Psychological care of women with a family history of breast cancer

In parallel to the development of clinical cancer genetics services for women with a significant history of breast cancer, there has been a growing need to identify the psychological sequelae to risk ascertainment, predictive genetic testing and preventive breast surgery. The organisation and struct...

Full description

Bibliographic Details
Main Author: Penelope Hopwood
Format: Article
Language:Spanish
Published: Universidad Complutense de Madrid 2005-01-01
Series:Psicooncologia
Subjects:
Online Access:http://revistas.ucm.es/index.php/PSIC/article/view/16876
_version_ 1818965591929651200
author Penelope Hopwood
author_facet Penelope Hopwood
author_sort Penelope Hopwood
collection DOAJ
description In parallel to the development of clinical cancer genetics services for women with a significant history of breast cancer, there has been a growing need to identify the psychological sequelae to risk ascertainment, predictive genetic testing and preventive breast surgery. The organisation and structure of cancer genetics clinics vary widely both nationally and across Europe, as does the level of integration of psychological care: available research shows little variation in psychosocial outcomes but cultural factors affect attitudes to and uptake of predictive testing and preventive surgery. There is general agreement that risk counselling can be beneficial without inducing or increasing psychological morbidity. Health professionals in cancer genetic counselling, testing and risk management services increasingly use clinical protocols and professional guidelines.Routine psychological support is not required for the majority of women with a family history of breast cancer, but access to psychological services should be in place for women with high distress relating to the family history or those undergoing predictive testing or preventive surgery. Genetics staff should be aware of potential adverse psychological consequences of risk assessment and risk management interventions, and be adequately trained to elicit women´s concerns and involve psychosocial colleagues where appropriate.
first_indexed 2024-12-20T13:19:27Z
format Article
id doaj.art-ff271e72ca6142558dbd76139099e955
institution Directory Open Access Journal
issn 1696-7240
1988-8287
language Spanish
last_indexed 2024-12-20T13:19:27Z
publishDate 2005-01-01
publisher Universidad Complutense de Madrid
record_format Article
series Psicooncologia
spelling doaj.art-ff271e72ca6142558dbd76139099e9552022-12-21T19:39:27ZspaUniversidad Complutense de MadridPsicooncologia1696-72401988-82872005-01-012229330216891Psychological care of women with a family history of breast cancerPenelope HopwoodIn parallel to the development of clinical cancer genetics services for women with a significant history of breast cancer, there has been a growing need to identify the psychological sequelae to risk ascertainment, predictive genetic testing and preventive breast surgery. The organisation and structure of cancer genetics clinics vary widely both nationally and across Europe, as does the level of integration of psychological care: available research shows little variation in psychosocial outcomes but cultural factors affect attitudes to and uptake of predictive testing and preventive surgery. There is general agreement that risk counselling can be beneficial without inducing or increasing psychological morbidity. Health professionals in cancer genetic counselling, testing and risk management services increasingly use clinical protocols and professional guidelines.Routine psychological support is not required for the majority of women with a family history of breast cancer, but access to psychological services should be in place for women with high distress relating to the family history or those undergoing predictive testing or preventive surgery. Genetics staff should be aware of potential adverse psychological consequences of risk assessment and risk management interventions, and be adequately trained to elicit women´s concerns and involve psychosocial colleagues where appropriate.http://revistas.ucm.es/index.php/PSIC/article/view/16876Breast cancerPsychological careGenetic counsellingDistress
spellingShingle Penelope Hopwood
Psychological care of women with a family history of breast cancer
Psicooncologia
Breast cancer
Psychological care
Genetic counselling
Distress
title Psychological care of women with a family history of breast cancer
title_full Psychological care of women with a family history of breast cancer
title_fullStr Psychological care of women with a family history of breast cancer
title_full_unstemmed Psychological care of women with a family history of breast cancer
title_short Psychological care of women with a family history of breast cancer
title_sort psychological care of women with a family history of breast cancer
topic Breast cancer
Psychological care
Genetic counselling
Distress
url http://revistas.ucm.es/index.php/PSIC/article/view/16876
work_keys_str_mv AT penelopehopwood psychologicalcareofwomenwithafamilyhistoryofbreastcancer