Genetic testing for hereditary cancer: Effects of alexithymia and coping strategies on variations in anxiety before and after result disclosure.

This study assessed the impact of the results of genetic testing for hereditary cancer from a multifactorial health psychology perspective, considering that emotional expression plays a key role in psychological adjustment. Measures of dispositional and transactional coping strategies, anxiety and a...

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Publicado en:Psychology & Health Vol. 26; no. 7; pp. 855 - 874
Autores principales: Fantini-Hauwel, Carole, Dauvier, Bruno, Arciszewski, Thomas, Antoine, Pascal, Manouvrier, Sylvie
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2011
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      pub: Taylor & Francis Ltd
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        atl: Genetic testing for hereditary cancer: Effects of alexithymia and coping strategies on variations in anxiety before and after result disclosure.
      aug:
        au:
          Fantini-Hauwel, Carole
          Dauvier, Bruno
          Arciszewski, Thomas
          Antoine, Pascal
          Manouvrier, Sylvie
        affil: Center for Research in Psychology of Cognition, Language and Emotion, Aix Marseille I University, France
      sug:
        subj:
          Genetic Screening Psychosocial Factors
          Neoplastic Syndromes, Hereditary Diagnosis
          Affective Symptoms
          Coping
          Anxiety
          Truth Disclosure
          Human
          Prospective Studies
          Colonic Neoplasms Familial and Genetic
          Colonic Neoplasms Diagnosis
          France
          Middle Age
          Adult
          Summated Rating Scaling
          Male
          Female
          Self Report
          Descriptive Statistics
          Analysis of Variance
          T-Tests
          Pretest-Posttest Design
          Confidence Intervals
          State-Trait Anxiety Inventory
          Checklists
          Scales
          Psychological Tests
          Questionnaires
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: This study assessed the impact of the results of genetic testing for hereditary cancer from a multifactorial health psychology perspective, considering that emotional expression plays a key role in psychological adjustment. Measures of dispositional and transactional coping strategies, anxiety and alexithymia were filled out by 77 participants in a longitudinal study design. Statistical analyses were performed using general linear models and partial least squares path modelling, low-constraint methods that are particularly useful in the behavioural sciences. While anxiety levels prior to the result announcement were predictive of the distress experienced by noncarriers, considerable variability was observed for mutation carriers. Some subjects who had lower anxiety levels before the test displayed greater anxiety afterwards, but others seemed to anticipate the distress they would experience with the result that they showed a decrease in anxiety. The mutation carriers behaved as though their adaptive functioning were reshaped by the test result, independent of their disposition and previous emotional state, except in the case of alexithymia. Difficulty expressing emotions prior to genetic testing contributed to a similar difficulty after receiving the result, adding to the latter's emotional impact by promoting emotion-focused coping strategies and increasing distress.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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