Une etude exploratoire sur le vecu psychologique des femmes lors de la surveillance des anomalies mammographiques probablement benignes : a propos de 50 casPsychological adjustment of short interval follow-up mammography: about 50 cases

@article{citeulike:2452159, abstract = {Resume L'objectif est d'evaluer le vecu de la surveillance mammographique serree des anomalies << probablement benignes >> et d'apprecier le niveau de stress percu par les femmes lors de la premiere mammographie de surveillance. Cette etude exploratoire multicentrique est effectuee du 1er mars au 10 juin 2002. Cinquante femmes agees de 35 a 75 ans ont repondu a un questionnaire (40 items). Il est propose a la suite de la premiere mammographie de controle. L'accueil dans le centre de radiologie est vecu comme satisfaisant (50 cas). La compression mammaire est jugee douloureuse (23 cas). Le delai entre la mammographie (decouverte de l'anomalie) et la surveillance parait long (7 cas). L'attente les inquiete (19 cas). La qualite de vie est alteree (19 cas). Le retentissement sur la vie socioprofessionnelle (4 cas) est rare. Elles parlent de la consultation a leurs proches dans 39 cas. Nonobstant, le fait d'en parler ne les satisfait pas (33 cas). L'information medicale est appreciee (47 cas) mais ne les satisfait pas (36 cas). L'echelle de stress presente une mediane a 4-5. Il y a deux pics, un a 2 (11 femmes), l'autre a 5 (8 femmes). Toutefois, les femmes << peu stressees >> pourraient utiliser une strategie d'evitement, les femmes << tres stressees >> une strategie d'impuissance-desespoir. Les patientes rapportent un bon soutien informatif medical ainsi qu'une comprehension satisfaisante de la procedure de surveillance. Elles sont rassurees par la prise en charge medicale mais ont un niveau de stress percu eleve, peut-etre lie a l'incertitude du diagnostic. The objective was to investigate women's perceptions and the perceived stress experience when undergoing surveillance mammography for benign lesions (ACR3, BI-RADS). A semi-prospective study was carried out on women with diagnosed "probably benign" breast abnormalities. It was a multicentric study from 1st March to 10th June 2002. The survey was performed at the first follow-up mammography and included questions about perceptions and perceived stress related to the follow-up experience. The response is analysed with chi-square test. Fifty women (35-75 years) answered the questionnaire. All women were satisfied with reception. The mammographies were painful (23 cases). Subsequent time seemed to be too long (seven cases) and they were anxious in 19 cases. Quality of life was spoiled (disturbed) (20 cases). Professional and social perturbations were not frequent (four cases). Speaking to a relative is frequent (39 cases), but patients were not satisfied with it (33 cases). Medical information was estimated (47 cases) but was not satisfactory (36 cases). The median of the stress scale is 4-5. There are two pickaxes, one at 2 (11 cases), the second at 5 (8 cases). "Low-stressed" women could have an avoidance coping. "High-stressed" women could use a helplessness- hopelessness coping strategy. Women reported a good and informative medical support and adequate comprehension of the short follow-up mammography. They were reassured by the medical care, but the evaluation of the stress level shows it to be high, probably due to the uncertainty of diagnosis.}, author = {Barreau, B. and Tastet, S. and Stines, J. and Picot, V. and Guibert-Tamisier, L. and Brault, I. and Gillet, J. M. and Fawzi, M. and Audigey, I. and Pousse, T. and Dilhuydy, M. H. }, citeulike-article-id = {2452159}, doi = {http://dx.doi.org/10.1016/S1297-9589(03)00175-9}, journal = {Gynecologie Obstetrique \& Fertilite}, keywords = {hope}, month = {July}, number = {7-8}, pages = {629--638}, posted-at = {2008-03-01 15:48:33}, priority = {2}, title = {Une etude exploratoire sur le vecu psychologique des femmes lors de la surveillance des anomalies mammographiques probablement benignes : a propos de 50 casPsychological adjustment of short interval follow-up mammography: about 50 cases}, url = {http://dx.doi.org/10.1016/S1297-9589(03)00175-9}, volume = {31}, year = {2003} }

