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Erschienen in: Familial Cancer 3/2008

01.09.2008

Psychological and cancer-specific distress at 18 months post-testing in women with demonstrated BRCA1 mutations for hereditary breast/ovarian cancer

verfasst von: Jon G. Reichelt, Pål Møller, Ketil Heimdal, Alv A. Dahl

Erschienen in: Familial Cancer | Ausgabe 3/2008

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Abstract

Aim The aim of this longitudinal study was to explore both levels of and factors predictive of psychological and cancer-specific distress in women with demonstrated BRCA1 mutations belonging to families with hereditary breast/ovarian cancer (HBOC). Methods We included 214 women from HBOC families who had BRCA1 testing, and who were examined with a mailed questionnaire at pre-test (T1), 6 weeks after getting the test result (T2) and 18 months later (T3). Self-rating instruments for psychological distress, cancer-specific distress and personality traits were used. Results Hardly any significant changes were observed concerning the levels of psychological and cancer-specific distress from T1 via T2 to T3 for the total group or those with carrier or non-carrier status, while women with cancer had a significant reduction of cancer-specific distress over time. The pre-test levels of psychological and cancer-specific distress were significant and strong predictors of these types of distress at T3. The personality trait of neuroticism made a significant contribution to both types of distress at pre-test, and a small separate contribution to distress at T3. Carrier status, history of personal cancer, pre-test levels of optimism or multidimensional health locus of control did not significantly predict distress at T3. Conclusions Genetic testing or test results were not found to induce psychological or cancer-specific psychological distress at long-term. Neuroticism had a decisive influence at both pre-test and long-term levels of distress.
Literatur
1.
Zurück zum Zitat Grann VR, Jacobson JS (2002) Population screening for cancer-specific germline gene mutations. Lancet Oncol 3:341–348PubMedCrossRef Grann VR, Jacobson JS (2002) Population screening for cancer-specific germline gene mutations. Lancet Oncol 3:341–348PubMedCrossRef
2.
Zurück zum Zitat Lerman C, Narod S, Schulman K et al (1996) BRCA1 testing in families with hereditary breast-ovarian cancer. JAMA 275:1885–1892PubMedCrossRef Lerman C, Narod S, Schulman K et al (1996) BRCA1 testing in families with hereditary breast-ovarian cancer. JAMA 275:1885–1892PubMedCrossRef
3.
Zurück zum Zitat Croyle RT, Smith KR, Botkin JR et al (1997) Psychological responses to BRCA1 mutation testing: preliminary findings. Health Psychol 16:63–72PubMedCrossRef Croyle RT, Smith KR, Botkin JR et al (1997) Psychological responses to BRCA1 mutation testing: preliminary findings. Health Psychol 16:63–72PubMedCrossRef
4.
Zurück zum Zitat Smith KR, West JA, Croyle RT et al (1999) Familial context of genetic testing for cancer susceptibility: moderating effects of siblings’ test results on psychological distress one to two weeks after BRCA1 mutation testing. Cancer Epidemiol Biomarkers Prev 8:385–392PubMed Smith KR, West JA, Croyle RT et al (1999) Familial context of genetic testing for cancer susceptibility: moderating effects of siblings’ test results on psychological distress one to two weeks after BRCA1 mutation testing. Cancer Epidemiol Biomarkers Prev 8:385–392PubMed
5.
Zurück zum Zitat Wagner TMU, Möslinger R, Langbauer G et al (2000) Attitude towards prophylactic surgery and effects of genetic counseling in families with BRCA mutations. Br J Cancer 82:1249–1253PubMedCrossRef Wagner TMU, Möslinger R, Langbauer G et al (2000) Attitude towards prophylactic surgery and effects of genetic counseling in families with BRCA mutations. Br J Cancer 82:1249–1253PubMedCrossRef
6.
Zurück zum Zitat Wood ME, Mullineaux L, Kulchak Rahm A et al (2000) Impact of BRCA1 testing on women with cancer: a pilot study. Genet Test 4:265–272PubMedCrossRef Wood ME, Mullineaux L, Kulchak Rahm A et al (2000) Impact of BRCA1 testing on women with cancer: a pilot study. Genet Test 4:265–272PubMedCrossRef
7.
