Performance of Breast Self-Examination by Women at High Risk for Breast Cancer

Alagna, Sheryle W.; Morokoff, Patricia J.; Bevett, Jeanette M.; Reddy, Diane M.

doi:10.1300/j013v12n02_03

Cited by 74 publications

(42 citation statements)

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“…In contrast to the literature (Alagna et al, 1987) we did not find a curvilinear relationship for mammography or other health behaviours. This discrepancy may be due to differences in the populations studied: in our study we included individuals at high risk eligible for predictive genetic testing whereas Alagna et al's (1987) study included relatives of cancer patients who may not have been at risk themselves. We did not find a relationship between perceived risk and risk management behaviour as reported by Kash et al (1995).…”

Section: Risk Managementcontrasting

confidence: 99%

“…However, the nature of the relationship between cancer worry and uptake of risk management options is unclear. Alagna et al (1987) report a curvilinear relationship between cancer worry and uptake of mammography where women with moderate levels of distress were more likely to engage in mammography than those with low or high levels.…”

Section: The Role Of Anxiety and Risk Perception In Risk Managementmentioning

confidence: 96%

“…Cancer related worry among relatives of breast cancer patients can interfere with adherence to breast screening recommendations (Alagna et al, 1987;Kash et al, 1992). However, the nature of the relationship between cancer worry and uptake of risk management options is unclear.…”

Section: The Role Of Anxiety and Risk Perception In Risk Managementmentioning

confidence: 99%

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Predictive testing for BRCA1/2: attributes, risk perception and management in a multi-centre clinical cohort

et al. 2002

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The aim of this multi-centre UK study is to examine the attributes of a cohort offered predictive genetic testing for breast/ ovarian cancer predisposition. Participants are adults unaffected with cancer from families with a known BRCA1/2 mutation. This is the first large multi-centre study of this population in the UK. The study evaluates mental health, perceived risk of developing cancer, preferred risk management options, and motivation for genetic testing. Participants were assessed when coming forward for genetic counselling prior to proceeding to genetic testing. Three hundred and twelve individuals, 76% of whom are female, from nine UK centres participated in the study. There are no gender differences in rates of psychiatric morbidity. Younger women (550 years) are more worried about developing cancer than older women. Few women provide accurate figures for the population risk of breast (37%) or ovarian (6%) cancer but most think that they are at higher risk of developing breast (88%) and ovarian (69%) cancer than the average woman. Cancer related worry is not associated with perceived risk or uptake of risk management options except breast self-examination. The findings indicate that younger women may be particularly vulnerable at the time of the offer of a predictive genetic test.

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Section: Risk Managementcontrasting

confidence: 99%

Section: The Role Of Anxiety and Risk Perception In Risk Managementmentioning

confidence: 96%

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Predictive testing for BRCA1/2: attributes, risk perception and management in a multi-centre clinical cohort

et al. 2002

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“…However, the bulk of the findings show that women are less compliant to preventive lifestyle and early detection behaviors after a breast cancer threat than they were before the threat arose [15][16][17][18][19][20] . Among the numerous reasons for low compliance, research findings point convincingly to resistance to facing the anxiety associated with a perception of the risk of breast cancer 21 .…”

Section: Discussionmentioning

confidence: 99%

Moderators of Psychological Recovery from Benign Cancer Screening Results

et al. 2012

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Objective: The sudden confrontation of a potential health threat such as cancer, even after the diagnosis turns out to be benign, can have enduring adverse psychological consequences, including persistent anxiety, cancer fears, and other manifestations of psychological distress. The present study examines factors that potentially moderate psychological recovery among women who face a breast cancer threat. Design: Participants were adult women had just received a benign outcome from a breast cancer diagnostic procedure that had been conducted because of suspicion of breast cancer (a non-conclusive mammography or ultrasonography result, a referral from their doctor because of pain or family history, detection of a lump, a 6-month follow-up appointment after a breast abnormality from a previous screening or diagnostic procedure, or a fluid leak from one or both breasts). We measured several psychological traits at Time 1 (right after receipt of the “no cancer” feedback) and then each month for the next 3 months. Analyses examined the factors that hindered or facilitated psychological recovery from the cancer threat. Results: Results showed that trait anxiety and family history of cancer hindered recovery and that older age and optimism facilitated recovery and lessened adverse psychological consequences. Self-regulatory strategies such as planful problem-solving, positive reappraisal, and mastery facilitated recovery. Conclusions: Our findings shed light on the factors that are implicated in psychological recovery from a benign breast cancer outcome after a diagnostic procedure (ultrasonography, repeat or initial mammography, stereotactic biopsy, fine-needle aspiration, or ultrasound-guided biopsy). Those factors could be used to identify women who may experience prolonged psychological distress, so as to assist them when they face stressful diagnostic concerns.

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“…A tendency to underestimate or overestimate personal risk has been shown to have an impact on the practice of breast cancer screening activities. The research literature, however, is inconclusive as to whether or not perceived risk has a curvilinear or negative relationship to breast cancer screening (Alagna et al, 1987;Calnan, 1984;Champion, 1991;Clemow et al, 1993;Kash et al, 1992;Massey, 1986;Polednak et al, 1991). Olson and Mitchell (1989) recommend that health professionals need to help women realistically assess their risks by individualizing discussions of breast cancer risks to each woman.…”

Section: Background Of Previous Workmentioning

confidence: 99%

Enhancing Positive Reactions to Breast Cancer Risk Appraisal

Cochrane¹

1995

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Performance of Breast Self-Examination by Women at High Risk for Breast Cancer

Cited by 74 publications

References 0 publications

Predictive testing for BRCA1/2: attributes, risk perception and management in a multi-centre clinical cohort

Predictive testing for BRCA1/2: attributes, risk perception and management in a multi-centre clinical cohort

Moderators of Psychological Recovery from Benign Cancer Screening Results

Enhancing Positive Reactions to Breast Cancer Risk Appraisal

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