关键词: BRCA1/2 anxiety common sense model coping genetic testing oncology psychological psycho‐oncology quality of life self‐concept

Mesh : Adaptation, Psychological Adult Aged Anxiety / etiology psychology BRCA1 Protein Breast Neoplasms / genetics psychology Cross-Sectional Studies Female Genetic Predisposition to Disease / psychology Genetic Testing Humans Mental Health Middle Aged Quality of Life / psychology Self Concept Surveys and Questionnaires

来  源:   DOI:10.1002/pon.5483   PDF(Sci-hub)

Abstract:
Leventhal\'s common sense model of self-regulation highlights how specific beliefs about illness influence psychological outcomes. Little is known on how such beliefs relate to BRCA1/2 adjustment. Furthermore, beliefs about one\'s self-concept may be relevant to genetic conditions and may relate to psychological wellbeing.
One-hundred and eighteen female BRCA1/2 carriers from an Irish University Hospital completed questionnaires for this cross-sectional study. Outcomes measured were state anxiety and physical and mental health-related quality of life (HRQOL). Explanatory variables included sociodemographics, health anxiety, illness perceptions, coping and self-concept. Hierarchical multiple regression analyses were conducted.
Then, 44% of participants had clinically significant state anxiety and 12% had clinically significant health anxiety. Vulnerability, stigma, mastery and health anxiety explained 42% of the variance in state anxiety. Previous mental health difficulty, vulnerability, stigma, mastery and health anxiety explained 40% of the variance in mental HRQOL. Dysfunctional coping strategies were strongly related to the physical functioning aspect of quality of life.
BRCA-specific beliefs related to self and health anxiety are important factors to consider in the adjustment to BRCA1/2 confirmation.
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