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  • Bolejko, AnettaLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Skane University Hospital,Skånes universitetssjukhus (author)

Prevalence, Long-term Development, and Predictors of Psychosocial Consequences of False-Positive Mammography among Women Attending Population-Based Screening

  • Article/chapterEnglish2015

Publisher, publication year, extent ...

  • American Association for Cancer Research,2015
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:mau-4221
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-4221URI
  • https://doi.org/10.1158/1055-9965.EPI-15-0060DOI
  • https://lup.lub.lu.se/record/7834188URI
  • oai:researchportal.hkr.se/admin:publications/05764e89-ca0c-4c06-9331-6e96b292e6dcURI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

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  • BACKGROUND: Cancer screening aims to detect cancer at an asymptomatic stage, although side effects from screening also occur. We investigated the prevalence, longitudinal development, and predictors of psychosocial consequences of false-positive breast cancer screening. METHODS: Three hundred ninety-nine women with false-positive screening mammography responded to the Consequences of Screening-Breast Cancer (COS-BC) questionnaire immediately after a negative diagnosis (free from breast cancer) following recall examination(s) (baseline), and 6 and 12 months later. Age-matched controls (n = 499) with a negative mammogram responded to the COS-BC at the same occasions. Five COS-BC scales (Sense of dejection, Anxiety, Behavioral, Sleep, and Existential values) were used as outcome measures. RESULTS: Women with false-positive mammography had consistently higher prevalence of all five consequences compared with controls (P < 0.001). The prevalences decreased between baseline and 6 months (P < 0.001) but were stable between 6 and 12 months (P ≥ 0.136). Early recall profoundly predicted long-term consequences for all five outcomes (OR, 3.05-10.31), along with dissatisfaction with information at recall (OR, 2.28-2.56), being foreign-born (OR, 2.35-3.71), and lack of social support (OR, 1.13-1.25). CONCLUSION: This 1-year longitudinal study shows that women experience psychosocial consequences of false-positive screening mammography. Early recall should be performed cautiously, and provision of information as well as social support may reduce psychosocial consequences. IMPACT: Although delivery of population-based screening reduces breast cancer mortality, it also raises the issue of its impact on the psychosocial well-being of healthy women. Our findings identify predictors that can be targeted in future efforts to reduce the side effects of mammographic screening.

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  • Hagell, PeterPatient Reported Outcomes - Clinical Assessment Research and Education (PROCARE) (author)
  • Wann-Hansson, ChristineLund University,Lunds universitet,Malmö högskola,Institutionen för vårdvetenskap (VV),Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups,Malmö University(Swepub:lu)omv-cwa (author)
  • Zackrisson, SophiaLund University,Lunds universitet,Diagnostisk radiologi, Malmö,Forskargrupper vid Lunds universitet,Radiology Diagnostics, Malmö,Lund University Research Groups,Skane University Hospital,Skånes universitetssjukhus(Swepub:lu)smi-sza (author)
  • Institutionen för hälsovetenskaperMedicinska fakulteten (creator_code:org_t)

Related titles

  • In:Cancer Epidemiology, Biomarkers and Prevention: American Association for Cancer Research24:9, s. 1388-13971055-99651538-7755

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