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The Influence of Psychological Distress on Use of Genetic Testing for Cancer Risk
Ist Teil von
Journal of consulting and clinical psychology, 1997-06, Vol.65 (3), p.414-420
Ort / Verlag
Washington, DC: American Psychological Association
Erscheinungsjahr
1997
Quelle
Applied Social Sciences Index & Abstracts (ASSIA)
Beschreibungen/Notizen
The recent identification of
BRCA1,
a breast cancer susceptibility gene, offers an unprecedented opportunity for high-risk individuals to learn whether they are genetically predisposed to develop breast or ovarian cancer. This study examined the relationships between psychological distress and use of
BRCA1
testing by 149 high-risk individuals from hereditary cancer families. After a baseline assessment of demographics, objective risk, cancer-specific distress, and global distress (depressive symptoms), study participants were offered the opportunity to receive genetic counseling and to learn whether they carry a mutation in the
BRCA1
gene. Overall, 58% of study participants requested
BRCA1
test results, and 42% declined to learn their genetic status. After controlling for demographic factors and risk status, cancer-specific distress was significantly and positively related to
BRCA1
test use, whereas global distress was unrelated to test use.