Research Article
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Coping Attitudes of Women with Fibrocystic Breast Changes Towards Anxiety of Getting Cancer and Depression

Year 2025, Volume: 6 Issue: 3, 172 - 180, 30.09.2025

Abstract

Purpose: The present study was conducted to examine coping attitudes of women with fibrocystic breast changes towards anxiety of getting cancer and depression.
Material and Methods: 360 women who referred to the Cancer Early Diagnosis Screening and Training Center (CEDSTC) were included in this prospective cohort study. Data were collected using “Personal Information Form”, “Trait Anxiety Inventory (TAI)”, “Beck Depression Inventory (BDI)” and “Coping Strategies with Stress (COPE)”. Two independent samples t-test, Pearson correlation test, variance analysis for repeated measurements, Bonferroni test and Chi-square test were used in the evaluation of the data.
Results: According to the research findings, the level of anxiety and depression was found to be higher after the interviews (first interview, first and third month interviews) in the case group consisting of women with fibrocystic breast changes than the control group (p<0.05). The women in the groups had a moderate coping attitude during the first interview, in the first and third months. Breatfeeding women had lower anxiety levels than those who did not breastfeed, and their coping attitude was higher (p<0.05). The level of anxiety in women with a breast cancer history in their family/relatives was higher than those without, and depression level was higher in women with fibrocystic breast changes than those without (p<0.05).
Conclusion: It was determined that the presence of fibrocystic breast disease increased the anxiety and depression levels in women and their coping attitude was moderate.

Ethical Statement

The authors declare that there are no conflict of interests.

Supporting Institution

Sivas Cumhuriyet University

Project Number

This project was supported by Sivas Cumhuriyet University Scientific Research Projects Commission as SBF-048 numbered master’s thesis project.

Thanks

The authors would like to thank to women for their involvement in this research.

