Cancer risk perceptions and distress among women attending a familial ovarian cancer clinic.
Cancer risk perceptions and distress among women attending a familial ovarian cancer clinic.
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参加家族性卵巢癌诊所的妇女的癌症风险感知和困扰。
DOI：
10.1054/bjoc.2000.1651
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发表时间：
2001-03-02
影响因子：
8.8
通讯作者：
Steel, C M
中科院分区：
文献类型：
--
作者：
Cull, A;Fry, A;Rush, R;Steel, C M
在230名被转诊到家族性卵巢癌诊所的妇女中，196名（85%）在参加之前完成了问卷调查。收集的数据包括咨询前的风险认知和痛苦评估。受访者更有可能低估（44%）而不是高估（19%）他们的风险。那些有乳腺癌和卵巢癌（HBOC）家族史的人特别容易低估他们患卵巢癌的风险。在这项研究中评估的变量-社会人口统计学，家族史，痛苦，焦虑倾向，应对方式和健康控制的信念-解释风险感知的准确性所观察到的变化很少。在一般健康问卷（GHQ-30）中，30%的样本得分高于推荐用于筛选“病例级”心理困扰的截止值（≥ 6）。表现出病例级痛苦的女性更有可能高估其风险（OR = 2.3）。在单变量分析中，低内控点与“病例水平”抑郁相关（P = 0.008）。在多元回归分析中，“病例”的最佳预测因子是高特质焦虑、毕业生和不准确的风险感知。患有HBOC的女性与那些只有卵巢癌病史的女性的痛苦程度没有差异。这些调查结果的妇女的咨询需求的影响进行了讨论。目前正在评估该诊所在提高风险认知的准确性和减轻痛苦方面的有效性。© 2001年癌症研究运动http://www.bjcancer.com
Of 230 women referred to a familial ovarian cancer clinic, 196 (85%) completed a questionnaire before they attended. The data collected included pre-counselling risk perceptions and an assessment of distress. Respondents were more likely to underestimate (44%) than overestimate (19%) their risk. Those with a family history of breast and ovarian cancer (HBOC) were particularly likely to underestimate their ovarian cancer risk. The variables assessed in this study – sociodemographic, family history, distress, anxiety proneness, coping style and beliefs about health control – explained little of the observed variation in accuracy of risk perception. On the General Health Questionnaire (GHQ-30) 30% of the sample obtained scores above the cut-off (≥ 6) recommended for screening for ‘case-level’ psychological distress. Women exhibiting case-level distress were more likely to overestimate their risk (OR = 2.3). On univariate analysis low internal locus of control was associated with ‘case-level’ distress (P = 0.008). On multiple regression the best predictors of ‘caseness’ were high-trait anxiety, being a graduate and inaccurate risk perception. There was no difference in the level of distress shown by women with HBOC vs. those with a history of ovarian cancer only. Implications of these findings for the counselling needs of the women are discussed. The effectiveness of the clinic in improving the accuracy of risk perceptions and relieving distress is being assessed. © 2001 Cancer Research Campaign http://www.bjcancer.com