Psychological aspects of cancer screening in high-risk populations

Medical and Pediatric Oncology
K M Kash, M K Dabney

Abstract

The focus of this paper is to define who is at high risk for breast cancer and the psychological issues in breast cancer screening. Within this context, the emphasis is on secondary malignancies after treatment for childhood cancers, including age appropriate guidelines for cancer screening. While there have been no studies of distress in women at high risk for breast cancer related to childhood cancer treatments, we can extrapolate from this study of women at high risk for breast cancer because of genetic susceptibility. Three hundred and ninety one women at increased risk for developing breast cancer from rural and urban areas of the United States completed a questionnaire regarding genetic testing, psychological distress, and health beliefs. They were compared with 382 age-matched controls, from the same geographical areas, with no family history of breast cancer in a first degree relative. A multiple regression analysis revealed that the best predictors of willingness to undergo genetic testing were: greater perception of being a gene mutation carrier, fewer negative and more positive aspects to testing, being at higher risk for breast cancer, and greater breast cancer anxiety (30% of variance). Greater anxiety increased in...Continue Reading

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Citations

Jun 17, 2005·Journal of Behavioral Medicine·Keiko Honda, Sherri Sheinfeld Gorin
Aug 28, 2009·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Elyse R ParkNancy A Rigotti
Jul 5, 2003·Journal of Health Economics·Stephen Wu
Dec 19, 2006·Genetics in Medicine : Official Journal of the American College of Medical Genetics·June A PetersMark H Greene
Sep 15, 2006·Journal of General Internal Medicine·Caroline P Carney, Laura E Jones
Jun 14, 2014·Genetic Testing and Molecular Biomarkers·Denise M ScottRobert E Taylor
Mar 1, 2005·Cancer Detection and Prevention·Keiko HondaAlfred I Neugut
Jun 24, 2004·American Journal of Medical Genetics. Part a·Jennifer L GammBarbara Bowles Biesecker
Dec 4, 2004·Melanoma Research·Michela MantelliUNKNOWN Italian Melanoma Intergroup
Jan 1, 2014·Children·Emily S Tonorezos, Tara O Henderson
Jun 16, 2007·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Sharon L BoberLisa Diller
Sep 3, 2013·Asian Pacific Journal of Cancer Prevention : APJCP·Hyenam Hwang

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