title: The emotional consequences of false positive mammography: African-American women's reactions in their own words.
abstract: High false positive rates associated with screening for breast cancer in the United States have an unintended psychological consequence for women (Lerman et al., 1991) that has raised concerns in recent years (Sox, 1998). This study uses inductive qualitative analysis of open-ended interviews with 45 African American women living in New York City who were part of a larger study of women and their experiences after receiving an abnormal mammogram. Themes resulting from the analyses included: inadequate provider-patient communication, anxieties exacerbated by waiting and wondering, and fears of iatrogenic effects of follow-up tests such as biopsies and repeat mammograms. While more research is needed on message-framing strategies for women entering mammographic testing and follow-up, modest changes in service delivery such as improved medical communication can help to alleviate fears and enhance trust.
authors.affiliation: Ehrenkranz School of Social Work, New York University, NY 10003, USA. dkp1@is2.nyu.edu
authors.forename: D K
authors.initials: DK
authors.lastname: Padgett
authors.forename: M J
authors.initials: MJ
authors.lastname: Yedidia
authors.forename: J
authors.initials: J
authors.lastname: Kerner
authors.forename: J
authors.initials: J
authors.lastname: Mandelblatt
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001007:Anxiety; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000523:psychology; D003142:Communication; D005189:False Positive Reactions; D005239:Fear; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008327:Mammography / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D009519:New York City; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology*; D010817:Physician-Patient Relations; D014342:Truth Disclosure