Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy
<p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Tan Murly BM [verfasserIn] Bleiker Eveline MA [verfasserIn] Menke-Pluymers Marian BE [verfasserIn] Van Gool Arthur R [verfasserIn] van Dooren Silvia [verfasserIn] Van Geel Bert N [verfasserIn] Tilanus-Linthorst Madeleine MA [verfasserIn] Bartels Karina CM [verfasserIn] Klijn Jan GM [verfasserIn] Brekelmans Cecile TM [verfasserIn] Seynaeve Caroline [verfasserIn] |
|---|
| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2009 |
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| Übergeordnetes Werk: |
In: Hereditary Cancer in Clinical Practice - BMC, 2010, 7(2009), 1, p 6 |
|---|---|
| Übergeordnetes Werk: |
volume:7 ; year:2009 ; number:1, p 6 |
| Links: |
|---|
| DOI / URN: |
10.1186/1897-4287-7-6 |
|---|
| Katalog-ID: |
DOAJ04970981X |
|---|
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| 520 | |a <p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< | ||
| 653 | 0 | |a Neoplasms. Tumors. Oncology. Including cancer and carcinogens | |
| 653 | 0 | |a Genetics | |
| 700 | 0 | |a Bleiker Eveline MA |e verfasserin |4 aut | |
| 700 | 0 | |a Menke-Pluymers Marian BE |e verfasserin |4 aut | |
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| 700 | 0 | |a van Dooren Silvia |e verfasserin |4 aut | |
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10.1186/1897-4287-7-6 doi (DE-627)DOAJ04970981X (DE-599)DOAJ4f801b1df96b4e1fadf801face46cab2 DE-627 ger DE-627 rakwb eng RC254-282 QH426-470 Tan Murly BM verfasserin aut Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< Neoplasms. Tumors. Oncology. Including cancer and carcinogens Genetics Bleiker Eveline MA verfasserin aut Menke-Pluymers Marian BE verfasserin aut Van Gool Arthur R verfasserin aut van Dooren Silvia verfasserin aut Van Geel Bert N verfasserin aut Tilanus-Linthorst Madeleine MA verfasserin aut Bartels Karina CM verfasserin aut Klijn Jan GM verfasserin aut Brekelmans Cecile TM verfasserin aut Seynaeve Caroline verfasserin aut In Hereditary Cancer in Clinical Practice BMC, 2010 7(2009), 1, p 6 (DE-627)511229925 (DE-600)2233352-6 18974287 nnns volume:7 year:2009 number:1, p 6 https://doi.org/10.1186/1897-4287-7-6 kostenfrei https://doaj.org/article/4f801b1df96b4e1fadf801face46cab2 kostenfrei http://www.hccpjournal.com/content/7/1/6 kostenfrei https://doaj.org/toc/1897-4287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 6 |
| spelling |
10.1186/1897-4287-7-6 doi (DE-627)DOAJ04970981X (DE-599)DOAJ4f801b1df96b4e1fadf801face46cab2 DE-627 ger DE-627 rakwb eng RC254-282 QH426-470 Tan Murly BM verfasserin aut Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< Neoplasms. Tumors. Oncology. Including cancer and carcinogens Genetics Bleiker Eveline MA verfasserin aut Menke-Pluymers Marian BE verfasserin aut Van Gool Arthur R verfasserin aut van Dooren Silvia verfasserin aut Van Geel Bert N verfasserin aut Tilanus-Linthorst Madeleine MA verfasserin aut Bartels Karina CM verfasserin aut Klijn Jan GM verfasserin aut Brekelmans Cecile TM verfasserin aut Seynaeve Caroline verfasserin aut In Hereditary Cancer in Clinical Practice BMC, 2010 7(2009), 1, p 6 (DE-627)511229925 (DE-600)2233352-6 18974287 nnns volume:7 year:2009 number:1, p 6 https://doi.org/10.1186/1897-4287-7-6 kostenfrei https://doaj.org/article/4f801b1df96b4e1fadf801face46cab2 kostenfrei http://www.hccpjournal.com/content/7/1/6 kostenfrei https://doaj.org/toc/1897-4287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 6 |
| allfields_unstemmed |
10.1186/1897-4287-7-6 doi (DE-627)DOAJ04970981X (DE-599)DOAJ4f801b1df96b4e1fadf801face46cab2 DE-627 ger DE-627 rakwb eng RC254-282 QH426-470 Tan Murly BM verfasserin aut Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< Neoplasms. Tumors. Oncology. Including cancer and carcinogens Genetics Bleiker Eveline MA verfasserin aut Menke-Pluymers Marian BE verfasserin aut Van Gool Arthur R verfasserin aut van Dooren Silvia verfasserin aut Van Geel Bert N verfasserin aut Tilanus-Linthorst Madeleine MA verfasserin aut Bartels Karina CM verfasserin aut Klijn Jan GM verfasserin aut Brekelmans Cecile TM verfasserin aut Seynaeve Caroline verfasserin aut In Hereditary Cancer in Clinical Practice BMC, 2010 7(2009), 1, p 6 (DE-627)511229925 (DE-600)2233352-6 18974287 nnns volume:7 year:2009 number:1, p 6 https://doi.org/10.1186/1897-4287-7-6 kostenfrei https://doaj.org/article/4f801b1df96b4e1fadf801face46cab2 kostenfrei http://www.hccpjournal.com/content/7/1/6 kostenfrei https://doaj.org/toc/1897-4287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 6 |
| allfieldsGer |
