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Updated: May 29, 2026

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
Published on: August 30, 2013
Anxiety after an abnormal screening mammogram is a serious problem.
Claudia M G Keyzer-Dekker1, Jolanda De Vries, Lotje van Esch
1Department of Surgery, Medical Center Alkmaar, The Netherlands.
False positive screening mammograms (FPSM) cause psychological distress in all women, influenced by personality and screening timing. All patients need information and potential psychosocial support following FPSM.
Area of Science:
- Oncology
- Psychology
Background:
- False positive screening mammograms (FPSM) can lead to psychological distress.
- Understanding the psychological impact of FPSM is crucial for patient care.
Purpose of the Study:
- To analyze the psychological consequences of FPSM.
- To compare anxiety levels between first screening mammograms (FSM) and repeat screening mammograms (RSM).
Main Methods:
- Women completed questionnaires assessing anxiety, depressive symptoms, and Quality of Life (QoL).
- Data were collected before diagnosis and during follow-up.
- Comparison between FSM (N=186) and RSM (N=296) groups.
Main Results:
- No significant differences in anxiety, depressive symptoms, or QoL were observed between FSM and RSM groups.
- All women reported high anxiety pre-diagnosis.
- High trait anxiety predicted increased anxiety, depressive symptoms, and lower QoL.
- Women with low trait anxiety experienced more momentary anxiety in the FSM group compared to the RSM group (p=0.048).
Conclusions:
- Psychological distress is a common consequence of FPSM for all women.
- Individual personality traits and the timing of screening influence psychological outcomes.
- Providing accurate information about potential psychological effects and offering psychosocial support is recommended for all women undergoing screening mammography.
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