References

  • Acikgoz, A., Yildiz, E. A. (2017). Etiology and risk factors of breast cancer. Journal of Occupational Therapy and Rehabilitation, 5(1), 45-56.
  • Agargun, M. Y., Besiroglu, L., Kiran, U. K., et al. (2005). The psychometric properties of the COPE inventory in Turkish sample: a preliminary research. Anatolian Journal of Psychiatry, 6, 221-226.
  • Albayrak, A., Kurt, E. (2016). Relationship between depression levels due to pain and loss of limb (mastectomy) and quality of life and religiosity in patients with breast cancer. DEUİFD Psychology of Religion Special Edition, p. 41-81.
  • Aldemir, K., Gurkan, A., Taskin Yilmaz, F., et al. (2019). Participation of first-degree relatives of women with breast cancer in screening programs. Preventive Care in Nursing & Midwifery Journal, 9(2), 48-57.
  • Aldemir, K., Gurkan, A., Yilmaz, F.T., et al. (2018). Psychosocial health level and quality of sexual life in women with fibrocystic breast disease. International Journal of Women’s Health and Wellness, 4(1), 69.
  • April-Sanders, A., Oskar, S., Rachel, C., et al. (2018). Predictors of breast cancer worry in a Hispanic and predominantly immigrant mammography screening population. Women's Health Issues, 27(2), 237–244.
  • Arkar, H., Safak, C. (2004). Exploring dimensions of the Beck Depression Inventory in a clinical sample. Turkish Journal of Psychology, 19, 117-123.
  • Aydogan, U., Doganer, Y. C., Borazan, E., et al. (2012). Relationship between depression and anxiety levels and attitudes of coping with disease in cancer patients. Turkish Journal of Family Practice, 16(2), 55-60.
  • Balci, N., Kantekin, V., Sunay, D., et al. (2013). Mastalgia, anxiety and related factors: case-control study. Turkish Journal of Family Practice, 17(1), 8-12.
  • Bayraktar, N. (2015). Surgical treatment and care in breast cancer. Türkiye Klinikleri Surg Nurs-Special Topics, 1, 7- 12.
  • Cakir, S., Kafadar, M. T., Arslan, S. N., et al. (2016). Review of risk factors in women diagnosed with breast cancer in the light of current data. Florence Nightingale Journal of Medicine, 2(3), 186-194.
  • Cetinkaya, S., Vural Ozec, A., Ozdemir, D., et al. (2013). Coping strategies with depression and anxiety in glaucoma patients. CumhuriyetMedical Journal, 35, 39-50.
  • Demirel, G., Golbasi, Z. (2015). Current status in screening of women’s health. Gümüşhane University Journal of Health Sciences, 4(4), 638-659.
  • Eskelinen, M., Ollonen, P. (2011). Assessment of general anxiety in patients with breast disease and breast cancer using the Spielberger STAI Self Evaluation Test: a prospective case–control study in Finland. Anticancer Research, 31(5), 1801-1806.
  • Fairbanks, F., Andres, M. P., Caldeira, P., et al. (2017). Sexual function, anxiety and depression in women with benign breast disease: a case- control study. Rev Assoc Med Bras, 63(10), 876-882.
  • Ferlay, J., Soerjomataram, I., Dikshit, R., et al. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int. J. Cancer, 136(5), E359-E386
  • Global Burden of Disease Cancer Collaboration. (2017). Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disabilityadjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol., 3(4), 524-548. https://dx.doi.org/10.1001/jamaoncol.2016.5688
  • Haydar, F. G., Ozguven, R. (2022). The relationship between fibrocystic change of the breast and breast cancer. Maltepe Medical Journal, 14(2), 32-36. https://dx.doi.org/10.35514/mtd.2022.67
  • Hicdurmaz, D., Oz, F. (2013). Spirituality as a dimension of coping. Journal of Anatolia Nursing and Health Sciences, 16(1), 1-19.
  • Keyzer-Dekkera, C. M. G., Vries, J. D., Esch, L., et al. (2012). Anxiety after an abnormal screening mammogram is aserious problem. The Breast, 21, 83-88.
  • Kolak, A., Kamińska, M., Sygit, K., et al. (2017). Primary and secondary prevention of breast cancer. Ann Agric Environ Med., 24(4), 549–553. https://dx.doi.org/10.26444/aaem/75943
  • Lee, S. Y., Kim, M. T., Kim, S. W., et al. (2003). Effect of lifetime lactation on breast cancer risk: a Korean women’s cohort study. International Journal of Cancer, 105(3), 390-393.
  • Lou, Z., Li, Y., Yang, Y., et al. (2015). Affects of anxiety and depression on health-related quality of life among patients with benign breast lumps diagnosed via ultrasonography in China. Int. J. Environ. Res. Public Health., 12, 10587-10601. https://dx.doi.org/10.3390/ijerph120910587
  • Ollonen, P., Lehtonen, J., Eskelinen, M. (2005). Coping and defending as risk factors for breast cancer in patients with breast disease: a prospective case-control study in Kuopio, Finland. Anticancer Research, 25, 4623- 4630.
  • Oner, N., Le Compte, V. A. (1985). State-trait Anxiety Inventory handbook. Bogazici University, Istanbul, Turkey.
  • Ozarslan, Z., Fistikci, N., Keyvan, A., et al. (2013). Stress coping strategies of depressive patients. Marmara Medical Journal, 26, 130-135.
  • Ozer, N. (2015). Psychosocial needs of women with breast cancer. Türkiye Klinikleri Surg Nurs-Special Topics, 1, 16-22.
  • Parsak, C. K., Sakman, G., Akçam, T., et al. (2010). Histopathology of fibroadenoma and fibrocytic disease of the breast. The Journal of Medical Sciences, 2(4), 1- 4.
  • Smeltzer, S. C., Bare, B. G. (2010). Brunner and suddarth. Medical Surgical Nursing, 10th Edition, Philadelphia: Lippincott Williams and Wilkins, p.1445-1484.
  • World Health Organization. (2017). Global health observatory data, Geneva, Web Address: https://www.who.int/gho/en/
  • Yilmaz, E. M., Celik, S., Arslan, H., et al. (2015). Relation between mastalgia and anxiety in a region with high frequency of posttraumatic stress disorder. J Breast Health, 11, 72-75.

Fibrokistik Meme Değişiklikleri Olan Kadınların Kanser Olma Kaygısı ve Depresyon Durumuyla Başa Çıkma Tutumları

