Self-concept and health anxiety relate to psychological outcomes for BRCA1/2 carriers.

Autor: Butler, Ellen, Collier, Sonya, Boland, Michael, Hanhauser, Yvonne, Connolly, Elizabeth, Hevey, David
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Zdroj: Psycho-Oncology; Oct2020, Vol. 29 Issue 10, p1638-1645, 8p, 1 Diagram, 3 Charts
Abstrakt: Objective: 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.Methods: 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.Results: 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.Conclusion: BRCA-specific beliefs related to self and health anxiety are important factors to consider in the adjustment to BRCA1/2 confirmation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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