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- Title
Which factors predict proposal and uptake of psychological counselling after BRCA1/2 test result disclosure?
- Authors
Maheu, Christine; Bouhnik, Anne‐Deborah; Nogues, Catherine; Mouret‐Fourme, Emmanuelle; Stoppa‐Lyonnet, Dominique; Lasset, Christine; Berthet, Pascaline; Fricker, Jean‐Pierre; Caron, Olivier; Luporsi, Elizabeth; Gladieff, Laurence; Julian‐Reynier, Claire
- Abstract
Objective The aim of this study is to prospectively determine the factors contributing to whether unaffected women from BRCA1/2 families reported that clinicians proposed psychological consultations and that they had attended these consultations during the genetic testing process. Methods A prospective study was performed on a national cohort, using self-administered questionnaires to determine the rates of proposal and use of psychological services at the time of BRCA1/2 test result disclosure ( N = 533) and during the first year after disclosure ( N = 478) among unaffected French women from BRCA1/2 families who had undergone genetic testing for BRCA1/2. Multivariate adjustment was carried out using logistic regression models fitted using generalized estimation equations, with the genetic testing centre as the clustering variable. Results At the time of BRCA1/2 test result disclosure, a psychological consultation was proposed by cancer geneticists to 72% and 32% of the carriers ( N = 232) and noncarriers ( N = 301), respectively ( p < 0.001). One year after disclosure, 21% of the carriers had consulted a psychologist, versus 9% of the noncarriers ( p < 0.001). Both the proposal and the uptake depended on the women's BRCA1/2 mutation carrier status (proposal adjusted odds ratio (AOR): 4.9; 95% confidence interval (CI) 3.4-7.2; uptake AOR: 2.2; 95% CI 1.2-4.0), their level of education (proposal AOR: 1.7; 95% CI 1.1-2.7; uptake AOR: 4.5; 95% CI 1.7-12.1) and the distress they experienced about their genetic test results (proposal AOR: 1.02; 95% CI 1.01-1.03; uptake AOR: 1.04; 95% CI 1.02-1.06) Conclusions Determinants of the proposal/uptake of psychological consultations in the BRCA1/2 testing process highlight the need for inventive strategies to reach the different types of women's profiles. Copyright © 2013 John Wiley & Sons, Ltd.
- Subjects
FAMILY studies; WOMEN; MENTAL health consultation; MARKETING of psychological services; MEDICAL screening; WILEY, John
- Publication
Psycho-Oncology, 2014, Vol 23, Issue 4, p420
- ISSN
1057-9249
- Publication type
Article
- DOI
10.1002/pon.3435