Knowledge about diagnostic tests for breast cancer and psychological distress in adult women Diagnostic tests and psychological distress
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Abstract
Early detection of cancer is crucial for increasing survival rates. However, screening tests are influenced by the knowledge individuals have about them and the underlying psychological distress. This study aimed to identify knowledge about diagnostic tests for breast cancer and symptoms of psychological distress in women attending a breast clinic. A cross-sectional study was conducted with 32 women who visited a breast clinic for diagnostic evaluation of breast cancer. A semi-structured interview was used to assess knowledge of diagnostic evaluation tests, and the Hospital Anxiety and Depression Scale (HADS) was used to evaluate psychological distress. Descriptive analyses and the chi-square test were performed to determine the association between psychological distress and knowledge of diagnostic tests. 62% of the participants were aware of the tests, procedures, and examinations that would be performed during their consultation. The most well-known test was mammography, while biopsy and clinical examination were the least known. Anxious symptoms were identified in 50% of the sample, and depressive symptoms in 34% of the studied population. 66% of the women reported feeling calm prior to their screening examination, although some expressed concerns and worries about the test results and potential procedure-related pain. According to the chi-square test, there was no association between psychological distress and knowledge of diagnostic tests, nor between anxiety and psychological distress. The lack of knowledge regarding diagnostic tests such as biopsy, as well as the psychological distress experienced by the women studied, is evident. It is important to promote psychoeducation for those undergoing these tests to enhance their control over their health.
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Al-Naggar, R. A., & Bobryshev, Y. V. (2012). Practice and barriers of mammography among Malaysian women in the general population. Asian Pacific Journal of Cancer Prevention: APJCP, 13(8), 3595-3600. https://doi.org/10.7314/apjcp.2012.13.8.3595
Alshahrani, M., Alhammam, S. Y. M., Al Munyif, H. A. S., Alwadei, A. M. A., Alwadei, A. M. A., Alzamanan, S. S. M., & Aljohani, N. S. M. (2019). Knowledge, attitudes, and practices of breast cancer screening methods among female patients in primary healthcare centers in Najran, Saudi Arabia. Journal of Cancer Education, 34(6), 1167-1172.
Becerra, A. L., Erazo, L. R., Rodríguez, F. M. G., & Ramírez, A. R. (2016). Intervención cognitivo-conductual para el control de ansiedad ante la biopsia incisional en pacientes con cáncer de mama. Psicooncología, 13(1), Art. 1. https://doi.org/10.5209/rev_PSIC.2016.v13.n1.52489
Brandon, C. J., & Mullan, P. B. (2011). Patients’ perception of care during image-guided breast biopsy in a rural community breast center. Journal of Cancer Education, 26(1), 156-160. https://doi.org/10.1007/s13187-010-0178-7
Cancela-Ramos, M. A., Contreras-Hernández, J. M., Phinder-Puente, M., Acevedo-Marrero, A., & Sánchez-Valdivieso, E. A. (2016). Nivel de conocimiento sobre autoexploración mamaria en mujeres de 20 a 59 años de edad. Revista de Medicina e Investigación, 4(1), 10-14. https://doi.org/10.1016/j.mei.2016.01.005
Chad-Friedman, E., Coleman, S., Traeger, L. N., Pirl, W. F., Goldman, R., Atlas, S. J., & Park, E. R. (2017). Psychological distress associated with cancer screening: A systematic review. Cancer, 123(20), 3882-3894. https://doi.org/10.1002/cncr.30904
Cinar, I. O., & Tuzcu, A. (2020). Comparison of the levels of fear and perceived social support among the women having and not having mammography. Erciyes Medical Journal, 42(3), 306-311. https://doi.org/10.14744/etd.2020.65031
De la Cruz-Aguirre, K., Cortés-Sanabria, L., Salas-González, E., Canales-Muñoz, J. L., Aguayo-Alcaraz, G., Ayala-Cortés, R. A., & Palomares-Hernández, C. Y. (2022). Costos médicos directos de la atención médica de pacientes con cáncer de mama. Revista Médica del Instituto Mexicano del Seguro Social, 60(2), 107-115.
Galindo-Vázquez, O., Benjet, C., Juárez-García, F., Rojas-Castillo, E., Riveros-Rosas, A., Aguilar-Ponce, J. L., Álvarez-Avitia, M. Á., & Alvarado-Aguilar, S. (2015). Propiedades psicométricas de la Escala Hospitalaria de Ansiedad y Depresión (HADS) en una población de pacientes oncológicos mexicanos. Salud Mental, 38(4), 253-258. https://doi.org/10.17711/sm.0185-3325.2015.035
García-Cabrero, B. (2009). Manual de métodos de investigación para las ciencias sociales. Un enfoque de enseñanza basado en proyectos. Manual Moderno.
