scholarly journals Un enfoque psicofisiológico de los mensajes de miedo. Respuestas autónomas, subjetivas y conductuales a los mensajes de promoción de la salud.

2021 ◽  
Vol 37 (3) ◽  
pp. 412-423
Author(s):  
Francisca González Javier ◽  
Jesús Gómez-Amor ◽  
Juan R. Ordoñana
Keyword(s):  
Breast Cancer ◽  
Mammography Screening ◽  
Behavioral Responses ◽  
Self Report ◽  
Fear Appeals ◽  
Cáncer De Mama ◽  
Psychophysiological Measures ◽  
Psychophysiological Response ◽  
Skin Conductance Responses ◽  
Health Promotion Programs

Se diseñó un estudio para analizar los efectos que tienen las apelaciones al miedo sobre las respuestas psicofisiológicas, subjetivas y conductuales en la población diana. Para ello, se presentaron, a 98 mujeres de 49-50 años de edad, tres mensajes sobre el cáncer de mama promoviendo la realización de mamografía regularmente. Los mensajes fueron elaborados de manera similar a los utilizados por los programas de promoción de la salud. Los tres tenían la misma longitud, formato y estructura, pero variaban en determinadas claves que diferenciaban su carácter (Amenaza, Sorpresa y Estándar/control). Durante la exposición a estos mensajes, se registraron, de manera continua, las respuestas psicofisiológicas (frecuencia cardíaca y frecuencia de respuestas electrodérmicas inespecíficas). Después de ver los estímulos, se tomaron medidas de autoinforme y de personalidad (STAI y EPQ-A). Se encontraron respuestas significativas a los mensajes para todas las medidas psicofisiológicas. Independientemente del mensaje presentado, el patrón de respuesta psicofisiológica se relacionó significativamente con la conducta preventiva de detección del cáncer. A study was designed in order to analyze the effects of fear appeals on psychophysiological, subjective and behavioral responses on the target audience. Three messages on breast cancer, promoting regular mammography screening, elaborated in a similar way to those used by health promotion programs, were presented to ninety-eight women aged 49-50. Messages were of equal length, format and structure but varied in specific clues which distinguished their character (Threat, Surprise, and Standard/control). Psychophysiological reactions (heart rate and frequency of non- specific skin conductance responses) were recorded continuously during message exposure. Self-report measures and personality traits (STAI and EPQ-A) were obtained after viewing the stimulus. There were significant responses to the messages for all psychophysiological measures. The pattern of psychophysiological response, independent of the eliciting message, was significantly related to cancer preventive/detection behavior.

scholarly journals Fear of negative appearance evaluation and attitude towards mammography: Moderating role of internal health locus of control,cancer worry and age

2020 ◽  
Vol 10 (3) ◽  
pp. 220-229
Author(s):  
Saeed Pahlevan Sharif ◽  
Ashraf Sadat Ahadzadeh ◽  
Fon Sim Ong ◽  
Navaz Naghavi
Keyword(s):  
Breast Cancer ◽  
Locus Of Control ◽  
Mammography Screening ◽  
Online Survey ◽  
Health Locus Of Control ◽  
Self Report ◽  
Equation Modeling ◽  
Cancer Worry ◽  
Reduce Mortality Rate ◽  
The Impact

Background: Mammography screening tends to reduce mortality rate through early detection. One of the barriers to mammography screening is fear of negative appearance evaluation(FNAE). This study investigated the impact of internal health locus of control, breast cancer worries and age on the relationship between FNAE and attitude towards mammography. Methods: A cross-sectional, questionnaire-based survey design was used. Samples were Iranian women, living in Iran, aged at least 30 years old, without any history of cancer, and had not performed mammography previously based on self-report. In total, 823 samples were collected through conducting an online survey from April to June 2016. The questionnaire consisted of several instruments including attitude toward breast cancer screening procedures scale, FNAEscale, the internal dimension of the multidimensional health locus of control, and two items to measure breast cancer worry. Using covariance-based structural equation modeling the model was tested. Results: The interaction of FNAE with internal health locus of control (β = -0.128, P<0.05,CI: -0.200, -0.056), breast cancer worry (β = 0.090, P<0.05, CI: -0.162, -0.017), and age (β =-0.095, P<0.05, CI = -0.163, -0.026) was significant. The three tested moderators dampened the positive relationship between FNAE and negative attitude towards mammography. Conclusion: More information about the screening procedure should be given to women to overcome their fear. The findings indicate the need for interventions seeking to shift women’s health locus of control from external to internal. Women with low level of cancer worry need more attention.

