THE IMPACT OF GENETIC-COUNSELING ON RISK PERCEPTION IN WOMEN WITH A FAMILY HISTORY OF BREAST-CANCER

被引:128
作者
EVANS, DGR
BLAIR, V
GREENHALGH, R
HOPWOOD, P
HOWELL, A
机构
[1] CHRISTIE HOSP & HOLT RADIUM INST,PATERSON INST CANC RES,DEPT CANC GENET,CRC,MANCHESTER M20 9BX,LANCS,ENGLAND
[2] CHRISTIE HOSP & HOLT RADIUM INST,PAEDIAT & FAMILIAL CANC RES GRP,CRC,MANCHESTER M20 9BX,LANCS,ENGLAND
[3] CHRISTIE HOSP & HOLT RADIUM INST,PSYCHOL MED GRP,CRC,MANCHESTER M20 9BX,LANCS,ENGLAND
[4] CHRISTIE HOSP & HOLT RADIUM INST,DEPT MED ONCOL,CRC,MANCHESTER M20 9BX,LANCS,ENGLAND
关键词
D O I
10.1038/bjc.1994.423
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Women with a family history of breast cancer generally self-refer because they have a feeling that their risk is high. However, they have, in general, only a hazy notion of the population risk of breast cancer and their own risk in relation to this. It is probable that they are helped by genetic counselling and, if at substantial risk, by annual mammography. However, the psychological impact of assigning true risk and the value of mammography need to be evaluated. We have assessed risk perception by questionnaire in 517 new referrals to a family history clinic and 200 women returning to the clinic at least 1 year after counselling. Correct assignment of population lifetime risk of breast cancer was 16% in the uninformed precounsel group and 33% in the post-counsel group, likewise personal risk was correct in 11% and 41% respectively. Post-counsel women were significantly more likely to retain information if they were sent a post-clinic letter or if they assessed their personal risk as too high initially.
引用
收藏
页码:934 / 938
页数:5
相关论文
共 17 条
[1]   GENETIC-COUNSELING FOR FAMILIES WITH INHERITED SUSCEPTIBILITY TO BREAST AND OVARIAN-CANCER [J].
BIESECKER, BB ;
BOEHNKE, M ;
CALZONE, K ;
MARKEL, DS ;
GARBER, JE ;
COLLINS, FS ;
WEBER, BL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (15) :1970-1974
[2]   AGE AT ONSET AS AN INDICATOR OF FAMILIAL RISK OF BREAST-CANCER [J].
CLAUS, EB ;
RISCH, NJ ;
THOMPSON, D .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1990, 131 (06) :961-972
[3]   PERCEPTION OF RISK IN WOMEN WITH A FAMILY HISTORY OF BREAST-CANCER [J].
EVANS, DGR ;
BURNELL, LD ;
HOPWOOD, P ;
HOWELL, A .
BRITISH JOURNAL OF CANCER, 1993, 67 (03) :612-614
[4]   WHAT ARE THE PSYCHOLOGICAL-FACTORS INFLUENCING ATTENDANCE, NONATTENDANCE AND RE-ATTENDANCE AT A BREAST SCREENING CENTER [J].
FALLOWFIELD, LJ ;
RODWAY, A ;
BAUM, M .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1990, 83 (09) :547-551
[5]   LINKAGE OF EARLY-ONSET FAMILIAL BREAST-CANCER TO CHROMOSOME-17Q21 [J].
HALL, JM ;
LEE, MK ;
NEWMAN, B ;
MORROW, JE ;
ANDERSON, LA ;
HUEY, B ;
KING, MC .
SCIENCE, 1990, 250 (4988) :1684-1689
[6]  
KASH KM, 1992, J NATL CANCER I, V85, P1074
[7]   MAMMOGRAPHY ADHERENCE AND PSYCHOLOGICAL DISTRESS AMONG WOMEN AT RISK FOR BREAST-CANCER [J].
LERMAN, C ;
DALY, M ;
SANDS, C ;
BALSHEM, A ;
LUSTBADER, E ;
HEGGAN, T ;
GOLDSTEIN, L ;
JAMES, J ;
ENGSTROM, P .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1993, 85 (13) :1074-1080
[8]   GERM LINE P53 MUTATIONS IN A FAMILIAL SYNDROME OF BREAST-CANCER, SARCOMAS, AND OTHER NEOPLASMS [J].
MALKIN, D ;
LI, FP ;
STRONG, LC ;
FRAUMENI, JF ;
NELSON, CE ;
KIM, DH ;
KASSEL, J ;
GRYKA, MA ;
BISCHOFF, FZ ;
TAINSKY, MA ;
FRIEND, SH .
SCIENCE, 1990, 250 (4985) :1233-1238
[9]   INHERITANCE OF HUMAN-BREAST CANCER - EVIDENCE FOR AUTOSOMAL DOMINANT TRANSMISSION IN HIGH-RISK FAMILIES [J].
NEWMAN, B ;
AUSTIN, MA ;
LEE, M ;
KING, MC .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1988, 85 (09) :3044-3048
[10]   PATIENTS SUBJECTIVE INTERPRETATION OF RISKS OFFERED IN GENETIC COUNSELING [J].
PEARN, JH .
JOURNAL OF MEDICAL GENETICS, 1973, 10 (02) :129-134