Anxiety in a cohort of Swiss women participating in a mammographic screening programme.

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State: Public
Version: author
Serval ID
serval:BIB_18891
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Anxiety in a cohort of Swiss women participating in a mammographic screening programme.
Journal
Journal of Medical Screening
Author(s)
Meystre-Agustoni G., Paccaud F., Jeannin A., Dubois-Arber F.
ISSN
0969-1413
ISSN-L
0969-1413
Publication state
Published
Issued date
2001
Peer-reviewed
Oui
Volume
8
Number
4
Pages
213-219
Language
english
Abstract
OBJECTIVES: To follow up anxiety in a cohort of women screened for breast cancer. METHODS: Within the framework of a pilot screening programme for breast cancer in the Canton of Vaud (Switzerland), a cohort of 924 participants aged 50-70 years were invited to answer questions on anxiety related to mammography screening. Anxiety was measured using a specific tool, the psychological consequences questionnaire (PCQ), and a new single item, direct question, breast cancer anxiety indicator (BCA). Participants were asked to fill in the questionnaire at four different phases: at screening, before the result, and 2 and 8 weeks after the result. The final response rate was 93.7%. Predictors of anxiety at each phase were assessed using multiple regression. RESULTS: Among those screening negative (94.7%), anxiety at screening was very low and remained so during the screening process. Among those screening false positive, anxiety was significantly higher 8 weeks after having received a negative diagnosis. Predictors of anxiety before screening were lower education and higher age, with a strong exogenous anxiety component. For subsequent phases, the initial anxiety score and education were the main determinants. Furthermore, a false positive result at screening was the most important predictor of anxiety 2 months after negative diagnosis. Anxiety measured with the BCA was strongly correlated with the PCQ. CONCLUSION: Anxiety was very low at screening and remained so during the process for negative women. Initial anxiety level was a strong predictor of anxiety during the entire process, up to 8 weeks after a negative result, and could be easily assessed using the BCA. The sustained higher anxiety level among those screening false positive is an undesirable side effect of the programme.
Keywords
Aged, Anxiety/etiology, Breast Neoplasms/radiography, Cohort Studies, Female, Humans, Mammography/psychology, Mass Screening/psychology, Middle Aged, Psychological Tests, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
19/11/2007 13:13
Last modification date
28/03/2020 8:08
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