Distress, Personality, and Mammography Utilization Among Women With a Family History of Breast Cancer

The authors examined the impact of psychological distress and the personality construct of conscientiousness (as measured by the Neuroticism, Extraversion, and Openness-Five Factor Inventory) on mammography utilization among women who were at increased risk for breast cancer. Participants were 200 w...

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Bibliographic Details
Published in:Health psychology 1999-07, Vol.18 (4), p.327-332
Main Authors: Schwartz, Marc D, Taylor, Kathryn L, Willard, Kristen S, Siegel, Jamie E, Lamdan, Ruth M, Moran, Karen
Format: Article
Language:English
Subjects:
Adult
Aged
Breast cancer
Breast Neoplasms
Breast Neoplasms - diagnosis
Breast Neoplasms - genetics
Breast Neoplasms - prevention & control
Breast Neoplasms - psychology
Conscientiousness
Cross-Sectional Studies
Distress
Factors
Family Background
Family histories
Family History
Female
Genetic Predisposition to Disease - psychology
Health Care Utilization
Health Knowledge, Attitudes, Practice
Human
Humans
Interview, Psychological
Logistic Models
Mammography
Mammography - psychology
Middle Aged
Personality
Psychological distress
Relationship
Stress, Psychological - etiology
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Summary:The authors examined the impact of psychological distress and the personality construct of conscientiousness (as measured by the Neuroticism, Extraversion, and Openness-Five Factor Inventory) on mammography utilization among women who were at increased risk for breast cancer. Participants were 200 women who had at least 1 first degree relative with breast cancer. Overall, 80% of the participants had obtained a mammogram in the previous year. Analyses controlling for potential confounders (perceived risk, decisional balance, and physician recommendation for mammography), revealed that distress was negatively associated with mammography utilization among participants who were low in conscientiousness. Distress was not significantly related to mammography utilization among highly conscientious women. The results are discussed in terms of their implications regarding interventions designed to increase mammography utilization in this population.
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.18.4.327