Role of psychological background in cancer susceptibility genetic testing distress: It is not only about a positive result.

Clinical and familial factors predict psychological distress after genetic testing for cancer susceptibility. However, the contribution of an individual's psychological background to such distress is unclear. This study aims to analyze the psychological impact of genetic testing and to identify the...

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Publicado en:Journal of Genetic Counseling Vol. 32; no. 4; pp. 778 - 788
Autores principales: López‐Fernández, Adrià, Villacampa, Guillermo, Salinas, Mònica, Grau, Elia, Darder, Esther, Carrasco, Estela, Solanes, Ares, Velasco, Angela, Torres, Maite, Munté, Elisabet, Iglesias, Silvia, Torres‐Esquius, Sara, Tuset, Noemí, Diez, Orland, Lázaro, Conxi, Brunet, Joan, Corbella, Sergi, Balmaña, Judith
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/jgc4.1687
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        atl: Role of psychological background in cancer susceptibility genetic testing distress: It is not only about a positive result.
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        au:
          López‐Fernández, Adrià
          Villacampa, Guillermo
          Salinas, Mònica
          Grau, Elia
          Darder, Esther
          Carrasco, Estela
          Solanes, Ares
          Velasco, Angela
          Torres, Maite
          Munté, Elisabet
          Iglesias, Silvia
          Torres‐Esquius, Sara
          Tuset, Noemí
          Diez, Orland
          Lázaro, Conxi
          Brunet, Joan
          Corbella, Sergi
          Balmaña, Judith
        affil: Hereditary Cancer Genetics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain
      sug:
        subj:
          Disease Susceptibility
          Neoplasms
          Genetic Screening Psychosocial Factors
          Risk Assessment
          Human
          Psychological Distress
          Prospective Studies
          Multicenter Studies
          Personality
          Worry
          Questionnaires
          Uncertainty
          Patient Attitudes
          Multivariate Analysis
          Descriptive Statistics
          Female
          Male
          Holistic Care
          Funding Source
          Female
          Male
      ab: Clinical and familial factors predict psychological distress after genetic testing for cancer susceptibility. However, the contribution of an individual's psychological background to such distress is unclear. This study aims to analyze the psychological impact of genetic testing and to identify the profile of individuals at higher risk. This is a longitudinal multicenter study of individuals undergoing genetic testing for cancer susceptibility. Demographic, clinical, genetic, familial, and psychological (personality types, cancer worry) characteristics were assessed by validated questionnaires the day of genetic testing. Distress, uncertainty, and positive experience perception (MICRA scale) were evaluated at the results disclosure visit, and 3 and 12 months afterwards. Multivariate analysis was performed. A total of 714 individuals were included. A high neuroticism score, high baseline cancer worry, and a positive genetic test result were independently associated with higher psychological impact (p‐value < 0.05). The highest risk profile (10% of the cohort) included women with high level of neuroticism and a positive result. Uncertainty was mainly associated with a high level of neuroticism, regardless of the genetic test result. A holistic approach to personalized germline genetic counseling should include the assessment of personality dimensions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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