A Longitudinal Study of Psychological Distress in Women with Breast Symptoms
Journal of Health PsychologyPublished 1 April 1998
Ruth Howard, P. G. Harvey
Citations22
SJR quartileQ2
SJR score1.03
SNIP1.21
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TL;DR
Overall, scores of anxiety and GHQ-12 decreased significantly during the follow- up period, however, participants in the B2 group remained significantly more distressed than the rest of the sample throughout the experimental period.
Abstract
The aim of the study was to measure psychological distress in women with breast symptoms over a period of three months following an outpatient appointment at a rapid access symptomatic breast clinic. Women were recruited (N = 150) at the weekly clinic and psychological distress was measured using the Hospital Anxiety and Depression Scale, the General Health Questionnaire-12 and the Spielberger State-Trait Anxiety Inventory. Information on age and diagnosis was collected from medical notes. Measures were repeated at two weeks and at three months. Participants were divided into three diagnostic categories: B 1 (benign diagnosis at clinic); B2 (benign after further investigations); and M (breast cancer). Overall, scores of anxiety and GHQ-12 decreased significantly during the follow- up period. However, participants in the B2 group remained significantly more distressed than the rest of the sample throughout the experimental period. Depression remained within the normal range throughout the follow-up period for all categories. The study suggests a relationship between symptomatic breast disease and psychological distress.
Keywords
MedicineHealth Professions
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British Journal of RadiologyBreast imaging in women under 35 with symptomatic breast disease
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Medical Entomology and ZoologyHandbook of Diseases of the Breast
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