Women's Understanding of Their Risk of Developing Breast/Ovarian Cancer Before and After Genetic Counseling.

Women's Understanding of Their Risk of Developing Breast/Ovarian Cancer Before and After Genetic Counseling.
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DOI:
10.1023/a:1022072017436
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发表时间:
1998-08-01
影响因子:
1.9
通讯作者:
Murton, F
Murton, F
中科院分区:
医学4区
文献类型:
--
作者:
Hallowell, N;Statham, H;Murton, F

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许多研究报告说,人们在参加乳腺癌和/或卵巢癌遗传咨询之前和之后,经常高估或低估他们患癌症的风险。采用访谈和书面问卷相结合的方法,我们调查了咨询者在接受遗传咨询之前和之后对他们患癌症风险的理解。我们证明,尽管76%的样本认为他们的风险相对于一般女性更高,但只有一小部分(17%)愿意或能够在他们去诊所之前提供他们患癌症的风险的数字估计。在咨询之后,43%的人表示他们患癌症的风险比他们预期的要低。22%的人以绝对而不是相对的方式描述他们的风险,也就是说,他们将来肯定(不会)患癌症。讨论了这些发现对进一步研究的意义。
Many studies have reported that individuals frequently over- or underestimate their risk of developing cancer both before and after they attend genetic counseling for breast and/or ovarian cancer. Using a combination of interviews and written questionnaires, we investigated counselees' understanding of their risk of developing cancer before and after genetic counseling. We demonstrate that although 76% of the sample thought that their risk was elevated relative to women in general, only a small proportion (17%) were willing or able to provide a numerical estimate of their risk of developing cancer before they attended the clinic. Following the consultation, 43% indicated that their risk of developing cancer was lower than they had anticipated. Twenty-two percent described their risk in absolute rather than relative terms, i.e., that they would definitely (not) develop cancer in the future. The implications of these findings for further research are discussed.