Comparable Modulation of the Late Positive Potential by Emotion Regulation in Younger and Older Adults

2010 ◽  
Vol 24 (3) ◽  
pp. 186-197 ◽  
Author(s):  
Sandra J. E. Langeslag ◽  
Jan W. Van Strien
Keyword(s):  
Emotion Regulation ◽  
Facial Expressions ◽  
Age Differences ◽  
Late Positive Potential ◽  
Self Report ◽  
Apparent Discrepancy ◽  
Positive Potential ◽  
Psychophysiological Responses ◽  
Psychophysiological Measures ◽  
Emotional Pictures

It has been suggested that emotion regulation improves with aging. Here, we investigated age differences in emotion regulation by studying modulation of the late positive potential (LPP) by emotion regulation instructions. The electroencephalogram of younger (18–26 years) and older (60–77 years) adults was recorded while they viewed neutral, unpleasant, and pleasant pictures and while they were instructed to increase or decrease the feelings that the emotional pictures elicited. The LPP was enhanced when participants were instructed to increase their emotions. No age differences were observed in this emotion regulation effect, suggesting that emotion regulation abilities are unaffected by aging. This contradicts studies that measured emotion regulation by self-report, yet accords with studies that measured emotion regulation by means of facial expressions or psychophysiological responses. More research is needed to resolve the apparent discrepancy between subjective self-report and objective psychophysiological measures.

Evidências experimentais e epidemiológicas entre exposição aos agrotóxicos e o desenvolvimento de câncer de mama

2018 ◽  
Vol 20 (1) ◽  
pp. 137-146
Author(s):  
Elenice Pertile ◽  
Mario Ivan Matias ◽  
Zuleide da Silva Ribeiro ◽  
Julia Poeta ◽  
Cristian Roncada
Keyword(s):  
Breast Cancer ◽  
Cáncer De Mama

Experimental and epidemiological evidences between exposure to pesticides and the development of breast cancer

scholarly journals Telemammography for breast cancer screening: a cost-effective approach in Argentina

2021 ◽  
Vol 28 (1) ◽  
pp. e100351
Author(s):  
Victoria Alba Malek Pascha ◽  
Li Sun ◽  
Ramiro Gilardino ◽  
Rosa Legood
Keyword(s):  
Breast Cancer ◽  
Sensitivity Analysis ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Probabilistic Sensitivity Analysis ◽  
Mammography Screening ◽  
Cost Effective ◽  
Access To Healthcare ◽  
Over 40 Years ◽  
Improve Access

ObjectivesArgentina is a low and middle-income country (LMIC) with a highly fragmented healthcare system that conflicts with access to healthcare stated by the country’s Universal Health Coverage plan. A tele-mammography network could improve access to breast cancer screening decreasing its mortality. This research aims to conduct an economic evaluation of the implementation of a tele-mammography program to improve access to healthcare.MethodsA cost-utility analysis was performed to explore the incremental benefit of annual tele-mammography screening for at-risk Argentinian women over 40 years old. A Markov model was developed to simulate annual mammography or tele-mammography screening in two hypothetical population-based cohorts of asymptomatic women. Parameter uncertainty was evaluated through deterministic and probabilistic sensitivity analysis. Model structure uncertainty was also explored to test the robustness of the results.ResultsIt was estimated that 31 out of 100 new cases of breast cancer would be detected by mammography and 39/100 by tele-mammography. The model returned an incremental cost-effectiveness ratio (ICER) of £26 051/quality-adjusted life-year (QALY) which is lower than the WHO-recommended threshold of £26 288/QALY for Argentina. Deterministic sensitivity analysis showed the ICER is most sensitive to the uptake and sensitivity of the screening tests. Probabilistic sensitivity analysis showed tele-mammography is cost-effective in 59% of simulations.DiscussionTele-mammography should be considered for adoption as it could improve access to expertise in underserved areas where adherence to screening protocols is poor. Disaggregated data by province is needed for a better- informed policy decision. Telemedicine could also be beneficial in ensuring the continuity of care when health systems are under stress like in the current COVID-19 pandemic.ConclusionThere is a 59% chance that tele-mammography is cost-effective compared to mammography for at-risk Argentinian women over 40- years old, and should be adopted to improve access to healthcare in underserved areas of the country.

scholarly journals Psychological predictors of intention and avoidance of attending organized mammography screening in Norway: applying the Extended Parallel Process Model