TY - JOUR ID - citeulike:2452159 L3 - citeulike-article-id:2452159 TI - Une etude exploratoire sur le vecu psychologique des femmes lors de la surveillance des anomalies mammographiques probablement benignes : a propos de 50 casPsychological adjustment of short interval follow-up mammography: about 50 cases JF - Gynecologie Obstetrique & Fertilite VL - 31 IS - 7-8 SP - 629 EP - 638 N2 - Resume L'objectif est d'evaluer le vecu de la surveillance mammographique serree des anomalies << probablement benignes >> et d'apprecier le niveau de stress percu par les femmes lors de la premiere mammographie de surveillance. Cette etude exploratoire multicentrique est effectuee du 1er mars au 10 juin 2002. Cinquante femmes agees de 35 a 75 ans ont repondu a un questionnaire (40 items). Il est propose a la suite de la premiere mammographie de controle. L'accueil dans le centre de radiologie est vecu comme satisfaisant (50 cas). La compression mammaire est jugee douloureuse (23 cas). Le delai entre la mammographie (decouverte de l'anomalie) et la surveillance parait long (7 cas). L'attente les inquiete (19 cas). La qualite de vie est alteree (19 cas). Le retentissement sur la vie socioprofessionnelle (4 cas) est rare. Elles parlent de la consultation a leurs proches dans 39 cas. Nonobstant, le fait d'en parler ne les satisfait pas (33 cas). L'information medicale est appreciee (47 cas) mais ne les satisfait pas (36 cas). L'echelle de stress presente une mediane a 4-5. Il y a deux pics, un a 2 (11 femmes), l'autre a 5 (8 femmes). Toutefois, les femmes << peu stressees >> pourraient utiliser une strategie d'evitement, les femmes << tres stressees >> une strategie d'impuissance-desespoir. Les patientes rapportent un bon soutien informatif medical ainsi qu'une comprehension satisfaisante de la procedure de surveillance. Elles sont rassurees par la prise en charge medicale mais ont un niveau de stress percu eleve, peut-etre lie a l'incertitude du diagnostic. The objective was to investigate women's perceptions and the perceived stress experience when undergoing surveillance mammography for benign lesions (ACR3, BI-RADS). A semi-prospective study was carried out on women with diagnosed "probably benign" breast abnormalities. It was a multicentric study from 1st March to 10th June 2002. The survey was performed at the first follow-up mammography and included questions about perceptions and perceived stress related to the follow-up experience. The response is analysed with chi-square test. Fifty women (35-75 years) answered the questionnaire. All women were satisfied with reception. The mammographies were painful (23 cases). Subsequent time seemed to be too long (seven cases) and they were anxious in 19 cases. Quality of life was spoiled (disturbed) (20 cases). Professional and social perturbations were not frequent (four cases). Speaking to a relative is frequent (39 cases), but patients were not satisfied with it (33 cases). Medical information was estimated (47 cases) but was not satisfactory (36 cases). The median of the stress scale is 4-5. There are two pickaxes, one at 2 (11 cases), the second at 5 (8 cases). "Low-stressed" women could have an avoidance coping. "High-stressed" women could use a helplessness- hopelessness coping strategy. Women reported a good and informative medical support and adequate comprehension of the short follow-up mammography. They were reassured by the medical care, but the evaluation of the stress level shows it to be high, probably due to the uncertainty of diagnosis. KW - hope AU - Barreau, B AU - Tastet, S AU - Stines, J AU - Picot, V AU - Guibert-Tamisier, L AU - Brault, I AU - Gillet, JM AU - Fawzi, M AU - Audigey, I AU - Pousse, T AU - Dilhuydy, MH PY - 2003/07// UR - http://dx.doi.org/10.1016/S1297-9589(03)00175-9 ER -