Overadherence with breast self-examination recommendations.

Overadherence with breast self-examination (BSE) was studied to seek explanations for this phenomenon and to suggest individualized interventions for the performance of BSE. In a descriptive study, women attending BSE instruction (N = 264) were interviewed regarding their beliefs as well as peer and professional interactions about breast self-examination. Of these women, 29 (11%) were overadherent; they had the highest rates of breast disease and the least professional instruction and encouragement for BSE. Ironically, some women perform BSE repeatedly because they lack sufficient knowledge and confidence. Clinicians should assess women's knowledge of BSE as well as their skill to provide individualized clarification.