"I have always believed I was at high risk..." The role of expectation in emotional responses to the receipt of an average, moderate or high cancer genetic risk assessment result: a thematic analysis of free-text questionnaire comments.

Familial Cancer
J HilgartA Murray

Abstract

It is well-recognised that receipt of cancer genetic risk information can evoke a mix of both positive and negative emotional responses. Objective risk itself is not necessarily predictive of emotional response to receipt of risk information and the Cue Adaptive Reasoning Account (CARA; Renner, 2004) suggests that that the degree to which level of risk is consistent with expectations may influence emotional responses. This paper reports a thematic analysis of the free-text data structured around responses to the three risk labels: average, moderate or high. Data is reported from both 123 women and 15 men, including those with a past or current cancer diagnosis. Reactions to risk information appear to be dependent upon participants' pre-conceived expectations about their level of cancer risk. Many average risk respondents questioned the accuracy of their result, whereas high risk information was often expected. Findings are discussed in relation to the CARA model and clinical implications.

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Citations

Mar 4, 2011·Psycho-oncology·P BennettA Murray
Mar 19, 2015·Journal of Behavioral Medicine·Ronald E MyersDavid S Weinberg
Nov 6, 2015·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Sylvie PelletierMichel Dorval
Nov 3, 2016·Applied Psychology. Health and Well-being·Martina Gamp, Britta Renner
Mar 20, 2010·Toxicological Sciences : an Official Journal of the Society of Toxicology·Lina XingWeidong Hao
Aug 5, 2011·Toxicological Sciences : an Official Journal of the Society of Toxicology·Sherry A FergusonJordan S Abshire
Jul 25, 2019·Journal of Applied Toxicology : JAT·Arpita Kalla VyasVasantha Padmanabhan
Nov 29, 2013·Toxicological Sciences : an Official Journal of the Society of Toxicology·Anne KatchyCecilia Williams
May 7, 2014·Toxicological Sciences : an Official Journal of the Society of Toxicology·Sherry A FergusonGrace E Kissling
Jun 10, 2021·Health Psychology and Behavioral Medicine·Josianne KollmannBritta Renner

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