Factors Predicting Distress in Women Undergoing Evaluation for Suspected Breast Cancer: A Pilot Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/308272
Category:
Abstract
Type:
Presentation
Title:
Factors Predicting Distress in Women Undergoing Evaluation for Suspected Breast Cancer: A Pilot Study
Author(s):
Harding, Mariann M.
Lead Author STTI Affiliation:
Rho Omicron
Author Details:
Mariann M. Harding, PhD RN CNE, mmontgo5@kent.edu
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Purpose: There has been increasing concern regarding the impact of the distress women experience when undergoing a diagnostic evaluation for suspected breast cancer. The purpose of this pilot study was to evaluate factors influencing distress during the breast diagnostic evaluation period.  

Methods:  Using a cross-sectional, descriptive design, 9 women, aged 33-66 years undergoing core needle or surgical breast biopsy at an outpatient radiology clinic in Southeastern Ohio hospital were asked to complete  a set of valid self-report questionnaires.

Results: Anxiety appears to be the most specific manifestation of distress.  Trait anxiety was the most significant predictive factor for level of anxiety; other factors impacting anxiety levels included level of resilience, perceived social support, and meaning in life.  No significant relationships existed among demographic characteristics, including age and the presence of children in the home, and scores on the HADS or STAI State scales. The presence of depressive symptoms correlated with the same factors with the addition of using avoidance coping strategies (f= .14.34, p= .007).  A multiple regression model with trait anxiety, perceived social support, using avoidant coping and resilience explained 94.7 % of the variance in score on the STAI state scale (f= 17.88, p= .008).  Level of trait anxiety accounted for 73.6% of the variance in STAI state score. 1 subject reported an anxiety level above the cut-off point for clinically defined anxiety disorder.

Conclusions: Further investigation is needed to better understand factors that influence distress, especially if this will lead to the implementation of screening protocols and interventions that have the potential to alter treatment outcomes in those diagnosed with breast cancer.  In the interim, nurses should be proactive in providing guidance to women undergoing an evaluation, be alert to the potential for distress, perform appropriate screenings, and offer needed supportive care.

Keywords:
Breast Diagnostic Evaluation; Cancer Distress; Psychosocial Support
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFactors Predicting Distress in Women Undergoing Evaluation for Suspected Breast Cancer: A Pilot Studyen_GB
dc.contributor.authorHarding, Mariann M.en_GB
dc.contributor.departmentRho Omicronen_GB
dc.author.detailsMariann M. Harding, PhD RN CNE, mmontgo5@kent.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308272-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>Purpose</b>: There has been increasing concern regarding the impact of the distress women experience when undergoing a diagnostic evaluation for suspected breast cancer. The purpose of this pilot study was to evaluate factors influencing distress during the breast diagnostic evaluation period.   <p><b>Methods:  </b>Using a cross-sectional, descriptive design, 9 women, aged 33-66 years undergoing core needle or surgical breast biopsy at an outpatient radiology clinic in Southeastern Ohio hospital were asked to complete  a set of valid self-report questionnaires. <p><b>Results: </b>Anxiety appears to be the most specific manifestation of distress.  Trait anxiety was the most significant predictive factor for level of anxiety; other factors impacting anxiety levels included level of resilience, perceived social support, and meaning in life.  No significant relationships existed among demographic characteristics, including age and the presence of children in the home, and scores on the HADS or STAI State scales. The presence of depressive symptoms correlated with the same factors with the addition of using avoidance coping strategies (<i>f</i>= .14.34, p= .007).  A multiple regression model with trait anxiety, perceived social support, using avoidant coping and resilience explained 94.7 % of the variance in score on the STAI state scale (<i>f</i>= 17.88, p= .008).  Level of trait anxiety accounted for 73.6% of the variance in STAI state score. 1 subject reported an anxiety level above the cut-off point for clinically defined anxiety disorder. <p><b>Conclusions: </b>Further investigation is needed to better understand factors that influence distress, especially if this will lead to the implementation of screening protocols and interventions that have the potential to alter treatment outcomes in those diagnosed with breast cancer.  In the interim, nurses should be proactive in providing guidance to women undergoing an evaluation, be alert to the potential for distress, perform appropriate screenings, and offer needed supportive care.en_GB
dc.subjectBreast Diagnostic Evaluationen_GB
dc.subjectCancer Distressen_GB
dc.subjectPsychosocial Supporten_GB
dc.date.available2013-12-19T17:29:09Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:09Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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