Schnur Julie B, Montgomery Guy H, Hallquist Michael N, Goldfarb Alisan B, Silverstein Jeffrey H, Weltz Christina R, Kowalski Alexis V, Bovbjerg Dana H
Department of Oncological Sciences, Mount Sinai School of Medicine, New York, NY 10029-6574, USA.
Int J Behav Med. 2008 Jan-Mar;15(1):21-8. doi: 10.1007/BF03003070.
Psychological distress is a central experience for women facing diagnostic and curative breast cancer surgery.
The present study was designed to predict anticipatory distress in 187 women scheduled to undergo excisional breast biopsy or lumpectomy.
Participants completed questionnaires assessing emotional distress and predictors of this distress (surgery type, worry about the surgical procedure, and worry about what the surgeon will find).
The study found that lumpectomy patients experienced greater anticipatory distress than excisional breast biopsy patients on three of the four distress measures (all ps < 0.05) and that worry about what the surgeon might find partially mediated these effects.
The results suggest that although women awaiting lumpectomy are more distressed than women awaiting biopsy, both groups report substantial distress, and, consequently, psychosocial interventions are recommended for both groups.
心理困扰是面临诊断性和治疗性乳腺癌手术的女性的核心体验。
本研究旨在预测187名计划接受乳腺切除活检或肿块切除术的女性的预期困扰。
参与者完成了评估情绪困扰及其预测因素（手术类型、对手术过程的担忧以及对医生检查结果的担忧）的问卷。
研究发现，在四项困扰测量指标中的三项上，肿块切除术患者比乳腺切除活检患者经历了更大的预期困扰（所有p值均<0.05），并且对医生可能发现的情况的担忧部分介导了这些影响。
结果表明，尽管等待肿块切除术的女性比等待活检的女性更困扰，但两组均报告有相当大的困扰，因此，建议对两组进行心理社会干预。
