EPV1014 - Psychiatric history and breast mammography experience

EPV1014

Psychiatric history and breast mammography experience

A. Samet ^1,*, I. Chaari ¹, W. Abid ¹, Y. Fourti ¹, F. Charfeddine ¹, L. Aribi ¹, N. Messedi ¹, J. Aloulou ¹

¹Psychiatric department “B”, Hedi Chaker University Hospital, Sfax, Tunisia

 

Introduction: Psychiatric history may influence tolerance of medical procedures such as mammography.

Objectives: To evaluate differences in mammography experience, specifically pain intensity and satisfaction with results communication, between women with and without a psychiatric history.

Methods: We conducted an online survey of the general female population in Tunisia via a sponsored Facebook campaign (December 2023–February 2024). Psychiatric history was defined as prior psychiatric consultation. Pain (1–10) and satisfaction with results communication were assessed.

Results: A total of 278 women participated. Participants had a mean age of 46 years (SD 8.9, range 20–84). Most were married (84.9%), university educated (78.4%), and of middle socio-economic status (66.5%). A total of 22.7% reported having consulted a psychiatrist at least once, most frequently for depression, anxiety, or stress-related problems. 4.3% were under current psychotropic medication. The mean pain score during mammography was 5/10 (SD 2.8), with 34% reporting severe pain (≥7/10). Women with psychiatric history reported higher pain (6.3 vs 4.8, p = 0.02) and were less likely to be satisfied with communication (48% vs 71%, p = 0.02). Regression confirmed psychiatric history as an independent predictor of higher pain (β = +1.1, p = 0.03).

Conclusions: Among Tunisian women, a history of psychiatric disorders was associated with a less favorable mammography experience, with higher pain perception and lower satisfaction with results communication. Incorporating mental health support into screening programs may improve comfort and adherence.

 

Disclosure of Interest: None Declared