Year 2025, Volume: 6 Issue: 3, 172 - 180, 30.09.2025

Abstract

Amaç: Bu çalışma, fibrokistik meme değişiklikleri olan kadınların kansere yakalanma kaygısı ve depresyona yönelik başa çıkma tutumlarını incelemek amacıyla yürütülmüştür.
Gereç ve Yöntemler: Kanser Erken Tanı Tarama ve Eğitim Merkezi'ne (KETEM) başvuran 360 kadın bu prospektif kohort çalışmaya dahil edilmiştir. Veriler "Kişisel Bilgi Formu", "Sürekli Kaygı Envanteri (SKE)", "Beck Depresyon Envanteri (BDÖ)" ve "Stresle Başa Çıkma Stratejileri (COPE)" kullanılarak toplanmıştır. Verilerin değerlendirilmesinde iki bağımsız örneklem t-testi, Pearson korelasyon testi, tekrarlı ölçümler için varyans analizi, Bonferroni testi ve Ki-kare testi kullanılmıştır.
Sonuçlar: Araştırma bulgularına göre, fibrokistik meme değişiklikleri olan kadınlardan oluşan vaka grubunda, görüşmelerden sonra (ilk görüşme, birinci ve üçüncü ay görüşmeleri) kaygı ve depresyon düzeyi kontrol grubuna göre daha yüksek bulunmuştur (p<0,05). Gruplardaki kadınların ilk görüşmede, birinci ve üçüncü aylarda orta düzeyde başa çıkma tutumu gösterdiği görüldü. Emziren kadınların kaygı düzeyleri emzirmeyenlere göre daha düşük, başa çıkma tutumları ise daha yüksekti (p<0,05). Ailesinde/yakınlarında meme kanseri öyküsü olan kadınların kaygı düzeyi, olmayanlara göre daha yüksek, fibrokistik meme değişikliği olan kadınların depresyon düzeyi ise olmayanlara göre daha yüksekti (p<0,05).
Sonuç: Fibrokistik meme hastalığının varlığının kadınlarda kaygı ve depresyon düzeylerini artırdığı ve başa çıkma tutumlarının orta düzeyde olduğu belirlendi.

Project Number

This project was supported by Sivas Cumhuriyet University Scientific Research Projects Commission as SBF-048 numbered master’s thesis project.

