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Diagnosis Uncertainty Increases Stress

Diagnosis Uncertainty Increases Stress According to a new study, not knowing can be more stressful than knowing, when it comes to awaiting a physician’s diagnosis.

In fact, the feeling of anxious uncertainty can be more stressful than knowing you have a serious illness.

“Not knowing your diagnosis is a very serious stressor,” said the study’s lead author, Elvira V. Lang, M.D., associate professor of radiology at Harvard Medical School.

“It can be as serious as knowing that you have malignant disease or need to undergo a possibly risky treatment.”

Lang and her colleague, Nicole Flory, Ph.D., studied the stress levels of 214 women scheduled to undergo different diagnostic and treatment procedures.

Immediately prior to the procedures, each of the women completed four standardized tests measuring stress and anxiety levels: the State Trait Anxiety Inventory (STAI), Impact of Events Scale (IES), Center for Epidemiologic Studies Depression Scale (CES-D) and Perceived Stress Scale (PSS).

Of the 214 women, 112 were awaiting breast biopsy, a diagnostic procedure to investigate a suspicious lump in the breast; 42 were awaiting hepatic chemoembolization, a treatment for liver cancer; and 60 were awaiting uterine fibroid embolization, a treatment for uterine myoma or benign fibroids.

Breast biopsy patients reported significantly higher levels of anxiety, with an average STAI score of 48, than chemoembolization patients, who had an average STAI score of 26, and fibroid embolization patients, with an average STAI score of 24.

IES scores were not significantly different, but were higher among the breast biopsy patients (average score 26) than the other patient groups (average score 23).

Average CES-D scores were 15 for breast biopsy patients, 14 for chemoembolization patients and 12 for fibroid embolization patients. PSS ratings were also highest among breast biopsy patients (average rating 18), compared to fibroid embolization patients (16) and chemoembolization patients (15).

“These results really drive the point home that the distress of not knowing your diagnosis is serious,” Lang said.

“We believe that healthcare providers and patients are not fully aware of this and may downplay the emotional toll of having a diagnostic exam.”

According to Lang, simple steps can be taken to alleviate patient stress prior to a procedure.

“Training the medical team in how to talk to patients makes a huge difference,” she said. “This can diffuse tension right away and can help patients to shape expectations in a more helpful fashion.”

Source: Radiological Society of North America

Diagnosis Uncertainty Increases Stress

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Diagnosis Uncertainty Increases Stress. Psych Central. Retrieved on June 22, 2018, from https://psychcentral.com/news/2010/11/30/diagnosis-uncertainty-increases-stress/21316.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.