Dench Evenda K, Darcey Ellie C, Keogh Louise, McLean Kirsty, Pirikahu Sarah, Saunders Christobel, Thompson Sandra, Woulfe Catherine, Wylie Elizabeth, Stone Jennifer
Centre for Genetic Origins of Health and Disease, School of Population and Global Health, University of Western Australia, 6009 Perth, Australia.
Centre for Epidemiology and Biostatistics, The University of Melbourne, 3010 Melbourne, Victoria, Australia.
J Clin Med. 2020 Mar 30;9(4):955. doi: 10.3390/jcm9040955.
In the absence of evidence-based screening recommendations for women with dense breasts, it is important to know if breast density notification increases women's anxiety. This study describes psychological reactions and future screening intentions of women attending a public mammographic screening program in Western Australia. Two-thirds of notified women indicated that knowing their breast density made them feel informed, 21% described feeling anxious, and 23% confused. Of the notified women who reported anxiety, 96% intended to re-screen when due (compared to 91% of all notified women and 93% of controls; = 0.007 and < 0.001, respectively). In summary, reported anxiety (following breast density notification) appears to increase women's intentions for future screening, not the reverse.
在缺乏针对乳腺致密女性的循证筛查建议的情况下，了解乳腺密度告知是否会增加女性的焦虑情绪很重要。本研究描述了西澳大利亚州参加公共乳房X光筛查项目的女性的心理反应和未来筛查意向。三分之二被告知乳腺密度的女性表示，了解自己的乳腺密度让她们觉得自己了解了相关信息，21%的女性表示感到焦虑，23%的女性感到困惑。在报告有焦虑情绪的被告知女性中，96%打算在到期时再次进行筛查（相比之下，所有被告知女性的这一比例为91%，对照组为93%；分别为P = 0.007和P < 0.001）。总之，报告的焦虑情绪（在乳腺密度告知之后）似乎会增加女性未来的筛查意向，而非相反。
