Premium
Distress and Family Functioning in Oncogenetic Counselling for Hereditary and Familial Breast and/or Ovarian Cancers
Author(s) -
Condello C.,
Gesuita R.,
Pensabene M.,
Spagnoletti I.,
Capuano I.,
Baldi C.,
Carle F.,
Contegiacomo A.
Publication year - 2007
Publication title -
journal of genetic counseling
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 52
eISSN - 1573-3599
pISSN - 1059-7700
DOI - 10.1007/s10897-007-9102-7
Subject(s) - distress , genetic counseling , anxiety , medicine , depression (economics) , breast cancer , clinical psychology , ovarian cancer , disease , psychology , oncology , psychiatry , cancer , genetics , macroeconomics , economics , biology
We conducted a psychological assessment during oncogenetic counseling for hereditary breast/ovarian cancer. Anxiety and depression were assessed with the HAD scale, and family functioning and satisfaction with FACES III. HAD was administered at baseline ( t 1 ) , at risk communication ( t 2 ), at genetic test result communication, or at first surveillance in not tested subjects ( t 3 ); FACES III was administered at baseline only. We analysed a total of 185 questionnaires administered to the 37 subjects studied. Although not pathological, distress was significantly higher at t 2 and t 3 ( p = 0.027 and p = 0.039, respectively). Health and marital status were significantly associated with distress. In a disease‐free condition, anxiety was higher ( p = 0.027) at t 2, and for single status, depression increased from t 1 to t 2 ( p = 0.026). Families were perceived to be well functioning, and subjects were satisfied with their families. The data collected in this analysis could help to improve the quality of oncogenetic counselling in clinical practice.