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J Clin Nurs. 2014 Jul;23(13-14):2053-62. doi: 10.1111/jocn.12426. Epub 2013 Dec 7.

A roller coaster of emotions and sense--coping with the perceived psychosocial consequences of a false-positive screening mammography.

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1
Department of Health Sciences, Lund University, Lund, Sweden; Diagnostic Centre of Imaging and Functional Medicine, Skåne University Hospital Malmö, Malmö, Sweden.

Abstract

AIMS AND OBJECTIVES:

To explore coping with the perceived psychosocial consequences of a false-positive screening mammography.

BACKGROUND:

Mammographic screening has been found effective to decrease breast cancer (BC) mortality, yet there are adverse effects. Psychosocial consequences of false-positive mammographic screening have mainly been investigated from a population-based perspective. A call for qualitative studies to further explore these consequences has thus been postulated. To date, qualitative studies have elucidated women's experiences following their recall breast examinations, but their coping with perceived psychosocial consequences of a false-positive screening mammography has not yet been explored.

DESIGN:

An explorative qualitative study.

METHODS:

Face-to-face interviews were held with a purposive heterogeneous sample of 13 Swedish-speaking women with a false-positive screening mammography. The transcripts were analysed by the use of an inductive content analysis.

RESULTS:

Coping with the perceived psychosocial consequences of a false-positive screening mammography implied a roller coaster of emotion and sense. Women described how they imagined the worst and were in a state of uncertainty feeling threatened by a fatal disease. Conversely, they felt protected, surrounded by their families and being professionally taken care of, which together with perceived sisterhood and self-empowerment evoked strength and hope. Being aware of family responsibility became a crucial matter. Experiencing false-positive screening raised thoughts of thankfulness and reappraisal of life, although an ounce of BC anxiety remained. Consequently, gained awareness about BC screening and values in life surfaced.

CONCLUSIONS:

Experiencing a false-positive screening mammography triggers agonising experiences evoking a variety of coping strategies. Provision of screening raises the issue of responsibility for an impact on psychosocial well-being among healthy women.

RELEVANCE TO CLINICAL PRACTICE:

Gained knowledge might provide a basis for interventions to prevent psychosocial consequences of false-positive mammographic screening and provide support for women with a potentially compromised ability to overcome such consequences.

KEYWORDS:

content analysis; false-positive screening mammography; mammographic screening; qualitative studies; women's health

PMID:
24313329
DOI:
10.1111/jocn.12426
[Indexed for MEDLINE]

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