10.1186/1897-4287-7-6 doi (DE-627)DOAJ04970981X (DE-599)DOAJ4f801b1df96b4e1fadf801face46cab2 DE-627 ger DE-627 rakwb eng RC254-282 QH426-470 Tan Murly BM verfasserin aut Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< Neoplasms. Tumors. Oncology. Including cancer and carcinogens Genetics Bleiker Eveline MA verfasserin aut Menke-Pluymers Marian BE verfasserin aut Van Gool Arthur R verfasserin aut van Dooren Silvia verfasserin aut Van Geel Bert N verfasserin aut Tilanus-Linthorst Madeleine MA verfasserin aut Bartels Karina CM verfasserin aut Klijn Jan GM verfasserin aut Brekelmans Cecile TM verfasserin aut Seynaeve Caroline verfasserin aut In Hereditary Cancer in Clinical Practice BMC, 2010 7(2009), 1, p 6 (DE-627)511229925 (DE-600)2233352-6 18974287 nnns volume:7 year:2009 number:1, p 6 https://doi.org/10.1186/1897-4287-7-6 kostenfrei https://doaj.org/article/4f801b1df96b4e1fadf801face46cab2 kostenfrei http://www.hccpjournal.com/content/7/1/6 kostenfrei https://doaj.org/toc/1897-4287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 6 |
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10.1186/1897-4287-7-6 doi (DE-627)DOAJ04970981X (DE-599)DOAJ4f801b1df96b4e1fadf801face46cab2 DE-627 ger DE-627 rakwb eng RC254-282 QH426-470 Tan Murly BM verfasserin aut Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< Neoplasms. Tumors. Oncology. Including cancer and carcinogens Genetics Bleiker Eveline MA verfasserin aut Menke-Pluymers Marian BE verfasserin aut Van Gool Arthur R verfasserin aut van Dooren Silvia verfasserin aut Van Geel Bert N verfasserin aut Tilanus-Linthorst Madeleine MA verfasserin aut Bartels Karina CM verfasserin aut Klijn Jan GM verfasserin aut Brekelmans Cecile TM verfasserin aut Seynaeve Caroline verfasserin aut In Hereditary Cancer in Clinical Practice BMC, 2010 7(2009), 1, p 6 (DE-627)511229925 (DE-600)2233352-6 18974287 nnns volume:7 year:2009 number:1, p 6 https://doi.org/10.1186/1897-4287-7-6 kostenfrei https://doaj.org/article/4f801b1df96b4e1fadf801face46cab2 kostenfrei http://www.hccpjournal.com/content/7/1/6 kostenfrei https://doaj.org/toc/1897-4287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 6 |
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Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy |
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<p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< |
| abstractGer |
<p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< |
| abstract_unstemmed |
<p<Abstract</p< <p<Background</p< <p<Women at increased (genetic) risk of breast cancer have to weigh the personal pros and cons of prophylactic mastectomy (PM) as an option to reduce their cancer risk. So far, no routine referral to a psychologist has been investigated for women considering PM. Aim of this study was to asses: 1) the acceptance of the offer of a standard psychological consultation as part of pre-surgical decision-making in high-risk women, 2) reasons for PM and reasons for postponing it, 3) the need for additional psychological interventions, and factors associated, and 4) the frequency of psychiatric/psychological treatment history.</p< <p<Methods</p< <p<During a 30 months period, women at high risk considering PM were offered a psychological consultation. The content of these, and follow-up, consultations were analyzed.</p< <p<Results</p< <p<Most women (70 out of 73) accepted the psychological consultation, and 81% proceeded with PM. Main reasons for undergoing PM were to reduce anxiety about cancer, and to reduce the cancer risk. Uncertainty about surgery and the need for further information were the reasons given most frequently for postponing PM. Additional psychological support was given to 31% before and 14% after PM. The uptake of additional support was significantly higher in women with a BRCA1/2 mutation. A history of psychiatric/psychological treatment was present in 36%, mainly consisting of depression and grief after death of a mother.</p< <p<Conclusion</p< <p<The uptake-rate of the standard psychological consultation indicates a high level of acceptability of this service for women deciding about PM. Since anxiety is one of the main reasons for considering PM, and depression and grief were present in a third, a standard consultation with a psychologist for high-risk women considering PM may be indicated. This may help them arrive at an informed decision, to detect and manage psychological distress, and to plan psychological support services.</p< |
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| title_short |
Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy |
| url |
https://doi.org/10.1186/1897-4287-7-6 https://doaj.org/article/4f801b1df96b4e1fadf801face46cab2 http://www.hccpjournal.com/content/7/1/6 https://doaj.org/toc/1897-4287 |
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Bleiker Eveline MA Menke-Pluymers Marian BE Van Gool Arthur R van Dooren Silvia Van Geel Bert N Tilanus-Linthorst Madeleine MA Bartels Karina CM Klijn Jan GM Brekelmans Cecile TM Seynaeve Caroline |
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Bleiker Eveline MA Menke-Pluymers Marian BE Van Gool Arthur R van Dooren Silvia Van Geel Bert N Tilanus-Linthorst Madeleine MA Bartels Karina CM Klijn Jan GM Brekelmans Cecile TM Seynaeve Caroline |
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