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vol.13 número2LA INVESTIGACIÓN EN ENFERMERÍA EN REVISTAS LATINOAMERICANASFACTORES DE RIESGO BIOPSICOSOCIAL QUE INFLUYEN EN EL FRACASO ESCOLAR EN ALUMNOS VULNERABLES DE ESCUELAS MUNICIPALIZADAS DE LA COMUNA DE SAN PEDRO DE LA PAZ, 2005 índice de autoresíndice de materiabúsqueda de artículos
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Ciencia y enfermería

versión On-line ISSN 0717-9553

Resumen

VARELA, BERTA et al. CONFRONTING THE POSSIBILITY OF HAVING BREAST CANCER. Cienc. enferm. [online]. 2007, vol.13, n.2, pp.33-40. ISSN 0717-9553.  http://dx.doi.org/10.4067/S0717-95532007000200005.

The psychological impact of being recalled for a second-stage of breast cancer screening has been considered in the literature as a threatening event, triggering coping efforts. The present work focuses on the psychological cost of being recalled for further investigation after breast cancer screening tests. The descriptive observational study, using qualitative and quantitative methodologies included 377 patients. Quantitative applied instruments were Hospital Anxiety and Depression Scale (H ADS) and Profile of Mood States (POMS). ULM Manual was applied as a qualitative evaluation of coping. 37 (10%) who finally received a positive diagnosis of breast cancer. Cancer patients reported 125 of all coping events (median 4, range 1-13), while non-cancer patients reported 871 (median 2, range 0-9), this difference being statistically significant (Mann-Whitney test - two tailed: p < 0.0001). Patients were divided in three groups: Gl (n: 279) for BI-RADS 1, 2 and 3: G2 (n: 48) with presence of clinical symptoms and G3 (n: 30) for BI-RADS 4 and 5. G3 patients showed a higher use of resignation as coping pattern (p<0.001) and a lower use of compliance (p<0.003). Resignation pattern was used by 49% of those patients who finally received a positive diagnosis, compared to 30% of women who did not (p<0.04). 51% of non-cancer patients used compliance, while only 24% of cancer patients did so (p<0.003). Avoidance and hopelessness-helplessness increase with cancer risk

Palabras clave : Coping; breast cancer screening; anxiety; cancer fear.

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