Psychological support for carriers of mutations in genes associated with hereditary breast cancer
Relevance. Informing patients about the carriage of a pathogenic mutation may result in a psychologically traumatizing situation, characterized by acute stress reactions, post-traumatic stress disorder symptoms, or anxiety-depressive disorder. This highlights the importance of psychological counseli...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Izdatelstvo OKI
2023-04-01
|
| Series: | Качественная клиническая практика |
| Subjects: | |
| Online Access: | https://www.clinvest.ru/jour/article/view/650 |
| _version_ | 1797261969347051520 |
|---|---|
| author | L. D. Firsova V. V. Ogarev Aydana Kanatbek kyzy N. V. Romashkina T. I. Yanova A. M. Danishevich N. A. Bodunova |
| author_facet | L. D. Firsova V. V. Ogarev Aydana Kanatbek kyzy N. V. Romashkina T. I. Yanova A. M. Danishevich N. A. Bodunova |
| author_sort | L. D. Firsova |
| collection | DOAJ |
| description | Relevance. Informing patients about the carriage of a pathogenic mutation may result in a psychologically traumatizing situation, characterized by acute stress reactions, post-traumatic stress disorder symptoms, or anxiety-depressive disorder. This highlights the importance of psychological counseling.Objective. To investigate the effectiveness of psychological support in a patient with mutations in genes associated with hereditary breast cancer.Materials and methods. Description of patient's medical history and results of instrumental psychological diagnosis after identifying a pathogenic mutation in the CHEK2 gene, which increases a risk of developing breast cancer to 20–40 % via genetic testing.Results. The nature of emotional response in this case is determined by personal history — identification of ideas about one's possible disease with mother's one. The conducted psychological consultations mitigated acute stress reactions and minimized the perception of received genetic information as a psychologically traumatic event. Furthermore, significant positive shifts were observed in the formation of adaptive stresscoping strategies, awareness of one's own mental resources, and reinforcement of adherence to the dynamic observation plan.Conclusion: Patients in situations involving the identification of mutations in genes associated with hereditary breast cancer require a personalized approach. Development of criteria for psychological support should be aimed at improving patients' quality of life not only in the immediate aftermath of information disclosure but also in the long term. |
| first_indexed | 2024-04-24T23:49:40Z |
| format | Article |
| id | doaj.art-51405e6cce814c56865a2245403f672b |
| institution | Directory Open Access Journal |
| issn | 2588-0519 2618-8473 |
| language | Russian |
| last_indexed | 2024-04-24T23:49:40Z |
| publishDate | 2023-04-01 |
| publisher | Izdatelstvo OKI |
| record_format | Article |
| series | Качественная клиническая практика |
| spelling | doaj.art-51405e6cce814c56865a2245403f672b2024-03-14T18:09:10ZrusIzdatelstvo OKIКачественная клиническая практика2588-05192618-84732023-04-0101475510.37489/2588-0519-2023-1-47-55621Psychological support for carriers of mutations in genes associated with hereditary breast cancerL. D. Firsova0V. V. Ogarev1Aydana Kanatbek kyzy2N. V. Romashkina3T. I. Yanova4A. M. Danishevich5N. A. Bodunova6Государственное бюджетное учреждение здравоохранения города Москвы «Московский клинический научно-практический центр имени А. С. Логинова Департамента здравоохранения города Москвы»Государственное бюджетное учреждение здравоохранения города Москвы «Московский клинический научно-практический центр имени А. С. Логинова Департамента здравоохранения города Москвы»; Федеральное государственное бюджетное образовательное учреждение высшего образования «Московский государственный медико-стоматологический университет имени А. И. Евдокимова» Министерства здравоохранения Российской ФедерацииГосударственное бюджетное учреждение здравоохранения города Москвы «Московский клинический научно-практический центр имени А. С. Логинова Департамента здравоохранения города Москвы»; Федеральное государственное бюджетное образовательное учреждение высшего образования «Московский государственный медико-стоматологический университет имени А. И. Евдокимова» Министерства здравоохранения Российской