Zurück zum Zitat Lodder L, Frets PG, Trijsburg RW et al (2001) Psychological impact of receiving a BRCA1/BRCA2 test result. Am J Med Gen 98:15–24CrossRef Lodder L, Frets PG, Trijsburg RW et al (2001) Psychological impact of receiving a BRCA1/BRCA2 test result. Am J Med Gen 98:15–24CrossRef
8.
Zurück zum Zitat Meiser B, Butow P, Friedlander M et al (2002) Psychological impact of genetic testing in women from high risk breast cancer families. Eur J Cancer 38:2025–2033PubMed Meiser B, Butow P, Friedlander M et al (2002) Psychological impact of genetic testing in women from high risk breast cancer families. Eur J Cancer 38:2025–2033PubMed
9.
Zurück zum Zitat Schwartz MD, Peshkin BN, Hughes C et al (2002) Impact of BRCA1/BRCA2 mutation testing on psychological distress in a clinic-based sample. J Clin Oncol 20:514–520PubMedCrossRef Schwartz MD, Peshkin BN, Hughes C et al (2002) Impact of BRCA1/BRCA2 mutation testing on psychological distress in a clinic-based sample. J Clin Oncol 20:514–520PubMedCrossRef
10.
Zurück zum Zitat Claes E, Evers-Kiebooms G, Boogaerts A et al (2004) Diagnostic genetic testing for hereditary breast and ovarian cancer in cancer patients: women’s looking back on the pre-test period and a psychological evaluation. Genet Test 8:13–21PubMedCrossRef Claes E, Evers-Kiebooms G, Boogaerts A et al (2004) Diagnostic genetic testing for hereditary breast and ovarian cancer in cancer patients: women’s looking back on the pre-test period and a psychological evaluation. Genet Test 8:13–21PubMedCrossRef
11.
Zurück zum Zitat Reichelt JG, Heimdal K, Møller P et al (2004) BRCA1 testing with definite results: a prospective study of psychological distress in a large clinic-based sample. Fam Cancer 3:21–28PubMedCrossRef Reichelt JG, Heimdal K, Møller P et al (2004) BRCA1 testing with definite results: a prospective study of psychological distress in a large clinic-based sample. Fam Cancer 3:21–28PubMedCrossRef
12.
Zurück zum Zitat Watson M, Foster C, Eeles R et al (2004) Psychological impact of breast/ovarian (BRCA 1/2) cancer-predictive genetic testing in a UK multi-centre clinical cohort. Br J Cancer 91:1787–1794PubMedCrossRef Watson M, Foster C, Eeles R et al (2004) Psychological impact of breast/ovarian (BRCA 1/2) cancer-predictive genetic testing in a UK multi-centre clinical cohort. Br J Cancer 91:1787–1794PubMedCrossRef
13.
Zurück zum Zitat Claes E, Evers-Kiebooms G, Denayer L et al (2005) Predictive genetic testing for hereditary breast and ovarian cancer: psychological distress and illness representations 1 year following disclosure. J Genet Counsel 14:349–363CrossRef Claes E, Evers-Kiebooms G, Denayer L et al (2005) Predictive genetic testing for hereditary breast and ovarian cancer: psychological distress and illness representations 1 year following disclosure. J Genet Counsel 14:349–363CrossRef
14.
Zurück zum Zitat Møller P, Borg A, Heimdal K et al (2001) The BRCA1 syndrome and other inherited breast or breast-ovarian cancers in a Norwegian prospective series. Eur J Cancer 37:1027–1032PubMedCrossRef Møller P, Borg A, Heimdal K et al (2001) The BRCA1 syndrome and other inherited breast or breast-ovarian cancers in a Norwegian prospective series. Eur J Cancer 37:1027–1032PubMedCrossRef
15.
Zurück zum Zitat Geirdal AØ, Reichelt JG, Dahl AA et al (2005) Psychological distress in women at risk of hereditary breast/ovarian or HNPCC cancers in the absence of demonstrated mutations. Fam Cancer 4:121–126PubMedCrossRef Geirdal AØ, Reichelt JG, Dahl AA et al (2005) Psychological distress in women at risk of hereditary breast/ovarian or HNPCC cancers in the absence of demonstrated mutations. Fam Cancer 4:121–126PubMedCrossRef
16.
Zurück zum Zitat van Oostrom I, Meijers-Heiboer H, Lodder LN et al (2003) Long-term psychological impact of carrying a BRCA1/2 mutation and prophylactic surgery: a 5-year follow-up study. J Clin Oncol 21:3867–3874PubMedCrossRef van Oostrom I, Meijers-Heiboer H, Lodder LN et al (2003) Long-term psychological impact of carrying a BRCA1/2 mutation and prophylactic surgery: a 5-year follow-up study. J Clin Oncol 21:3867–3874PubMedCrossRef
17.
Zurück zum Zitat Broadstock M, Michie S, Marteau T (2000) Psychological consequences of predictive genetic testing: a systematic review. Eur J Hum Gen 8:731–738CrossRef Broadstock M, Michie S, Marteau T (2000) Psychological consequences of predictive genetic testing: a systematic review. Eur J Hum Gen 8:731–738CrossRef
18.
