Short term psychological distress in patients actively approached for genetic counselling after diagnosis of breast cancer

被引:36
作者
Schlich-Bakker, Kathryn J.
Warlam-Rodenhuis, Carla C.
van Echteltc, Jeanne
van den Bout, Jan
Ausems, Margreet G. E. M.
ten Kroode, Herman F. J.
机构
[1] Univ Utrecht, Med Ctr, Dept Med Oncol, NL-3508 AB Utrecht, Netherlands
[2] Univ Utrecht, Med Ctr, Dept Radiat Oncol, NL-3508 GA Utrecht, Netherlands
[3] Univ Utrecht, Med Ctr, Dept Med Genet, NL-3508 GA Utrecht, Netherlands
[4] Univ Utrecht, Dept Clin & Hlth Psychol, NL-3508 GA Utrecht, Netherlands
关键词
breast cancer; genetic counselling; psychological distress; approach; HOSPITAL ANXIETY; IMPACT; WOMEN; ADJUSTMENT; DEPRESSION; RISK; SCALE; BRCA1;
D O I
10.1016/j.ejca.2006.05.032
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This prospective study assessed anxiety, depression and breast cancer-specific distress in recently diagnosed breast cancer patients before and after an active approach for genetic counselling at the beginning of adjuvant radiotherapy (mean: 52 days after surgery). Patients completed the hospital anxiety and depression scale (HADS) and the impact of event scale (IES). Psychological distress did not increase after the approach. High anxiety decreased in the comparison group (n = 182), whereas breast cancer specific distress decreased in the approached group (n = 220). It is concluded that breast cancer patients can be approached for genetic counselling shortly after surgery without additional short-term psychological burden. Patients who are young, single with little social support, less optimistic, use an avoiding coping style, experience a lower quality of life or who are highly distressed prior to approach for genetic counselling, need extra attention. Medical history did not prove to be relevant. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2722 / 2728
页数:7
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