{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:08:24Z","timestamp":1787234904210,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"15","license":[{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018090","name":"Bayer Korea","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018090","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Although breast magnetic resonance imaging (MRI) is a valuable screening tool, breast MRI testing burden was associated with cancer worry and quality of life. We aimed to develop and validate the MRI\u2010related distress scale (MRI\u2010DS) to assess comprehensive distress specifically related to breast MRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We enrolled women aged above 18\u2009years, diagnosed breast cancer, had MRI examination at least one time, and who could speak and read Korean in phase I and enrolled women aged above 18\u2009years, visited outpatient clinic of breast general surgery, had undergone MRI examination at least once, and could speak and read Korean in phase II. We excluded patients who had any physical or psychiatric conditions in both phases. We recruited from a tertiary university\u2010based hospital in South Korea between April and August 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 18 items had acceptable levels of item correlation (\u22650.30) in the explanatory factor analysis with a four\u2010factor solution. The fit indices for the four\u2010factor solution model were good. The discriminant validity of the MRI\u2010DS had a moderate correlation with general anxiety or quality of life. In the known\u2010group analysis, those who reported MRI as the most burden breast examination had higher total scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The validity of the MRI\u2010DS has been confirmed as a scale for measuring the specific distress caused by breast MRI. The MRI\u2010DS is recommended to health professional to communicate with patients with MRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>It can be used to assess the distress associated with MRI screening in breast cancer patients. Physician could use MRI\u2010DS to discuss the reasons for distress caused by breast MRI screening and to address specific sources of discomfort associated with it.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.70089","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T08:40:19Z","timestamp":1723279219000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Measuring patient\u2010reported distress from breast magnetic resonance imaging: Development and validation of the <scp>MRI<\/scp>\u2010related distress scale (<scp>MRI<\/scp>\u2010<scp>DS<\/scp>)"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0244-7714","authenticated-orcid":false,"given":"Danbee","family":"Kang","sequence":"first","affiliation":[{"name":"Center for Clinical Epidemiology, Samsung Medical Center  Seoul South Korea"},{"name":"Department of Clinical Research Design and Evaluation, 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