Burton M V, Warren R, Price D, Earl H
Breast Screening Service, St Margaret's Hospital, Epping, Essex, UK.
Br J Cancer. 1998 Jun;77(11):2014-9. doi: 10.1038/bjc.1998.335.
This retrospective analysis of psychological predictors of attendance studied the women from the annual screening arm of the United Kingdom Coordinating Committee on Cancer Research (UKCCCR) trial of annual screening mammography for the early detection of breast cancer. Some women attended screening at the first invitation in year 1 (attenders), others did not attend for screening at any time (non-attenders), whereas a third group delayed attending until year 2 (ambivalent attenders). A total of 147 women were recruited to the study: 80 attenders, 28 non-attenders and 39 ambivalent attenders. It proved extremely difficult to contact non-attenders to take part in the study. Non-attenders were significantly more depressed on the Hospital Anxiety and Depression Scale; had experienced more miscarriages, stillbirths or terminations of pregnancy; were less knowledgeable about mammography; and were displeased to have received an invitation to screening. Whereas non-attenders are unlikely ever to attend breast screening because of their long-standing attitudes and preferred coping styles, ambivalent attenders may become more amenable to screening with the passage of time. In this study such women were persuaded to attend in year 2 with a simple, cost-effective intervention: an additional invitation letter after a year.
这项关于就诊心理预测因素的回顾性分析，研究了来自英国癌症研究协调委员会（UKCCCR）年度乳腺钼靶筛查早期乳腺癌试验年度筛查组的女性。一些女性在第1年首次收到邀请时就参加了筛查（就诊者），另一些女性从未参加过筛查（未就诊者），而第三组则推迟到第2年才参加（矛盾就诊者）。共有147名女性被纳入该研究：80名就诊者、28名未就诊者和39名矛盾就诊者。事实证明，联系未就诊者参与研究极其困难。在医院焦虑抑郁量表上，未就诊者明显更抑郁；经历过更多流产、死产或终止妊娠的情况；对乳腺钼靶检查的了解较少；并且对收到筛查邀请感到不满。鉴于未就诊者因其长期的态度和偏好的应对方式，不太可能参加乳腺筛查，而矛盾就诊者可能会随着时间的推移更愿意接受筛查。在本研究中，通过一种简单且经济有效的干预措施，说服了这些女性在第2年参加筛查：一年后再发一封邀请信。
