Waiting for a breast biopsy. Psychosocial consequences and coping strategies

J Psychosom Res. 2003 Nov;55(5):437-43. doi: 10.1016/s0022-3999(03)00512-9.

Abstract

Objective: The aim of this pilot/feasibility study was to describe the experience of women presenting with a suspicious mammogram who are waiting for a breast biopsy and to identify those at risk for distress.

Methods: Participants (n=25) were interviewed at two time points: immediately after being put on the waiting list (T1) and again immediately before their biopsy approximately 6 weeks later (T2). Self-report measures of distress and coping were used. Perceived personal risk of a positive biopsy finding and information needs were assessed through open-ended questions.

Results: Distress levels were high in this sample. Using cognitive-avoidant coping strategies, being employed, history of previous biopsies, and having a family history of breast cancer were associated with greater distress. Perceived personal risk of a positive biopsy finding was overestimated in one half of the cases and was correlated with greater distress.

Conclusion: Waiting period between suspicious mammogram and breast biopsy may be a time of high distress for many women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Biopsy / psychology*
  • Breast Diseases / diagnostic imaging
  • Breast Diseases / pathology
  • Breast Diseases / psychology*
  • Female
  • Humans
  • Mammography
  • Middle Aged
  • Stress, Psychological / psychology*
  • Time Factors