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Erschienen in: Journal of Behavioral Medicine 5/2015

01.10.2015

Genetic test reporting enhances understanding of risk information and acceptance of prevention recommendations compared to family history-based counseling alone

verfasst von: Jennifer M. Taber, Lisa G. Aspinwall, Tammy K. Stump, Wendy Kohlmann, Marjan Champine, Sancy A. Leachman

Erschienen in: Journal of Behavioral Medicine | Ausgabe 5/2015

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Abstract

It is unknown whether or why genetic test reporting confers benefits in the understanding and management of cancer risk beyond what patients learn from counseling based on family history. A prospective nonexperimental control group study compared participants from melanoma-prone families who underwent CDKN2A/p16 (p16) genetic testing (27 carriers, 38 noncarriers) to participants from equivalently melanoma-prone families known not to carry a deleterious p16 mutation (31 no-test controls). All participants received equivalent counseling concerning elevated lifetime melanoma risk and corresponding recommendations for prevention and screening. Both immediately and 1 month after counseling, participants receiving a genetic test result reported greater understanding of their risk, decreased derogation of the risk information, and greater personal applicability of prevention recommendations than no-test controls. Decreased derogation of risk information after test reporting predicted further increases in understanding of melanoma risk and applicability of prevention recommendations 1 month later. Results suggest unique benefits of genetic test reporting in promoting understanding and acceptance of information about hereditary cancer risk and its management.
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Literatur
Zurück zum Zitat Aspinwall, L. G., Taber, J. M., Kohlmann, W., & Leachman, S. A. (2013a). Psychological aspects of hereditary cancer risk counseling and genetic testing. In B. I. Carr & J. Steel (Eds.), Psychological aspects of cancer (pp. 31–64). New York, NY: Springer.CrossRef Aspinwall, L. G., Taber, J. M., Kohlmann, W., & Leachman, S. A. (2013a). Psychological aspects of hereditary cancer risk counseling and genetic testing. In B. I. Carr & J. Steel (Eds.), Psychological aspects of cancer (pp. 31–64). New York, NY: Springer.CrossRef
Zurück zum Zitat Aspinwall, L. G., Taber, J. M., Kohlmann, W., Leaf, S. L., & Leachman, S. A. (2014a). Perceived risk following melanoma genetic testing: A 2-year prospective study distinguishing subjective estimates from recall. Journal of Genetic Counseling, 23, 421–437. doi:10.1007/s10897-013-9676-1 PubMedCentralCrossRefPubMed Aspinwall, L. G., Taber, J. M., Kohlmann, W., Leaf, S. L., & Leachman, S. A. (2014a). Perceived risk following melanoma genetic testing: A 2-year prospective study distinguishing subjective estimates from recall. Journal of Genetic Counseling, 23, 421–437. doi:10.​1007/​s10897-013-9676-1 PubMedCentralCrossRefPubMed
Zurück zum Zitat Aspinwall, L. G., Taber, J. M., Kohlmann, W., Leaf, S. L., & Leachman, S. A. (2014b). Unaffected family members report improvements in daily routine sun protection 2 years following melanoma genetic testing. Genetics in Medicine, 16, 846–853. doi:10.1038/gim.2014.37 CrossRefPubMed Aspinwall, L. G., Taber, J. M., Kohlmann, W., Leaf, S. L., & Leachman, S. A. (2014b). Unaffected family members report improvements in daily routine sun protection 2 years following melanoma genetic testing. Genetics in Medicine, 16, 846–853. doi:10.​1038/​gim.​2014.​37 CrossRefPubMed
Zurück zum Zitat Aspinwall, L. G., Taber, J. M., Leaf, S. L., Kohlmann, W., & Leachman, S. A. (2013b). Melanoma genetic counseling and test reporting improve screening adherence among unaffected carriers 2 years later. Cancer Epidemiology, Biomarkers and Prevention, 22, 1687–1697. doi:10.1158/1055-9965.EPI-13-0422 CrossRefPubMed Aspinwall, L. G., Taber, J. M., Leaf, S. L., Kohlmann, W., & Leachman, S. A. (2013b). Melanoma genetic counseling and test reporting improve screening adherence among unaffected carriers 2 years later. Cancer Epidemiology, Biomarkers and Prevention, 22, 1687–1697. doi:10.​1158/​1055-9965.​EPI-13-0422 CrossRefPubMed
Zurück zum Zitat Begg, C., Orlow, I., Hummer, A., Armstrong, B., Kricker, A., Marrett, L., et al. (2005). Lifetime risk of melanoma in CDKN2A mutation carriers in a population-based sample. Journal of the National Cancer Institute, 97, 1507–1515. doi:10.1093/jnci/dji312 CrossRefPubMed Begg, C., Orlow, I., Hummer, A., Armstrong, B., Kricker, A., Marrett, L., et al. (2005). Lifetime risk of melanoma in CDKN2A mutation carriers in a population-based sample. Journal of the National Cancer Institute, 97, 1507–1515. doi:10.​1093/​jnci/​dji312 CrossRefPubMed