References

  • Acikgoz, A., Yildiz, E. A. (2017). Etiology and risk factors of breast cancer. Journal of Occupational Therapy and Rehabilitation, 5(1), 45-56.
  • Agargun, M. Y., Besiroglu, L., Kiran, U. K., et al. (2005). The psychometric properties of the COPE inventory in Turkish sample: a preliminary research. Anatolian Journal of Psychiatry, 6, 221-226.
  • Albayrak, A., Kurt, E. (2016). Relationship between depression levels due to pain and loss of limb (mastectomy) and quality of life and religiosity in patients with breast cancer. DEUİFD Psychology of Religion Special Edition, p. 41-81.
  • Aldemir, K., Gurkan, A., Taskin Yilmaz, F., et al. (2019). Participation of first-degree relatives of women with breast cancer in screening programs. Preventive Care in Nursing & Midwifery Journal, 9(2), 48-57.
  • Aldemir, K., Gurkan, A., Yilmaz, F.T., et al. (2018). Psychosocial health level and quality of sexual life in women with fibrocystic breast disease. International Journal of Women’s Health and Wellness, 4(1), 69.
  • April-Sanders, A., Oskar, S., Rachel, C., et al. (2018). Predictors of breast cancer worry in a Hispanic and predominantly immigrant mammography screening population. Women's Health Issues, 27(2), 237–244.
  • Arkar, H., Safak, C. (2004). Exploring dimensions of the Beck Depression Inventory in a clinical sample. Turkish Journal of Psychology, 19, 117-123.
  • Aydogan, U., Doganer, Y. C., Borazan, E., et al. (2012). Relationship between depression and anxiety levels and attitudes of coping with disease in cancer patients. Turkish Journal of Family Practice, 16(2), 55-60.
  • Balci, N., Kantekin, V., Sunay, D., et al. (2013). Mastalgia, anxiety and related factors: case-control study. Turkish Journal of Family Practice, 17(1), 8-12.
  • Bayraktar, N. (2015). Surgical treatment and care in breast cancer. Türkiye Klinikleri Surg Nurs-Special Topics, 1, 7- 12.
  • Cakir, S., Kafadar, M. T., Arslan, S. N., et al. (2016). Review of risk factors in women diagnosed with breast cancer in the light of current data. Florence Nightingale Journal of Medicine, 2(3), 186-194.
  • Cetinkaya, S., Vural Ozec, A., Ozdemir, D., et al. (2013). Coping strategies with depression and anxiety in glaucoma patients. CumhuriyetMedical Journal, 35, 39-50.
  • Demirel, G., Golbasi, Z. (2015). Current status in screening of women’s health. Gümüşhane University Journal of Health Sciences, 4(4), 638-659.
  • Eskelinen, M., Ollonen, P. (2011). Assessment of general anxiety in patients with breast disease and breast cancer using the Spielberger STAI Self Evaluation Test: a prospective case–control study in Finland. Anticancer Research, 31(5), 1801-1806.
  • Fairbanks, F., Andres, M. P., Caldeira, P., et al. (2017). Sexual function, anxiety and depression in women with benign breast disease: a case- control study. Rev Assoc Med Bras, 63(10), 876-882.
  • Ferlay, J., Soerjomataram, I., Dikshit, R., et al. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int. J. Cancer, 136(5), E359-E386
  • Global Burden of Disease Cancer Collaboration. (2017). Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disabilityadjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol., 3(4), 524-548. https://dx.doi.org/10.1001/jamaoncol.2016.5688
  • Haydar, F. G., Ozguven, R. (2022). The relationship between fibrocystic change of the breast and breast cancer. Maltepe Medical Journal, 14(2), 32-36. https://dx.doi.org/10.35514/mtd.2022.67
  • Hicdurmaz, D., Oz, F. (2013). Spirituality as a dimension of coping. Journal of Anatolia Nursing and Health Sciences, 16(1), 1-19.
  • Keyzer-Dekkera, C. M. G., Vries, J. D., Esch, L., et al. (2012). Anxiety after an abnormal screening mammogram is aserious problem. The Breast, 21, 83-88.
  • Kolak, A., Kamińska, M., Sygit, K., et al. (2017). Primary and secondary prevention of breast cancer. Ann Agric Environ Med., 24(4), 549–553. https://dx.doi.org/10.26444/aaem/75943
  • Lee, S. Y., Kim, M. T., Kim, S. W., et al. (2003). Effect of lifetime lactation on breast cancer risk: a Korean women’s cohort study. International Journal of Cancer, 105(3), 390-393.
  • Lou, Z., Li, Y., Yang, Y., et al. (2015). Affects of anxiety and depression on health-related quality of life among patients with benign breast lumps diagnosed via ultrasonography in China. Int. J. Environ. Res. Public Health., 12, 10587-10601. https://dx.doi.org/10.3390/ijerph120910587
  • Ollonen, P., Lehtonen, J., Eskelinen, M. (2005). Coping and defending as risk factors for breast cancer in patients with breast disease: a prospective case-control study in Kuopio, Finland. Anticancer Research, 25, 4623- 4630.
  • Oner, N., Le Compte, V. A. (1985). State-trait Anxiety Inventory handbook. Bogazici University, Istanbul, Turkey.
  • Ozarslan, Z., Fistikci, N., Keyvan, A., et al. (2013). Stress coping strategies of depressive patients. Marmara Medical Journal, 26, 130-135.
  • Ozer, N. (2015). Psychosocial needs of women with breast cancer. Türkiye Klinikleri Surg Nurs-Special Topics, 1, 16-22.
  • Parsak, C. K., Sakman, G., Akçam, T., et al. (2010). Histopathology of fibroadenoma and fibrocytic disease of the breast. The Journal of Medical Sciences, 2(4), 1- 4.
  • Smeltzer, S. C., Bare, B. G. (2010). Brunner and suddarth. Medical Surgical Nursing, 10th Edition, Philadelphia: Lippincott Williams and Wilkins, p.1445-1484.
  • World Health Organization. (2017). Global health observatory data, Geneva, Web Address: https://www.who.int/gho/en/
  • Yilmaz, E. M., Celik, S., Arslan, H., et al. (2015). Relation between mastalgia and anxiety in a region with high frequency of posttraumatic stress disorder. J Breast Health, 11, 72-75.
There are 31 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Articles
Authors

Ünzile Yıldırım

Gülbahtiyar Demirel 0000-0003-2258-7757

Project Number This project was supported by Sivas Cumhuriyet University Scientific Research Projects Commission as SBF-048 numbered master’s thesis project.
Publication Date September 30, 2025
Submission Date August 18, 2025
Acceptance Date August 29, 2025
Published in Issue Year 2025 Volume: 6 Issue: 3

Cite

APA Yıldırım, Ü., & Demirel, G. (2025). Coping Attitudes of Women with Fibrocystic Breast Changes Towards Anxiety of Getting Cancer and Depression. Turkish Journal of Science and Health, 6(3), 172-180. https://doi.org/10.51972/tfsd.1767549


Turkish Journal of Science and Health (TFSD) 

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