Massage therapy in the breast imaging department: repurposing an ancient anxiety reducing method

Ashton, Jennifer Cooper; Bousquet, Dominique; Fevrier, E.; Yip, Rowena; Chaudhry, Shivani; Port, Elisa; Margolies, Laurie

doi:10.1016/j.clinimag.2020.05.029

Cited by 9 publications

(7 citation statements)

References 17 publications

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“…Eight studies allocated participants to an intervention or control group, 63–69 71 one study compared two interventions 62 and one study delivered the intervention to all participants. 70 Two interventions were multifaceted. 64 65 Types of interventions included: relaxation, distraction and/or meditation (six studies 62 63 66 69–71 ); education (four studies 62 64 65 68 ); emotional or psychosocial support (two studies 64 65 ); or adjustments to routine logistics of the scan (one study 67 ).…”

Section: Resultsmentioning

confidence: 99%

“… 62 63 68 69 The study where all participants received the same intervention showed a reduction in anxiety. 70 Details of these results are listed in table 4 .…”

Section: Resultsmentioning

confidence: 99%

“…[62][63][64][65][66][67][68][69][70][71] This included people having scans for breast cancer (six studies, n=1449 people 62-65 69 70 ) and lung cancer (one study, n=16 people 68 ). Scans included mammogram (five studies 62-64 69 70 ), positron emission tomography (PET) with CT (three studies 66 67 71 ), MRI, 65 CT 68 and ultrasound 70 (one study each). Four studies involved scans for screening, 63 64 68 69 one for diagnosis, 65 three for any reason in people with known or suspected cancers 66 67 71 and two where scans for screening, surveillance and/or diagnosis were permitted.…”

Section: Demographics and Study Detailsmentioning

confidence: 99%

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Scanxiety: a scoping review about scan-associated anxiety

et al. 2021

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ObjectivesTo identify available literature on prevalence, severity and contributing factors of scan-associated anxiety (‘scanxiety’) and interventions to reduce it.DesignSystematic scoping review.Data sourcesOvid MEDLINE, Ovid EMBASE, Ovid PsycINFO, Ovid Cochrane Central Register of Controlled Trials, Scopus, EBSCO CINAHL and PubMed up to July 2020.Study selectionEligible studies recruited people having cancer-related non-invasive scans (including screening) and contained a quantitative assessment of scanxiety.Data extractionDemographics and scanxiety outcomes were recorded, and data were summarised by descriptive statistics.ResultsOf 26 693 citations, 57 studies were included across a range of scan types (mammogram: 26/57, 46%; positron-emission tomography: 14/57, 25%; CT: 14/57, 25%) and designs (observation: 47/57, 82%; intervention: 10/57, 18%). Eighty-one measurement tools were used to quantify prevalence and/or severity of scanxiety, including purpose-designed Likert scales (17/81, 21%); the State Trait Anxiety Inventory (14/81, 17%) and the Hospital Anxiety and Depression Scale (9/81, 11%). Scanxiety prevalence ranged from 0% to 64% (above prespecified thresholds) or from 13% to 83% (‘any’ anxiety, if no threshold). Mean severity scores appeared low in almost all measures that quantitatively measured scanxiety (54/62, 87%), regardless of whether anxiety thresholds were prespecified. Moderate to severe scanxiety occurred in 4%–28% of people in studies using descriptive measures. Nine of 20 studies assessing scanxiety prescan and postscan reported significant postscan reduction in scanxiety. Lower education, smoking, higher levels of pain, higher perceived risk of cancer and diagnostic scans (vs screening scans) consistently correlated with higher scanxiety severity but not age, gender, ethnicity or marital status. Interventions included relaxation, distraction, education and psychological support. Six of 10 interventions showed a reduction in scanxiety.ConclusionsPrevalence and severity of scanxiety varied widely likely due to heterogeneous methods of measurement. A uniform approach to evaluating scanxiety will improve understanding of the phenomenon and help guide interventions.

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Section: Resultsmentioning

confidence: 99%

“… 62 63 68 69 The study where all participants received the same intervention showed a reduction in anxiety. 70 Details of these results are listed in table 4 .…”

Section: Resultsmentioning

confidence: 99%

Section: Demographics and Study Detailsmentioning

confidence: 99%

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Scanxiety: a scoping review about scan-associated anxiety

et al. 2021

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“…Women have repeatedly indicated their willingness to undergo diagnostic mammograms and false-positive results in exchange for increased likelihood of early detection [46,47]. Efforts to diminish anxiety, such as individual and public education of patients, rapid delivery of results, and other strategies, are encouraged [48][49][50][51][52].…”

Section: Risks Of Mammography Screeningmentioning

confidence: 99%

Breast Cancer Screening Recommendations Inclusive of All Women at Average Risk: Update from the ACR and Society of Breast Imaging

Monticciolo

Malak²,

Friedewald

et al. 2021

Journal of the American College of Radiology

132

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“…It is generally considered a harm of mammography with few options offered to reduce women's anxiety related to a mammography have been tested, their results are diverse. [ 4 ] Two interventions based on relaxing music or an online support system using the comprehensive health enhancement support system [ 13 ] have had a negative impact on reducing anxiety. Two interventions based on psychoeducational session [ 15 ] or a protocolized nursing intervention [ 14 ] have had a positive impact on reducing anxiety.…”

Section: Introductionmentioning

confidence: 99%

Intervention for reducing anxiety during screening mammography

Shang

Song

et al. 2020

Medicine

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Background: Mammography is considered a fundamental part of diagnosis in modern health care services. It provides low dose images of normal structures and pathological soft tissues in the breast. Many reports suggested that intervention is playing a positive role in anxiety related to mammography, but there is no high-quality evidence to prove its effects. This paper reports the protocol of a systematic review (SR) and meta-analysis (MA) to clarify effectiveness of intervention during screening mammography. Methods: A systematic literature search will be performed in the Cochrane Library, PubMed, Embase and Web of Science from inception to July 2020. Randomized controlled trials (RCTs) will be included to evaluate any interventions in the treatment of anxiety related to mammography screening. The main outcome measure is the impact on patient anxiety, and the impact on patient breast cancer worry, the impact on patient satisfaction are the additional outcome measure. Risk of bias assessment of the included RCTs will be carried out using Cochrane Collaboration's tool for RCTs. The Review Manager 5.4 for Windows will be used to perform the MA and generate the result figures. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) will be used to evaluate the quality of evidence. Subgroup analysis and sensitivity analysis will be conducted to assess the robustness of the results. Results: A total of 782 English studies of anxiety related to mammography screening were obtained through search. After preliminary screening, 773 non-conforming studies were excluded. Finally, nine English studies of anxiety related to mammography screening will be included for full-text assessment. We will submit the results of this SR and MA to a peer-reviewed journal for publication. Conclusions: This study will provide reliable evidence for intervention for reducing anxiety in women receiving screening mammography. INPLASY registration number: INPLASY202070131.

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Massage therapy in the breast imaging department: repurposing an ancient anxiety reducing method

Cited by 9 publications

References 17 publications

Scanxiety: a scoping review about scan-associated anxiety

Scanxiety: a scoping review about scan-associated anxiety

Breast Cancer Screening Recommendations Inclusive of All Women at Average Risk: Update from the ACR and Society of Breast Imaging

Intervention for reducing anxiety during screening mammography

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