Zurück zum Zitat Bishop, D., Demenais, F., Goldstein, A., Bergman, W., Bishop, J., Bressac-de Paillerets, B., et al. (2002). Geographical variation in the penetrance of CDKN2A mutations for melanoma. Journal of the National Cancer Institute, 94, 894–903. doi:10.1093/jnci/94.12.894 CrossRefPubMed Bishop, D., Demenais, F., Goldstein, A., Bergman, W., Bishop, J., Bressac-de Paillerets, B., et al. (2002). Geographical variation in the penetrance of CDKN2A mutations for melanoma. Journal of the National Cancer Institute, 94, 894–903. doi:10.​1093/​jnci/​94.​12.​894 CrossRefPubMed
Zurück zum Zitat Claes, E., Evers-Kiebooms, G., Denayer, L., Decruyenaere, M., Boogaerts, A., Philippe, K., et al. (2005). Predictive genetic testing for hereditary breast and ovarian cancer: Psychological distress and illness representations 1 year following disclosure. Journal of Genetic Counseling, 14, 349–363. doi:10.1007/s10897-005-1371-4 CrossRefPubMed Claes, E., Evers-Kiebooms, G., Denayer, L., Decruyenaere, M., Boogaerts, A., Philippe, K., et al. (2005). Predictive genetic testing for hereditary breast and ovarian cancer: Psychological distress and illness representations 1 year following disclosure. Journal of Genetic Counseling, 14, 349–363. doi:10.​1007/​s10897-005-1371-4 CrossRefPubMed
Zurück zum Zitat Croyle, R., Loftus, E., Barger, S., Sun, Y., Hart, M., & Gettig, J. (2006). How well do people recall risk factor test results? Accuracy and bias among cholesterol screening participants. Health Psychology, 25, 425–432. doi:10.1037/0278-6133.25.3.425 CrossRefPubMed Croyle, R., Loftus, E., Barger, S., Sun, Y., Hart, M., & Gettig, J. (2006). How well do people recall risk factor test results? Accuracy and bias among cholesterol screening participants. Health Psychology, 25, 425–432. doi:10.​1037/​0278-6133.​25.​3.​425 CrossRefPubMed
Zurück zum Zitat de Hoog, N., Stroebe, W., & de Wit, J. F. (2007). The impact of vulnerability to and severity of a health risk on processing and acceptance of fear-arousing communications: A meta-analysis. Review of General Psychology, 11, 258–285. doi:10.1037/1089-2680.11.3.258 CrossRef de Hoog, N., Stroebe, W., & de Wit, J. F. (2007). The impact of vulnerability to and severity of a health risk on processing and acceptance of fear-arousing communications: A meta-analysis. Review of General Psychology, 11, 258–285. doi:10.​1037/​1089-2680.​11.​3.​258 CrossRef
Zurück zum Zitat Geller, A., Emmons, K., Brooks, D., Zhang, Z., Powers, C., Koh, H., et al. (2003). Skin cancer prevention and detection practices among siblings of patients with melanoma. Journal of the American Academy of Dermatology, 49, 631–638. doi:10.1067/S0190-9622(03)02126-1 CrossRefPubMed Geller, A., Emmons, K., Brooks, D., Zhang, Z., Powers, C., Koh, H., et al. (2003). Skin cancer prevention and detection practices among siblings of patients with melanoma. Journal of the American Academy of Dermatology, 49, 631–638. doi:10.​1067/​S0190-9622(03)02126-1 CrossRefPubMed
Zurück zum Zitat Gerstenblith, M. R., Goldstein, A. M., Tucker, M. A., & Fraser, M. C. (2007). Genetic testing for melanoma predisposition: Current challenges. Cancer Nursing, 30, 452–459.CrossRefPubMed Gerstenblith, M. R., Goldstein, A. M., Tucker, M. A., & Fraser, M. C. (2007). Genetic testing for melanoma predisposition: Current challenges. Cancer Nursing, 30, 452–459.CrossRefPubMed
Zurück zum Zitat Gould, R. V., Brown, S. L., & Bramwell, R. (2010). Psychological adjustment to gynaecological cancer: Patients’ illness representations, coping strategies and mood disturbance. Psychology & Health, 25, 633–646. doi:10.1080/08870440902811163 CrossRef Gould, R. V., Brown, S. L., & Bramwell, R. (2010). Psychological adjustment to gynaecological cancer: Patients’ illness representations, coping strategies and mood disturbance. Psychology & Health, 25, 633–646. doi:10.​1080/​0887044090281116​3 CrossRef
Zurück zum Zitat Kaptein, A. A., van Korlaar, I. M., Cameron, L. D., Vossen, C. Y., van der Meer, F. M., & Rosendaal, F. R. (2007). Using the common-sense model to predict risk perception and disease-related worry in individuals at increased risk for venous thrombosis. Health Psychology, 26, 807–812. doi:10.1037/0278-6133.26.6.807 CrossRefPubMed Kaptein, A. A., van Korlaar, I. M., Cameron, L. D., Vossen, C. Y., van der Meer, F. M., & Rosendaal, F. R. (2007). Using the common-sense model to predict risk perception and disease-related worry in individuals at increased risk for venous thrombosis. Health Psychology, 26, 807–812. doi:10.​1037/​0278-6133.​26.​6.​807 CrossRefPubMed
