Psychological distress and concerns about inherited risk of breast cancer in Japanese patients with breast cancer or breast complaints

我们进行了开放式访谈，调查患者的焦虑，担忧，想法和感受。在初次门诊就诊时，233名患者中有39名（16.7%）自发表达了对癌症遗传风险的担忧，而133名患者中有9名（6.9%）在透露诊断结果时表达了担忧。乳腺癌家族史和对癌症遗传风险的担忧并不影响患者的心理困扰。然而，一项定性内容分析显示，他们对癌症遗传风险的担忧在不同患者中存在差异。卫生保健专业人员应根据需要为患者提供适当的支持和咨询，无论患者的疾病遗传风险如何。

We conducted open-ended interviews that surveyed patients' anxieties, worries, thoughts, and feelings. At an initial outpatient clinic visit, 39 of 233(16.7%) patients spontaneously expressed concerns about their inherited risk of cancer, while 9 of 133(6.9%) patients expressed when disclosed their diagnoses. Family history of breast cancer and concerns about inherited risk of cancer did not affect psychological distress in patients. However, a qualitative content analysis revealed that their concerns about inherited risk of cancer varied in different patients. Health care professionals should provide appropriate support and counseling to patients as needed, regardless of the patients' genetic risk for the disease.