Positive effect of educating healthy women about breast cancer on their fear of breast cancer and breast cancer worry- A pre- post study Breast cancer education and fear

Aliakbar Nejatisafa (1), Yas Eskandari (2), Ladan Hosseini (3), Sepehr Boroumand Sani (4), Amirhossein Eskandari (5), Forouzandeh Jannat (6), Marzieh Orouji (7), Reyhaneh Aghajani (8), Donya Goodarzi (9), Sadaf Alipour (10)
(1) Department of Psychiatry, Division of Psychosomatic Medicine, Psychosomatic Research Center, Tehran University of Medical Sciences, Tehran, Iran, Iran, Islamic Republic of,
(2) Faculty of Psychology and Education, University of Tehran, Tehran, Iran, Iran, Islamic Republic of,
(3) Research Development Center, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran, Iran, Islamic Republic of,
(4) Departmen of Dermatology, Razi Hospital, Tehran University of Medical sciences, Tehran, Iran, Iran, Islamic Republic of,
(5) Deputy of Education, Ministry of health and Medical Education, Tehran, Iran, Iran, Islamic Republic of,
(6) Department of Nursing, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran, Iran, Islamic Republic of,
(7) Department of Nursing, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran, Iran, Islamic Republic of,
(8) breast diseases research center, Iran, Islamic Republic of,
(9) Department of Nursing, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran, Iran, Islamic Republic of,
(10) Breast Diseases Research Center (BDRC), Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran, Iran, Islamic Republic of

Abstract

Background: Breast cancer (BC) is the most common cancer among females worldwide and prognosis depends on early diagnosis; however, women seldom seek medical attention on time. Two of the important reasons for this delay are BC worry (BCW) and fear (BCF). We hypothesized  that educating healthy women about BC would reduce their BCF and BCW.


Methods: Participants were women above 18 years who visited the Breast Clinic, had a normal or benign breast assessment and were not suffering from any psychological disorder. They filled a survey including items of the hospital anxiety and depression scale (HADS), Lerman BCW scale and Champion BCF scale before and after the intervention. In the course of the study, 20 short educational videos about BC were sent to them by WhatsApp. Changes in scores were analyzed using the Wilcoxon signed-rank test.


Results: The mean age of the 104 participants was 38.37 years. Mean BCW score decreased from 7.95 ± 1.67 to 4.02 ± 1.44 (p < 0.001), and mean BCF score decreased from 22.29 ± 4.09 to 21.43 ± 4.99 (p = 0.046). HADS scores showed no significant change.


Conclusion: Our study showed that educating healthy women about BC may reduce BCF and BCW. We suggest that similar studies follow the participants in order to assess the effect on their health-seeking behaviour about BC in the long term.

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Authors

Aliakbar Nejatisafa
Yas Eskandari
Ladan Hosseini
Sepehr Boroumand Sani
Amirhossein Eskandari
Forouzandeh Jannat
Marzieh Orouji
Reyhaneh Aghajani
Donya Goodarzi
Sadaf Alipour
sadafalipour@yahoo.com (Primary Contact)
1.
Nejatisafa A, Eskandari Y, Hosseini L, Boroumand Sani S, Eskandari A, Jannat F, et al. Positive effect of educating healthy women about breast cancer on their fear of breast cancer and breast cancer worry- A pre- post study: Breast cancer education and fear . Arch Breast Cancer [Internet]. [cited 2026 Mar. 9];13(2). Available from: https://archbreastcancer.com/index.php/abc/article/view/1237

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