ADHERENCE AND PSYCHOLOGICAL ADJUSTMENT AMONG WOMEN AT HIGH-RISK FOR BREAST-CANCER
ADHERENCE AND PSYCHOLOGICAL ADJUSTMENT AMONG WOMEN AT HIGH-RISK FOR BREAST-CANCER
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DOI：
10.1007/bf00666427
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发表时间：
1993-01-01
影响因子：
3.8
通讯作者：
SCHWARTZ, M
中科院分区：
文献类型：
--
作者：
LERMAN, C;SCHWARTZ, M
有乳腺癌阳性家族史的妇女越来越多地成为癌症预防和控制工作的目标。在该高危人群的研究中，两项发现得到了一致的证实。首先，这些女性通常有很高的心理压力，以及对患乳腺癌的持续和侵入性担忧。其次，尽管她们患乳腺癌的风险增加，但这些妇女中有相当一部分不遵守推荐的乳腺癌筛查指南。越来越多的证据表明，心理困扰是高风险女性坚持的重要障碍。尽管如此，很少有人知道如何干预，以改善心理调整和坚持在这一人群。在本文中，我们回顾了文献的坚持和心理调整的妇女谁是在乳腺癌的风险增加，因为一个积极的家族病史。这篇综述为讨论旨在提高这一人群的依从性和减少心理困扰的潜在干预策略提供了基础。最后，我们提出了乳腺癌易感性基因检测的最新发展的一些心理影响。
Increasingly, women with a positive family history of breast cancer are being targeted for cancer prevention and control efforts. Two findings have been demonstrated consistently across studies of this high risk population. First, these women often have high levels of psychological distress, as well as persistent and intrusive worries about developing breast cancer. Second, despite their increased risk for developing breast cancer, a substantial proportion of these women do not adhere to recommended breast cancer screening guidelines. There is growing evidence that psychological distress is an important barrier to adherence among high risk women. Despite this, little is known about how to intervene to improve psychological adjustment and adherence in this population. In the present paper, we review the literature on adherence and psychological adjustment in women who are at increased risk for breast cancer because of a positive family history of disease. This review provides the basis for a discussion of potential intervention strategies designed to increase adherence and reduce psychological distress in this population. Finally, we present some of the psychological implications of recent developments in genetic testing for breast cancer susceptibility.