Zurück zum Zitat Vadaparampil ST, Ropka M, Stefanek ME (2005) Measurement of psychological factors associated with genetic testing for hereditary breast, ovarian and colon cancer. Fam Cancer 4:195–206PubMedCrossRef Vadaparampil ST, Ropka M, Stefanek ME (2005) Measurement of psychological factors associated with genetic testing for hereditary breast, ovarian and colon cancer. Fam Cancer 4:195–206PubMedCrossRef
19.
Zurück zum Zitat Timman R, Stijnen T, Tibben A (2004) Methodology in longitudinal studies on psychological effects of predictive DNA testing: a review. J Med Genet 41:e100PubMedCrossRef Timman R, Stijnen T, Tibben A (2004) Methodology in longitudinal studies on psychological effects of predictive DNA testing: a review. J Med Genet 41:e100PubMedCrossRef
20.
Zurück zum Zitat Audrain J, Schwartz MD, Lerman C et al (1997) Psychological distress in women seeking genetic counseling for breast-ovarian cancer risk: the contributions of personality and appraisal. Ann Behav Med 19:370–377PubMedCrossRef Audrain J, Schwartz MD, Lerman C et al (1997) Psychological distress in women seeking genetic counseling for breast-ovarian cancer risk: the contributions of personality and appraisal. Ann Behav Med 19:370–377PubMedCrossRef
21.
Zurück zum Zitat Rotter J (1966) Generalized expectations for internal versus external control of reinforcement. Psychol Monogr 80:1–28PubMed Rotter J (1966) Generalized expectations for internal versus external control of reinforcement. Psychol Monogr 80:1–28PubMed
22.
Zurück zum Zitat Wallston KA (2005) The validity of the multidimensional health locus of control scales. J Health Psychol 10:623–631PubMedCrossRef Wallston KA (2005) The validity of the multidimensional health locus of control scales. J Health Psychol 10:623–631PubMedCrossRef
23.
Zurück zum Zitat Eysenck HJ, Eysenck SBG (1975) Manual of the Eysenck personality inventory. Hodder and Stoughton, London Eysenck HJ, Eysenck SBG (1975) Manual of the Eysenck personality inventory. Hodder and Stoughton, London
24.
Zurück zum Zitat Weinstock LM, Whisman MA (2006) Neuroticism as a common feature of the depressive and anxiety disorders: a test of the revised integrative hierarchical model in a national sample. J Abnorm Psychol 115:68–74PubMedCrossRef Weinstock LM, Whisman MA (2006) Neuroticism as a common feature of the depressive and anxiety disorders: a test of the revised integrative hierarchical model in a national sample. J Abnorm Psychol 115:68–74PubMedCrossRef
25.
Zurück zum Zitat Watson D, Gamez W, Simms LJ (2005) Basic dimensions of temperament and their relation to anxiety and depression: a symptom-based perspective. J Res Personal 39:46–66CrossRef Watson D, Gamez W, Simms LJ (2005) Basic dimensions of temperament and their relation to anxiety and depression: a symptom-based perspective. J Res Personal 39:46–66CrossRef
26.
Zurück zum Zitat Bodd TL, Reichelt JG, Heimdal K et al (2003) Uptake of BRCA1 genetic testing in adult sisters and daughters of known mutation carriers in Norway. J Genet Couns 12:405–417PubMedCrossRef Bodd TL, Reichelt JG, Heimdal K et al (2003) Uptake of BRCA1 genetic testing in adult sisters and daughters of known mutation carriers in Norway. J Genet Couns 12:405–417PubMedCrossRef
27.
Zurück zum Zitat Möller P, Evans G, Haites N et al (1999) Guidelines for follow-up of women at high risk for inherited breast cancer: consensus statement from the biomed 2 demonstration programme on inherited breast cancer. Dis Markers 15:207–211PubMed Möller P, Evans G, Haites N et al (1999) Guidelines for follow-up of women at high risk for inherited breast cancer: consensus statement from the biomed 2 demonstration programme on inherited breast cancer. Dis Markers 15:207–211PubMed
28.
Zurück zum Zitat Möller P, Maehle L, Heimdal K (1998) Prospective findings in breast cancer kindreds. Annual incidence rates according to age, stage at diagnosis, mean sojourn time, and incidence rates for contralateral cancer. Breast 7:55–59CrossRef Möller P, Maehle L, Heimdal K (1998) Prospective findings in breast cancer kindreds. Annual incidence rates according to age, stage at diagnosis, mean sojourn time, and incidence rates for contralateral cancer. Breast 7:55–59CrossRef
29.