Hernández-Sampieri, R., Collado-Fernández, C., & Baptista-Lucio, M. del P. (2014). Metodología de la investigación. McGraw-Hill / Interamericana.
Instituto Mexicano del Seguro Social [IMSS]. (2020). Prensa. A través de sus 10 clínicas de mama beneficia IMSS a 400 mil mujeres anualmente. http://www.imss.gob.mx/prensa/archivo/202010/686
Instituto Nacional de Cáncer. (2013). Exámenes de detección del cáncer de seno (mama). https://www.cancer.gov/espanol/tipos/seno/paciente/deteccion-seno-pdq
Lee, M. H., & Schwartz, A. J. (2021). Barriers to breast cancer screening and coping strategies in Korean American women. Journal of Transcultural Nursing, 32(1), 6-13. https://doi.org/10.1177/1043659619881482
Lei, S., Zheng, R., Zhang, S., Wang, S., Chen, R., Sun, K., Zeng, H., Zhou, J., & Wei, W. (2021). Global patterns of breast cancer incidence and mortality: A population-based cancer registry data analysis from 2000 to 2020. Cancer Communications, 41(11), 1183-1194. https://doi.org/10.1002/cac2.12207
Martínez-Pérez, D. C., Gómez-Wolff, L. R., Ossa-Gómez, C. A., Hernández-Herrera, G. N., Rivas-Bedoya, Y., & García-García, H. I. (2020). Asociación entre retraso en el diagnóstico y estadio clínico avanzado de cáncer de mama al momento de la consulta en cuatro centros oncológicos de Medellín, Colombia, 2017. Estudio de corte transversal. Revista Colombiana de Obstetricia y Ginecología, 71(2), 87-102. https://doi.org/10.18597/rcog.3410
Mascara, M., & Constantinou, C. (2021). Global perceptions of women on breast cancer and barriers to screening. Current Oncology Reports, 23(7), 74. https://doi.org/10.1007/s11912-021-01069-z
Mellon, S., Gold, R., Janisse, J., Cichon, M., Tainsky, M.A., Simon, M.S., & Korczak, J. (2008). Risk perception and cancer worries in families at increased risk of familial breast/ovarian cancer. Psychooncology, 7(8):756-66. doi: 10.1002/pon.1370.
Melo, M. L., Pimentel, A. J., Guaratini, Á. A., Marcolino, J. Á. M., Gozzani, J. L., & Mathias, L. A. da S. T. (2007). Ansiedad en el período preoperatorio de cirugías de mama: Estudio comparativo entre pacientes con sospecha de cáncer a ser sometidas a procedimientos quirúrgicos estéticos. Revista Brasileira de Anestesiología, 57(2), 147-156. https://doi.org/10.1590/S0034-70942007000200003
Meza-Chavolla, S. O. (2021). Informe anual de productividad de clínica de mama Jalisco (Anual N.o 1). Instituto Mexicano del Seguro Social.
Secretaría de Salud de México. (2011). Norma Oficial Mexicana (NOM-041-SSA2-2011), Para la prevención, diagnóstico, tratamiento, control y vigilancia epidemiológica del cáncer de mama. http://dof.gob.mx/nota_detalle.php?codigo=5194157&fecha=09/06/2011
Nur, N. (2010). Breast cancer knowledge and screening behaviors of the female Teachers. Women & Health, 50(1), 37-52. https://doi.org/10.1080/03630241003601087
Organización Mundial de la salud. (2021). Cáncer de mama. https://www.who.int/es/news-room/fact-sheets/detail/breast-cancer
Rivero, L. de la C. G., & García, Y. L. (2021). Importancia del autoexamen de mamas en la detección oportuna del cáncer. MediSur, 19(6), 1037-1040.
Salinas, J. J., Byrd, T., Martin, C., Dwivedi, A. K., Alomari, A., Salaiz, R., & Shokar, N. K. (2018). Change in breast cancer screening knowledge is associated with change in mammogram intention in mexican-origin women after an educational intervention. Breast Cancer: Basic and Clinical Research, 12. https://doi.org/10.1177/1178223418782904
Secretaría de Servicios Parlamentarios de los Estados Unidos Mexicanos. (2014). Reglamento de la ley general de salud en materia de investigación para la salud. https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf
Sim, H. L., Seah, M., &y Tan, S. (2009). Breast cancer knowledge and screening practices: A survey of 1,000 Asian women. Singapore Medical Journal, 50, 132-138.
The Global Cancer Observatory (Globocan). (2020). Cancer over time. International Agency for Research on Cancer. https://gco.iarc.fr/today/online-analysis-pie?v=2020&mode=cancer&mode_population=continents&population=900&populations=900&key=total&sex=2&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&nb_items=7&group
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x