Pre-Biopsy Psychological Factors Predict Patient Biopsy Experience
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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 (2009) Special report: consensus conference III. Image-detected breast cancer: state-of-the-art diagnosis and treatment. J Am Coll Surg. 209: pp. 504-20
- Deane, KA, Degner, LF (1998) Information needs, uncertainty, and anxiety in women who had a breast biopsy with benign outcome. Cancer Nurs 21: pp. 117-126 CrossRef
- Hughson, AV, Cooper, AF, McArdle, CS, Smith, DC (1988) Psychosocial morbidity in patients awaiting breast biopsy. J Psychosom Res 32: pp. 173-180 CrossRef
- Montgomery, GH, David, D, Goldfarb, AB, Silverstein, JH, Weltz, CR, Birk, JS (2003) Sources of anticipatory distress among breast surgery patients. J Behav Med 26: pp. 153-164 CrossRef
- Montgomery, GH, Weltz, CR, Seltz, G, Bovbjerg, DH (2002) Brief presurgery hypnosis reduces distress and pain in excisional breast biopsy patients. Int J Clin Exp Hypnosis 50: pp. 17-32 CrossRef
- Poole, K (1997) The emergency of the ‘waiting game’: a critical examination of the psychosocial issues in diagnosing breast cancer. J Adv Nurs 25: pp. 273-281 CrossRef
- Schnur, JB, Montgomery, GH, Hallquist, MN, Goldfarb, AB, Silverstein, JH, Weltz, CR (2008) Anticipatory psychological distress in women scheduled for diagnostic and curative breast cancer surgery. Int J Behav Med 15: pp. 21-28 CrossRef
- Benedict, S, Williams, RD, Baron, PL (1994) Recalled anxiety: from discovery to diagnosis of a benign breast mass. Oncol Nurs Forum 21: pp. 1723-1727
- Lebel, S, Jakubovits, G, Rosberger, Z, Loiselle, C, Seguin, C, Cornaz, C (2003) Waiting for a breast biopsy: psychosocial consequences and coping strategies. J Psychosom Res 55: pp. 437-443 CrossRef
- Montgomery, GH, Bovbjerg, DH (2004) Presurgery distress and specific response expectancies predict postsurgery outcomes in surgery patients confronting breast cancer. Health Psychol 23: pp. 381-387 CrossRef
- Burns, RP (1997) Image-guided breast biopsy. Am J Surg 173: pp. 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 (2004) Stereotactic and ultrasound-guided breast biopsy. Eur Radiol 14: pp. 383-393 CrossRef
- Shacham, S (1983) A shortened version of the Profile of Mood States. J Pers Assess 47: pp. 305-306 CrossRef
- DiLorenzo, TA, Bovbjerg, DH, Montgomery, GH, Jacobsen, PB, Valdimarsdottir, H (1999) The application of a shortened version of the Profile of Mood States in a sample of breast cancer chemotherapy patients. Br J Health Psychol 4: pp. 315-325 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 (2006) Adjunctive self-hypnotic relaxation for outpatient medical procedures: a prospective randomized trial with women undergoing large core breast biopsy. Pain 126: pp. 155-164 CrossRef
- Montgomery, GH, Bovbjerg, DH, Schnur, JB, David, D, Goldfarb, A, Weltz, CR (2007) A randomized clinical trial of a brief hypnosis intervention to control side effects in breast surgery patients. J Natl Cancer Inst 99: pp. 1304-1312 CrossRef
- Schnur, JB, Bovbjerg, DH, David, D, Tatrow, K, Goldfarb, AB, Silverstein, JH (2008) Hypnosis decreases presurgical distress in excisional breast biopsy patients. Anesth Analg 106: pp. 440-444 CrossRef
- Vlymen, JM, Sa Rego, MM, White, PF (1999) Benzodiazepine Premedication: can it improve outcome in patients undergoing breast biopsy procedures?. Anesthesiology 90: pp. 740-747 CrossRef
- Pre-Biopsy Psychological Factors Predict Patient Biopsy Experience
International Journal of Behavioral Medicine
Volume 21, Issue 1 , pp 144-148
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Breast biopsy