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Identification of Patients at High Risk of Psychological Distress After BRCA 1 Genetic Testing

机译:识别高危病人brca1基因后心理压力测试

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摘要

To predict which women might suffer from abnormally high levels of anxiety and depression after receiving a positive genetic BRCA1 test result, series of pregenetic testing and postgenetic testing psychological measurements were performed. Of 3524 women who returned the psychological test sheets before receiving their genetic test result, 111 women were found to carry a BRCA1 mutation. We found that overall, anxiety does not increase in women who receive a positive BRCA1 genetic test resu however, women who experience high levels of anxiety before genetic testing continue to experience high levels of anxiety up to 1 year posttesting. There were differences in cancer-related distress in affected and unaffected women. BRCA1 carriers with a previous diagnosis of cancer had significantly higher levels of cancer-related distress at 1 month posttest than those without cancer. Our findings suggest that healthcare providers should consider including a brief pretest psychological assessment before initiating genetic testing for BRCA1 and BRCA2.
机译:预测女性可能遭受异常高水平的焦虑和抑郁在收到积极的BRCA1基因测试结果,一系列pregenetic测试和postgenetic测试心理测量被执行。心理测试表之前接收他们基因检测结果,111名妇女被发现携带BRCA1突变。焦虑并不增加妇女获得积极的BRCA1基因测试结果;女性经验的高水平的焦虑基因检测之前继续体验高水平的焦虑1年期末测验。有不同的癌症相关的痛苦在受影响和影响的女性。之前的诊断癌症更高水平的癌症相关比那些没有痛苦在1个月期末测验癌症。供应商应考虑包括一个简短的预备考试心理评估之前开始对BRCA1和BRCA2基因检测。

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