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| Familial breast cancer: A controlled study of risk perception, psychological morbidity and health beliefs in women attending for genetic counselling |
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| Author(s): Lloyd S, Watson M, Waites B, Meyer L, Eeles R, Ebbs S, Tylee A |
| Source: BRITISH JOURNAL OF CANCER Volume: 74 Issue: 3 Pages: 482-487 Published: AUG 1996 |
| Times Cited: 139 References: 28 |
| Abstract: The present study set out to evaluate perceptions of risk, psychological morbidity and health behaviours in women with a family history of breast cancer who have attended genetic counselling and determine how these differ from general population risk women. Data were collected from 62 genetic counsellees (cases) attending the Royal Marsden and Mayday University Hospital genetic counselling services and 62 matched GP attenders (controls). Levels of general psychological morbidity were found to be similar between cases and controls; however, cases reported significantly higher breast cancer-specific distress despite clinic attendance [mean (s.d.) total Impact of Event Scale score, 14.1 (14.3) cases; 2.4 (6.7) controls, P<0.001]. Although cases perceived themselves to be more susceptible to breast cancer, many women failed correctly to recall risk figures provided by the clinic; 66% could not accurately recall their own lifetime chance. Clinics appeared to have a positive impact on preventive behaviours and cases tended to engage more regularly in breast self-examination (monthly, 66% of cases vs 47% of controls), although few differences were found between groups in terms of health beliefs. We conclude that counsellees and GP controls showed considerable similarities on many of the outcome measures, and risk of breast cancer was not predictive of greater psychological morbidity; although cases were more vulnerable to cancer-specific distress. Despite genetic counselling, many cases continued to perceive their risk of breast cancer inaccurately. |
| Document Type: Article |
| Language: English |
Addresses:
1. ROYAL MARSDEN NHS TRUST, SUTTON SM2 5PT, SURREY ENGLAND
2. INST CANC RES, SUTTON SM2 5NG, SURREY ENGLAND
3. MAYDAY UNIV HOSP, CROYDON CR7 7YE, ENGLAND
4. STONECOT SURG, SUTTON SM3 9EY, SURREY ENGLAND
5. UNIV LONDON ST GEORGES HOSP, SCH MED, DEPT GEN PRACTICE, LONDON SW17 0RE, ENGLAND |
| Publisher: STOCKTON PRESS, HOUNDMILLS, BASINGSTOKE, HAMPSHIRE, ENGLAND RG21 6XS |
| Subject Category: Oncology |
| IDS Number: UZ039 |
| ISSN: 0007-0920 |
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