ФедерацииГосударственное бюджетное учреждение здравоохранения города Москвы «Московский клинический научно-практический центр имени А. С. Логинова Департамента здравоохранения города Москвы»Государственное бюджетное учреждение здравоохранения города Москвы «Московский клинический научно-практический центр имени А. С. Логинова Департамента здравоохранения города Москвы»Государственное бюджетное учреждение здравоохранения города Москвы «Московский клинический научно-практический центр имени А. С. Логинова Департамента здравоохранения города Москвы»Государственное бюджетное учреждение здравоохранения города Москвы «Московский клинический научно-практический центр имени А. С. Логинова Департамента здравоохранения города Москвы»Relevance. Informing patients about the carriage of a pathogenic mutation may result in a psychologically traumatizing situation, characterized by acute stress reactions, post-traumatic stress disorder symptoms, or anxiety-depressive disorder. This highlights the importance of psychological counseling.Objective. To investigate the effectiveness of psychological support in a patient with mutations in genes associated with hereditary breast cancer.Materials and methods. Description of patient's medical history and results of instrumental psychological diagnosis after identifying a pathogenic mutation in the CHEK2 gene, which increases a risk of developing breast cancer to 20–40 % via genetic testing.Results. The nature of emotional response in this case is determined by personal history — identification of ideas about one's possible disease with mother's one. The conducted psychological consultations mitigated acute stress reactions and minimized the perception of received genetic information as a psychologically traumatic event. Furthermore, significant positive shifts were observed in the formation of adaptive stresscoping strategies, awareness of one's own mental resources, and reinforcement of adherence to the dynamic observation plan.Conclusion: Patients in situations involving the identification of mutations in genes associated with hereditary breast cancer require a personalized approach. Development of criteria for psychological support should be aimed at improving patients' quality of life not only in the immediate aftermath of information disclosure but also in the long term.https://www.clinvest.ru/jour/article/view/650рак молочной железыген chek2тревогакачество жизнипсихологическое сопровождение |
| spellingShingle | L. D. Firsova V. V. Ogarev Aydana Kanatbek kyzy N. V. Romashkina T. I. Yanova A. M. Danishevich N. A. Bodunova Psychological support for carriers of mutations in genes associated with hereditary breast cancer Качественная клиническая практика рак молочной железы ген chek2 тревога качество жизни психологическое сопровождение |
| title | Psychological support for carriers of mutations in genes associated with hereditary breast cancer |
| title_full | Psychological support for carriers of mutations in genes associated with hereditary breast cancer |
| title_fullStr | Psychological support for carriers of mutations in genes associated with hereditary breast cancer |
| title_full_unstemmed | Psychological support for carriers of mutations in genes associated with hereditary breast cancer |
| title_short | Psychological support for carriers of mutations in genes associated with hereditary breast cancer |
| title_sort | psychological support for carriers of mutations in genes associated with hereditary breast cancer |
| topic | рак молочной железы ген chek2 тревога качество жизни психологическое сопровождение |
| url | https://www.clinvest.ru/jour/article/view/650 |
| work_keys_str_mv | AT ldfirsova psychologicalsupportforcarriersofmutationsingenesassociatedwithhereditarybreastcancer AT vvogarev psychologicalsupportforcarriersofmutationsingenesassociatedwithhereditarybreastcancer AT aydanakanatbekkyzy psychologicalsupportforcarriersofmutationsingenesassociatedwithhereditarybreastcancer AT nvromashkina psychologicalsupportforcarriersofmutationsingenesassociatedwithhereditarybreastcancer AT tiyanova psychologicalsupportforcarriersofmutationsingenesassociatedwithhereditarybreastcancer AT amdanishevich psychologicalsupportforcarriersofmutationsingenesassociatedwithhereditarybreastcancer AT nabodunova psychologicalsupportforcarriersofmutationsingenesassociatedwithhereditarybreastcancer |