Pre-Biopsy Psychological Factors Predict Patient Biopsy Experience
Open accessAbstract
Background Excisional/surgical breast biopsy has been related to anticipatory emotional distress, and anticipatory distress has been associated with worse biopsy-related outcomes (e.g., pain, physical discomfort).Purpose The present study was designed to investigate (a) whether anticipatory distress before an image-guided breast biopsy would correlate with biopsy-related outcomes (pain and physical discomfort during the biopsy) and (b) whether type of distress (i.e., general anxiety, worry about the procedure, worry about biopsy results) would differentially relate to biopsy-related outcomes.Methods Fifty image-guided breast biopsy patients (mean age = 44.4 years) were administered questionnaires pre- and post-biopsy. Pre-biopsy, patients completed the Profile of Mood States-tension/anxiety subscale and two visual analog scale items (worry about the biopsy procedure, worry about the biopsy results). Post-biopsy, patients completed two visual analog scale items (pain and physical discomfort at their worst during the procedure).Results The following results were gathered: (1) Pre-biopsy worry about the procedure was significantly related to both pain (r = 0.38, p = 0.006) and physical discomfort (r = 0.31, p = 0.026); (2) pre-biopsy general anxiety was significantly related to pain (r = 0.36, p = 0.009), but not to physical discomfort; and (3) Pre-biopsy worry about the biopsy results did not significantly relate to pain or physical discomfort.Conclusions Worry about the procedure was the only variable found to be significantly correlated with both biopsy-related outcomes (pain and physical discomfort). From a clinical perspective, this item could be used as a brief screening tool to identify patients who might be at risk for poorer biopsy experiences and who might benefit from brief interventions to reduce pre-biopsy worry.
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Higher pre-procedural anxiety is associated with greater procedural pain.
“High pre-procedural anxiety levels have been related to increased procedural pain (Miller et al., 2014), longer procedure duration (Schupp et al., 2005), and more appointment cancelations and incomplete procedures (Lang et al., 2000).”
From Who Benefits Most from a Brief Mindfulness Intervention to Reduce Anxiety During Stereotactic Breast Biopsy: the Moderating Effect of Trait Mindfulness, Spiritual Well-being, and Distress Tolerance (2021) · cites this paper as Miller et al., 2014
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- Authors
- Miller, S. J., Sohl, S. J., Schnur, J. B., Margolies, L., Bolno, J., Szabo, J., Hermann, G., & Montgomery, G. H.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- Miller, Sarah J.
- ORCID
- Venue
- International Journal of Behavioral Medicine
- Published
- 2012-10-12
- Volume
- 21
- Issue
- 1
- Pages
- 144-148
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- PMC
- PMC3859517
- OpenAlex
- W2039675900
- Cited by
- 30
- References
- 19
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 3
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r25ca081137-15)
- National Cancer Institute (R25-CA081137, CA081137, R25CA129094, CA129094, K07CA131473, R25CA122061, CA131473)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- image-guided breast biopsy, procedural anxiety, biopsy pain, physical discomfort, psychological factors, screening tool, breast cancer
- MeSH terms
- Adult, Aged, Anxiety, Breast, Breast Neoplasms, Female, Humans, Middle Aged, Pain, Pain Measurement, Surveys and Questionnaires, Stress, Physiological, Young Adult, Image-Guided Biopsy
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