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Ivanova ◽  
Ingela Lundin Kvalem
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Mammography Screening ◽  
Psychological Factors ◽  
Process Model ◽  
Parallel Process ◽  
Extended Parallel Process Model ◽  
Screening Programs ◽  
Response Efficacy

Abstract Background Mammography screening is the main method for early detection of breast cancer in Norway. Few studies have focused on psychological determinants of both attendance and non-attendance of publicly available mammography screening programs. The aim of the current study, guided by the Extended Parallel Process Model, was to examine how psychological factors influence defensive avoidance of breast cancer screening and intention to attend mammography. Methods Cross-sectional survey data from a community sample of women living in Norway aged ≥ 18 (N = 270), and without a history of breast cancer, was collected from September 2018 to June 2019 and used to investigate the relationships between the Extended Parallel Process Model (EPPM) constructs and two outcomes: defensive avoidance of breast cancer screening and intention to attend mammography within the next two years. After adjusting for confounding factors, the hierarchical multiple linear regression analyses was conducted to assess the ability of the independent variables based on the EPPM to predict the two outcome variables. Significance level was chosen at p < 0.05. Results Multivariate analyses showed that defensive avoidance of breast cancer screening was predicted by lower perceived susceptibility to breast cancer (β =  − 0.22, p = 0.001), lower response efficacy of mammography screening (β =  − 0.33, p = 0.001), higher breast cancer fear (β = 0.15, p = 0.014), and checking breasts for lumps (β =  − 0.23, p = 0.001). Intention to attend mammography within the next two years was predicted by higher response efficacy of mammography screening (β = 0.13, p = 0.032), having a lower educational level (β =  − 0.10, p = 0.041), and regular previous mammography attendance compared to never attending (β = 0.49, p = 0.001). Conclusions The study revealed that defensive avoidance of breast cancer screening and intention to attend mammography were not predicted by the same pattern of psychological factors. Our findings suggest future health promotion campaigns need to focus not only on the psychological factors that encourage women’s decision to attend the screening, but also to counter factors that contribute to women’s decision to avoid it.

scholarly journals Comment on: ‘Screening’ for Breast Cancer: Misguided Research Misinforming Public Policies, by O. S. Miettinen

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Karin Huwiler ◽  
Beat Thürlimann ◽  
Thomas Cerny ◽  
Marcel Zwahlen
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Mammography Screening ◽  
Public Policies ◽  
Medical Board

AbstractOur commentary of the article “‘Screening’ for Breast Cancer: Misguided Research Misinforming Public Policies” has two main parts. First we address some of the methodological points raised by Professor Miettinen. Then we review more specific aspects of the Swiss Medical Board statement on mammography screening for early detection of breast cancer.

Mammography screening for breast cancer—the UK Age trial – Authors' reply

2020 ◽  
Vol 21 (11) ◽  
pp. e510
Author(s):  
Stephen W Duffy ◽  
Peter D Sasieni
Keyword(s):  
Breast Cancer ◽  
Mammography Screening ◽  
The Uk

scholarly journals Trends in Breast Cancer Mortality in Sweden before and after Implementation of Mammography Screening

PLoS ONE ◽  
2011 ◽  
Vol 6 (9) ◽  
pp. e22422 ◽  
Author(s):  
Jari Haukka ◽  
Graham Byrnes ◽  
Mathieu Boniol ◽  
Philippe Autier
Keyword(s):  
Breast Cancer ◽  
Cancer Mortality ◽  
Mammography Screening ◽  
Breast Cancer Mortality ◽  
Before And After

Comparison of handheld ultrasound and automated breast ultrasound in women recalled after mammography screening

2016 ◽  
Vol 58 (5) ◽  
pp. 515-520 ◽  
Author(s):  
Roxanna Hellgren ◽  
Paul Dickman ◽  
Karin Leifland ◽  
Ariel Saracco ◽  
Per Hall ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mammography Screening ◽  
Breast Ultrasound ◽  
Breast Volume ◽  
Large Area ◽  
Mammographic Finding ◽  
Automated Breast Volume Scanner ◽  
Handheld Ultrasound ◽  
Study Population ◽  
Automated Breast Ultrasound

