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Mastalji, anksiyete ve ilişkili faktörler: Vaka-kontrol çalışması

Mastalgia, anxiety and related factors: case-control study

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2013

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Objective: To compare anxiety levels of women presenting with mastalgia with control group, and also to determine possible risk factors. Methods: Women attended to out-patient clinics of Family Medicine, Gynecology and Surgery with complaint of mastalgia were included in case group, women having no problem or breast com¬plaints were included in the control group of the study. Personal information form was used for information about socio-demograph-ic characteristics, medical, obstetric and gynecological history, family history of breast cancer, medications used, smoking, breast feeding, breast self-examination practice. Beck Anxiety Scale was used to assess anxiety disorder. Results: A hundred and two women were included in case group and 102 women in control group. No significant differences were detected between groups in terms of menstrual period, menopause and breast self-examination practice. However, in case group mari¬tal status (p<0.001), parity (p=0.007), breast feeding (p=0.017) and family history for breast cancer (p=0.009) were significantly higher than control group. Smoking was significantly higher in control group than case group (p=0.001). Mean anxiety scores of case group were higher than control group (p=0.049). Marital status (p=0.021, OR=2.95 [%95 CI=1.1-7.4]), smoking (p=0.001, OR=3.15 [%95 CI=1.6-6.0]) and anxiety (p=0.009, OR=0.95 [%95 CI=0.9-0.9]) were found to be related to mastalgia. Conclusions: It is important to assess women presenting with mastalgia, in terms of anxiety disorder.
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Abstract (Original Language): 
Amaç: Mastalji yakınması ile başvuran kadınların anksiyete düzeyi açısından kontrol grubu ile karşılaştırılması, varsa etki eden faktörlerin tespit edilmesi. Yöntem: Çalışmada Aile Hekimliği, Kadın-Doğum ve Genel Cerrahi polikliniklerine meme ağrısı şikayeti ile başvuran kadınlar vaka grubuna, meme ile ilgili herhangi bir hastalığı ve şikayeti olmayan kadınlar kontrol grubuna dahil edildi. Kadınların sosyo-demografik özellikleri, tıbbi, obstetrik ve jinekolojik öyküleri, ailede meme kanseri öyküsü, kullandıkları ilaçlar, sigara içme durumu, emzirme durumu, kendi kendine meme muayenesi yapma durumu ile ilgili bilgiler için kişisel bilgi formu, anksiyete bozukluğunun değerlendirilmesinde Beck Ank-siyete ölçeği kullanıldı. Bulgular: Vaka grubuna 102, kontrol grubuna 102 kadın dahil edildi. Gruplar arasında menstruasyon düzeni, menopoz durumu ve kendi kendine meme muayenesi yapma durumu açısından anlamlı farklılık saptanmadı. Ancak vaka grubunda evli olma (p<0.001), doğum yapmış olma (p=0.007), emzirme (p=0.017) ve ailede meme kanseri öyküsü olma (p=0.009) durumu kontrol grubuna göre anlamlı olarak daha yüksek bulundu. Sigara içme durumu ise vaka gru¬buna göre kontrol grubunda anlamlı olarak daha fazlaydı (p=0.001). Vaka grubunun anksiyete skor ortalamaları kontrol grubundan da¬ha yüksekti (p=0.049). Mastalji üzerine medeni durumun (p=0.021, OR=2.95 [%95 CI=1.1-7.4]), sigara içme (p=0.001, OR=3.15 [%95 CI=1.6-6.0]) ve anksiyete durumunun (p=0.009, OR=0.95 [%95 CI=0.9-0.9]) etkili olduğu saptandı. Sonuç: Mastalji şikayeti ile başvuran kadınların anksiyete bozuklu¬ğu açısından da değerlendirilmesi önemlidir.
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