Lebanese women after a screening mammography and the effect of these biopsies on patients' attitudes toward subsequent screening. Methods: In this retrospective study (January 2005 till April 2011), 109 consecutive patients with a history of breast biopsy without cancer were asked to answer a phone questionnaire. The response rate was 91.7% (100 women accepted to participate). A questionnaire about sociodemographic characteristics, biopsy characteristics, and patients' attitudes as measured by the negative Psychosocial Consequences Questionnaire (PCQ) and other independent questions was filled by phone call by one interviewer. Results: The negative PCQ score was low for most women (only 9% have a negative PCQ score ≥18/36) and is statistically dependent on the result of the last mammography (P = 0.01) and the number of previous benign breast biopsies (P = 0.01). A total of 10% of women increased their medical visits after this biopsy, 8% were treated for psychiatric problems after this biopsy, and 19% self-examine their breasts more than once per week. The benign breast biopsy experience increases the willingness to adhere to the screening mammography in 71% of the patients, this reported adherence depends positively on the score of the negative PCQ (P = 0.043). Conclusions: The negative psychosocial effect of the biopsy is minimal in general and is positively correlated to the adherence to future mammographies. Interventions are necessary to decrease the anxiety in most susceptible women and to raise the awareness of women at risk of nonadherence to the screening mammography.
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spelling doaj.art-5d172823b02a42cba7be686d376b06042022-12-21T19:44:39ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-018241942510.4103/jfmpc.jfmpc_4_17Psychosocial consequences of false-positive results in screening mammographyZeina El HachemMarouan ZoghbiSouheil HallitIntroduction: To evaluate the psychosocial impact of benign breast biopsies on Lebanese women after a screening mammography and the effect of these biopsies on patients' attitudes toward subsequent screening. Methods: In this retrospective study (January 2005 till April 2011), 109 consecutive patients with a history of breast biopsy without cancer were asked to answer a phone questionnaire. The response rate was 91.7% (100 women accepted to participate). A questionnaire about sociodemographic characteristics, biopsy characteristics, and patients' attitudes as measured by the negative Psychosocial Consequences Questionnaire (PCQ) and other independent questions was filled by phone call by one interviewer. Results: The negative PCQ score was low for most women (only 9% have a negative PCQ score ≥18/36) and is statistically dependent on the result of the last mammography (P = 0.01) and the number of previous benign breast biopsies (P = 0.01). A total of 10% of women increased their medical visits after this biopsy, 8% were treated for psychiatric problems after this biopsy, and 19% self-examine their breasts more than once per week. The benign breast biopsy experience increases the willingness to adhere to the screening mammography in 71% of the patients, this reported adherence depends positively on the score of the negative PCQ (P = 0.043). Conclusions: The negative psychosocial effect of the biopsy is minimal in general and is positively correlated to the adherence to future mammographies. Interventions are necessary to decrease the anxiety in most susceptible women and to raise the awareness of women at risk of nonadherence to the screening mammography.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=2;spage=419;epage=425;aulast=ElBiopsybreast neoplasmsmammography
spellingShingle Zeina El Hachem
Marouan Zoghbi
Souheil Hallit
Psychosocial consequences of false-positive results in screening mammography
Journal of Family Medicine and Primary Care
Biopsy
breast neoplasms
mammography
title Psychosocial consequences of false-positive results in screening mammography
title_full Psychosocial consequences of false-positive results in screening mammography
title_fullStr Psychosocial consequences of false-positive results in screening mammography
title_full_unstemmed Psychosocial consequences of false-positive results in screening mammography
title_short Psychosocial consequences of false-positive results in screening mammography
title_sort psychosocial consequences of false positive results in screening mammography
topic Biopsy
breast neoplasms
mammography
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=2;spage=419;epage=425;aulast=El
work_keys_str_mv AT zeinaelhachem psychosocialconsequencesoffalsepositiveresultsinscreeningmammography
AT marouanzoghbi psychosocialconsequencesoffalsepositiveresultsinscreeningmammography
AT souheilhallit psychosocialconsequencesoffalsepositiveresultsinscreeningmammography