Zurück zum Zitat Kefford, R., Newton Bishop, J., Bergman, W., & Tucker, M. (1999). Counseling and DNA testing for individuals perceived to be genetically predisposed to melanoma: A consensus statement of the Melanoma Genetics Consortium. Journal of Clinical Oncology, 17, 3245–3251.PubMed Kefford, R., Newton Bishop, J., Bergman, W., & Tucker, M. (1999). Counseling and DNA testing for individuals perceived to be genetically predisposed to melanoma: A consensus statement of the Melanoma Genetics Consortium. Journal of Clinical Oncology, 17, 3245–3251.PubMed
Zurück zum Zitat Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The common-sense model of self-regulation of health and illness. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 42–65). New York, NY: Routledge. Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The common-sense model of self-regulation of health and illness. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 42–65). New York, NY: Routledge.
Zurück zum Zitat Manne, S., Fasanella, N., Connors, J., Floyd, B., Wang, H., & Lessin, S. (2004). Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: Prevalence and predictors. Preventive Medicine, 39, 36–47. doi:10.1016/j.ypmed.2004.02.028 CrossRefPubMed Manne, S., Fasanella, N., Connors, J., Floyd, B., Wang, H., & Lessin, S. (2004). Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: Prevalence and predictors. Preventive Medicine, 39, 36–47. doi:10.​1016/​j.​ypmed.​2004.​02.​028 CrossRefPubMed
Zurück zum Zitat McQueen, A., Vernon, S. W., & Swank, P. R. (2013). Construct definition and scale development for defensive information processing: An application to colorectal cancer screening. Health Psychology, 32, 190–202. doi:10.1037/a0027311 CrossRefPubMed McQueen, A., Vernon, S. W., & Swank, P. R. (2013). Construct definition and scale development for defensive information processing: An application to colorectal cancer screening. Health Psychology, 32, 190–202. doi:10.​1037/​a0027311 CrossRefPubMed
Zurück zum Zitat Muthén, L. K., & Muthén, B. O. (1998). Mplus user’s guide [Computer software manual]. Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998). Mplus user’s guide [Computer software manual]. Los Angeles: Muthén & Muthén.
Zurück zum Zitat Rothman, A. J., & Kiviniemi, M. (1999). “Treating people with health information”: Analysis and review of approaches to communicating health risk information. Journal of the National Cancer Institute Monographs, 25, 44–51.CrossRefPubMed Rothman, A. J., & Kiviniemi, M. (1999). “Treating people with health information”: Analysis and review of approaches to communicating health risk information. Journal of the National Cancer Institute Monographs, 25, 44–51.CrossRefPubMed
Zurück zum Zitat van Oostrom, I., Meijers-Heijboer, H., Duivenvoorden, H. J., Bröcker-Vriends, A. T., van Asperen, C. J., Sijmons, R. H., & Tibben, A. (2007). The common sense model of self-regulation and psychological adjustment to predictive genetic testing: A prospective study. Psycho-Oncology, 16, 1121–1129. doi:10.1002/pon.1178 CrossRefPubMed van Oostrom, I., Meijers-Heijboer, H., Duivenvoorden, H. J., Bröcker-Vriends, A. T., van Asperen, C. J., Sijmons, R. H., & Tibben, A. (2007). The common sense model of self-regulation and psychological adjustment to predictive genetic testing: A prospective study. Psycho-Oncology, 16, 1121–1129. doi:10.​1002/​pon.​1178 CrossRefPubMed
Zurück zum Zitat Wiebe, D. J., & Korbel, C. (2003). Defensive denial, affect, and the self-regulation of health threats. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 184–203). New York, NY: Routledge. Wiebe, D. J., & Korbel, C. (2003). Defensive denial, affect, and the self-regulation of health threats. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 184–203). New York, NY: Routledge.
Metadaten
Titel
Genetic test reporting enhances understanding of risk information and acceptance of prevention recommendations compared to family history-based counseling alone
verfasst von
Jennifer M. Taber
Lisa G. Aspinwall
Tammy K. Stump
Wendy Kohlmann
Marjan Champine
Sancy A. Leachman
Publikationsdatum
01.10.2015
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 5/2015
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-015-9648-z

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