Pre-Biopsy Psychological Factors Predict Patient Biopsy Experience
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Excisional/surgical breast biopsy has been related to anticipatory emotional distress, and anticipatory distress has been associated with worse biopsy-related outcomes (e.g., pain, physical discomfort).
The present study was designed to investigate (a) whether anticipatory distress before an image-guided breast biopsy would correlate with biopsy-related outcomes (pain and physical discomfort during the biopsy) and (b) whether type of distress (i.e., general anxiety, worry about the procedure, worry about biopsy results) would differentially relate to biopsy-related outcomes.
Fifty image-guided breast biopsy patients (mean age = 44.4 years) were administered questionnaires pre- and post-biopsy. Pre-biopsy, patients completed the Profile of Mood States–tension/anxiety subscale and two visual analog scale items (worry about the biopsy procedure, worry about the biopsy results). Post-biopsy, patients completed two visual analog scale items (pain and physical discomfort at their worst during the procedure).
The following results were gathered: (1) Pre-biopsy worry about the procedure was significantly related to both pain (r = 0.38, p = 0.006) and physical discomfort (r = 0.31, p = 0.026); (2) pre-biopsy general anxiety was significantly related to pain (r = 0.36, p = 0.009), but not to physical discomfort; and (3) Pre-biopsy worry about the biopsy results did not significantly relate to pain or physical discomfort.
Worry about the procedure was the only variable found to be significantly correlated with both biopsy-related outcomes (pain and physical discomfort). From a clinical perspective, this item could be used as a brief screening tool to identify patients who might be at risk for poorer biopsy experiences and who might benefit from brief interventions to reduce pre-biopsy worry.
- Silverstein MJ, Recht A, Lagios MD, Bleiweiss I, Blumencranz PW, Gizienski T, et al. Special report: consensus conference III. Image-detected breast cancer: state-of-the-art diagnosis and treatment. J Am Coll Surg. 2009;209(4):504–20.
- Deane KA, Degner LF. Information needs, uncertainty, and anxiety in women who had a breast biopsy with benign outcome. Cancer Nurs. 1998;21(2):117–26. CrossRef
- Hughson AV, Cooper AF, McArdle CS, Smith DC. Psychosocial morbidity in patients awaiting breast biopsy. J Psychosom Res. 1988;32(2):173–80. CrossRef
- Montgomery GH, David D, Goldfarb AB, Silverstein JH, Weltz CR, Birk JS, et al. Sources of anticipatory distress among breast surgery patients. J Behav Med. 2003;26(2):153–64. CrossRef
- Montgomery GH, Weltz CR, Seltz G, Bovbjerg DH. Brief presurgery hypnosis reduces distress and pain in excisional breast biopsy patients. Int J Clin Exp Hypnosis. 2002;50(1):17–32. CrossRef
- Poole K. The emergency of the ‘waiting game’: a critical examination of the psychosocial issues in diagnosing breast cancer. J Adv Nurs. 1997;25:273–81. CrossRef
- Schnur JB, Montgomery GH, Hallquist MN, Goldfarb AB, Silverstein JH, Weltz CR, et al. Anticipatory psychological distress in women scheduled for diagnostic and curative breast cancer surgery. Int J Behav Med. 2008;15(1):21–8. CrossRef
- Benedict S, Williams RD, Baron PL. Recalled anxiety: from discovery to diagnosis of a benign breast mass. Oncol Nurs Forum. 1994;21(10):1723–7.
- Lebel S, Jakubovits G, Rosberger Z, Loiselle C, Seguin C, Cornaz C, et al. Waiting for a breast biopsy: psychosocial consequences and coping strategies. J Psychosom Res. 2003;55(5):437–43. CrossRef
- Montgomery GH, Bovbjerg DH. Presurgery distress and specific response expectancies predict postsurgery outcomes in surgery patients confronting breast cancer. Health Psychol. 2004;23(4):381–7. CrossRef
- Burns RP. Image-guided breast biopsy. Am J Surg. 1997;173(1):9–11. CrossRef
- The American Society of Breast Surgeons. Percutaneous needle biopsy for image-detected breast abnormalities. The American Society of Breast Surgeons; 6 A.D. Jun 12.
- Helbich TH, Matzek W, Fuchsjager MH. Stereotactic and ultrasound-guided breast biopsy. Eur Radiol. 2004;14(3):383–93. CrossRef
- Shacham S. A shortened version of the Profile of Mood States. J Pers Assess. 1983;47(3):305–6. CrossRef
- DiLorenzo TA, Bovbjerg DH, Montgomery GH, Jacobsen PB, Valdimarsdottir H. The application of a shortened version of the Profile of Mood States in a sample of breast cancer chemotherapy patients. Br J Health Psychol. 1999;4:315–25. CrossRef
- SAS (r) Proprietary Software 9.2 [computer program]. Cary, N.C.: SAS Institute Inc.; 2009.
- Lang EV, Berbaum KS, Faintuch S, Hatsiopoulou O, Halsey N, Li X, et al. Adjunctive self-hypnotic relaxation for outpatient medical procedures: a prospective randomized trial with women undergoing large core breast biopsy. Pain. 2006;126:155–64. CrossRef
- Montgomery GH, Bovbjerg DH, Schnur JB, David D, Goldfarb A, Weltz CR, et al. A randomized clinical trial of a brief hypnosis intervention to control side effects in breast surgery patients. J Natl Cancer Inst. 2007;99(17):1304–12. CrossRef
- Schnur JB, Bovbjerg DH, David D, Tatrow K, Goldfarb AB, Silverstein JH, et al. Hypnosis decreases presurgical distress in excisional breast biopsy patients. Anesth Analg. 2008;106(2):440–4. CrossRef
- van Vlymen JM, Sa Rego MM, White PF. Benzodiazepine Premedication: can it improve outcome in patients undergoing breast biopsy procedures? Anesthesiology. 1999;90(3):740–7. CrossRef
- Pre-Biopsy Psychological Factors Predict Patient Biopsy Experience
International Journal of Behavioral Medicine
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