Background Automated breast volume scanner (ABVS) is an ultrasound (US) device with a wide scanner that sweeps over a large area of the breast and the acquired transverse images are sent to a workstation for reconstruction and review. Whether ABVS is as reliable as handheld US is, however, still not established. Purpose To compare the sensitivity and specificity of ABVS to handheld breast US for detection of breast cancer, in the situation of recall after mammography screening. Material and Methods A total of 113 women, five with bilateral suspicious findings, undergoing handheld breast US due to a suspicious mammographic finding in screening, underwent additional ABVS. The methods were assessed for each breast and each detected lesion separately and classified into two categories: breasts with mammographic suspicion of malignancy and breasts with a negative mammogram. Results Twenty-six cancers were found in 25 women. In the category of breasts with a suspicious mammographic finding (n = 118), the sensitivity of both handheld US and ABVS was 88% (22/25). The specificity of handheld US was 93.5% (87/93) and ABVS was 89.2% (83/93). In the category of breasts with a negative mammography (n = 103), the sensitivity of handheld US and ABVS was 100% (1/1). The specificity of handheld US was 100% (102/102) and ABVS was 94.1% (96/102). Conclusion ABVS can potentially replace handheld US in the investigation of women recalled from mammography screening due to a suspicious finding. Due to the small size of our study population, further investigation with larger study populations is necessary before the implementation of such practice.

scholarly journals ReCAP: Would Women With Breast Cancer Prefer to Receive an Antidepressant for Anxiety or Depression From Their Oncologist?

2016 ◽  
Vol 12 (2) ◽  
pp. 172-174 ◽  
Author(s):  
Daniel C. McFarland ◽  
Megan Johnson Shen ◽  
Kirk Harris ◽  
John Mandeli ◽  
Amy Tiersten ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Health Professional ◽  
Mental Health Professional ◽  
Antidepressant Medication ◽  
Self Report ◽  
Mental Health Provider ◽  
Anxiety And Depression ◽  
Pharmacologic Treatment ◽  
Mental Health Referral

QUESTIONS ASKED: Preferences of patients with breast cancer for provider-specific pharmacologic management of anxiety and depression are unknown. Use of patient-guided treatment preferences for the treatment of depression and anxiety are known to improve adherence and treatment outcomes in primary care settings, but these preferences are not known in women with breast cancer. This may be especially true shortly after the patient receives a diagnosis of cancer and is most psychologically symptomatic, yet committed to following through with her oncologic care. Do breast cancer patients have preferences regarding having their anxiety and depression assessed and treated by their oncologists versus being cared for by a psychiatrist or mental health provider? SUMMARY ANSWER: The majority of patients accepted antidepressant prescribing by their oncologist; only a minority preferred treatment by a mental health professional. These findings are consistent with previous data from medically ill patients that demonstrated a preference for medical providers to address and treat their depression or anxiety. Twenty percent of participants would not want any treatment. Patients who met depression criteria were less likely to prefer a mental health referral. Patients who were already taking an antidepressant or demonstrated higher levels of chronic stress were more likely to prefer a mental health referral. METHODS: Patients with breast cancer (stages 0-IV) were asked two questions: (1) “Would you be willing to have your oncologist treat your depression or anxiety with an antidepressant medication if you were to become depressed or anxious at any point during your treatment?” and (2) “Would you prefer to be treated by a psychiatrist or mental health professional for problems with either anxiety or depression?” In addition, the Distress Thermometer and Problem List, Hospital Anxiety and Depression Scale, Risky Families Questionnaire, and demographic information were assessed. BIAS, CONFOUNDING FACTORS, DRAWBACKS: This was a survey of only women who were asked to self-report hypothetical preferences. Although minimal differences were noted for the 16.8% of participants who were already taking an antidepressant medication, it is not clear how they might have interpreted the questions in a more realistic setting. REAL-LIFE IMPLICATIONS: These findings suggest a benefit for promoting education of oncologists to assess psychological symptoms and manage anxiety and depression as a routine part of an outpatient visit. It highlights a fertile opportunity for oncologists to integrate mental health treatment for their patients by beginning pharmacologic treatment, discussing their anxiety or depressive symptoms, and initiating or comanaging pharmacologic treatment of anxiety or depression. Early recognition and management of distress, anxiety, and depression would limit the delay in obtaining appropriate treatment, especially during the first year after a cancer diagnosis when patients are most symptomatic and have many difficult treatment decisions to make. The oncologist’s use of antidepressant medications to treat anxiety and depression may benefit patients most by following guidelines. A collaborative care model offers one potential solution that could establish ownership, expand resources, disseminate knowledge, and provide a system of integration for mental health and oncology providers. [Table: see text]

Sign in / Sign up

Export Citation Format

Share Document