Jaafar Sidek Mohamed Ariff, Amajid Kanchlla, Loh Yi Sheng, Rosli Muhammad Ariff, Hashim Iffah Syahirah, Mohd Suffian Nur Ashiqin, Abdullah Norlia, Midin Marhani
Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.
Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.
Front Psychiatry. 2023 Sep 18;14:1085115. doi: 10.3389/fpsyt.2023.1085115. eCollection 2023.
Breast cancer is the most common cancer among women in Malaysia. Anxiety is one factor that deters women from participating in mammography. This study aimed to assess the anxiety level and its associated factors in women undergoing mammography.
A three-month cross-sectional study was conducted using self-administered questionnaires, encompassing socio-demographic details, clinical characteristics, and the State-Trait Anxiety Inventory.
The mean age of the participants was 57 years old (SD ±10.098). Repeat mammograms consisted of 48.8% of the participants. One-third (35.7%) of them had a history of breast disease. Most participants (84.5%) did not have a positive family history of breast cancer. The proportion of participants with moderate and high anxiety levels was 41.8%. The cause of anxiety was mainly due to the fear of the results (69%), while familiarity with the procedure reduced anxiety among respondents. Socio-demographic and clinical factors were not significantly associated with anxiety levels. However, a statistically significant positive correlation was found between state and trait anxiety scores ( = 0.568, = 0.001, = 213).
The urban setting and absence of questions on the location of origin in the study may have excluded data from the rural population. This may have prevented a true representation of the Malaysian population.
The findings suggest a better understanding of the procedures involved as well as the subsequent disease management would be beneficial in alleviating anxiety prior to, during, and post-mammogram.
乳腺癌是马来西亚女性中最常见的癌症。焦虑是阻碍女性进行乳房X光检查的一个因素。本研究旨在评估接受乳房X光检查的女性的焦虑水平及其相关因素。
采用自填问卷进行了一项为期三个月的横断面研究,问卷涵盖社会人口学细节、临床特征和状态-特质焦虑量表。
参与者的平均年龄为57岁(标准差±10.098)。48.8%的参与者进行过多次乳房X光检查。其中三分之一(35.7%)有乳腺疾病史。大多数参与者(84.5%)没有乳腺癌家族史。中度和高度焦虑水平的参与者比例为41.8%。焦虑的主要原因是对检查结果的恐惧(69%),而对检查流程的熟悉程度降低了受访者的焦虑。社会人口学和临床因素与焦虑水平无显著关联。然而,状态焦虑得分和特质焦虑得分之间存在统计学上显著的正相关(r = 0.568,p = 0.001,n = 213)。
研究的城市环境以及未设置关于出生地的问题可能排除了农村人口的数据。这可能无法真实反映马来西亚人口情况。
研究结果表明,更好地了解检查流程以及后续的疾病管理,将有助于在乳房X光检查前、检查期间和检查后减轻焦虑。