Zurück zum Zitat Eysenck SBG, Eysenck HJ, Barrett P (1985) A revised version of the psychoticism scale. Pers Individ Dif 6:21–29CrossRef Eysenck SBG, Eysenck HJ, Barrett P (1985) A revised version of the psychoticism scale. Pers Individ Dif 6:21–29CrossRef
30.
Zurück zum Zitat Kendler KS, Gatz M, Gardner CO et al (2006) Personality and major depression. A Swedish, longitudinal, population-based twin study. Arch Gen Psychiatry 63:1113–1120PubMedCrossRef Kendler KS, Gatz M, Gardner CO et al (2006) Personality and major depression. A Swedish, longitudinal, population-based twin study. Arch Gen Psychiatry 63:1113–1120PubMedCrossRef
31.
Zurück zum Zitat Tambs K, Sundet JM, Eaves L et al (1991) Pedigree analysis of Eysenck personality questionnaire (EPQ) scores in monozygotic (MZ) twin families. Behav Gen 21:369–382CrossRef Tambs K, Sundet JM, Eaves L et al (1991) Pedigree analysis of Eysenck personality questionnaire (EPQ) scores in monozygotic (MZ) twin families. Behav Gen 21:369–382CrossRef
32.
Zurück zum Zitat Eysenck SBG, Tambs K (1990) Cross-cultural comparison of personality: Norway and England. Scand J Psychol 31:191–197CrossRef Eysenck SBG, Tambs K (1990) Cross-cultural comparison of personality: Norway and England. Scand J Psychol 31:191–197CrossRef
33.
Zurück zum Zitat Beck AT, Weissman A, Lester D et al (1974) The measurement of pessimism. The hopelessness scale. J Consult Clin Psychol 42:861–865PubMedCrossRef Beck AT, Weissman A, Lester D et al (1974) The measurement of pessimism. The hopelessness scale. J Consult Clin Psychol 42:861–865PubMedCrossRef
34.
Zurück zum Zitat Steed L (2001) Further validity and reliability evidence for Beck hopelessness scale scores in a nonclinical sample. Educ Psychol Meas 61:303–316CrossRef Steed L (2001) Further validity and reliability evidence for Beck hopelessness scale scores in a nonclinical sample. Educ Psychol Meas 61:303–316CrossRef
35.
Zurück zum Zitat Bjelland I, Dahl AA, Haug TT et al (2002) The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 52:69–77PubMedCrossRef Bjelland I, Dahl AA, Haug TT et al (2002) The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 52:69–77PubMedCrossRef
36.
Zurück zum Zitat Smith AB, Wright EP, Rush R et al (2006) Rasch analysis of the dimensional structure of the hospital anxiety and depression scale. Psycho-Oncology 15:817–827PubMedCrossRef Smith AB, Wright EP, Rush R et al (2006) Rasch analysis of the dimensional structure of the hospital anxiety and depression scale. Psycho-Oncology 15:817–827PubMedCrossRef
37.
Zurück zum Zitat Sundin EC, Horowitz MJ (2002) Impact of event scale: psychometric properties. Br J Psychiatry 180:205–209PubMedCrossRef Sundin EC, Horowitz MJ (2002) Impact of event scale: psychometric properties. Br J Psychiatry 180:205–209PubMedCrossRef
38.
Zurück zum Zitat Thewes B, Meiser B, Hickie IB (2001) Psychometric properties of the impact of event scale among women at increased risk for hereditary breast cancer. Psycho-Oncology 10: 459–468PubMedCrossRef Thewes B, Meiser B, Hickie IB (2001) Psychometric properties of the impact of event scale among women at increased risk for hereditary breast cancer. Psycho-Oncology 10: 459–468PubMedCrossRef
39.
Zurück zum Zitat Scheier MF, Carver CS, Bridges MW (1994) Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a re-evaluation of the life orientation test. J Pers Soc Psychol 67:1063–1078PubMedCrossRef Scheier MF, Carver CS, Bridges MW (1994) Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a re-evaluation of the life orientation test. J Pers Soc Psychol 67:1063–1078PubMedCrossRef
40.
Zurück zum Zitat Ormel J, Rosemalen J, Farmer A (2004) Neuroticism: a non-informative marker of vulnerability to psychopathology. Soc Psychiatry Psychiatr Epidemiol 39:906–912PubMedCrossRef Ormel J, Rosemalen J, Farmer A (2004) Neuroticism: a non-informative marker of vulnerability to psychopathology. Soc Psychiatry Psychiatr Epidemiol 39:906–912PubMedCrossRef
Metadaten
Titel
Psychological and cancer-specific distress at 18 months post-testing in women with demonstrated BRCA1 mutations for hereditary breast/ovarian cancer
verfasst von
Jon G. Reichelt
Pål Møller
Ketil Heimdal
Alv A. Dahl
Publikationsdatum
01.09.2008
Verlag
Springer Netherlands
Erschienen in
Familial Cancer / Ausgabe 3/2008
Print ISSN: 1389-9600
Elektronische ISSN: 1573-7292
DOI
https://doi.org/10.1007/s10689-008-9182-z

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