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01-08-2007 | Original Article

Health Beliefs and Behaviors of Women Who Have Received Genetic Counseling For Breast Cancer

Authors: Gwyneth Rees, Clara Gaff, Mary-Anne Young, Paul R. Martin

Published in: Journal of Genetic Counseling | Issue 4/2007

Abstract

There are both genetic and behavioral risk factors for breast cancer, but the interaction between these factors is not clear. Little is known about the impact of receiving genetic risk information for breast cancer on behaviors such as diet and physical activity. Seven focus groups were conducted with 23 women who had recently received genetic counseling for breast cancer, in order to explore health beliefs and behaviors following genetic counseling. Findings revealed that there was much confusion and uncertainty about the associations between health behaviors and breast cancer risk, and participants reported that receiving genetic counseling had little impact on health protective behaviors. Further research is required to understand variation in response to genetic risk information, and to assess the impact of providing additional information regarding lifestyle factors.

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Affleck, G., Tennen, H., Pfeiffer, C., & Fifield, C. (1987). Appraisals of control and predictability in adapting to a chronic disease. J Pers Soc Psychol, 53, 273–279.CrossRef

Appleton, S., Fry, A., Rees, G., Rush, R., & Cull, A. (2000). Psychosocial effects of living with an increased risk of breast cancer: An exploratory study using telephone focus groups. Psycho-Oncology, 9(6), 511–521.PubMedCrossRef

Audrain, J., Schwartz, M., Herrera, J., Goldman, P., & Bush, A. (2001). Physical activity in first-degree relatives of breast cancer patients. J Behavior Med, 24(6), 587–603.CrossRef

Audrain, J., Schwartz, M., Lerman, C., Hughes, C., Peshkin, B. N., & Biesecker, B. (1997). Psychological distress in women seeking genetic counseling for breast-ovarian cancer risk: The contributions of personality and appraisal. Annals Behavior Med, 19(4), 370–377.CrossRef

Biesecker, B. B., & Marteau, T. M. (1999). The future of genetic counselling: an international perspective. Nature Genetics, 22, 133–137.CrossRef

Botkin, J. R., Smith, K. R., Croyle, R. T., Baty, B. J., Wylie, J. E., Dutson, D. et al. (2003). Genetic testing for a BRCA1 mutation: Prophylactic surgery and screening behavior in women 2 years post testing. A J Med Gene Part A, 118A(3), 201–209.CrossRef

Braithwaite, D., Emery, J., Walter, F., Prevost, A. T., & Sutton, S. (2004). Psychological impact of genetic counseling for familial cancer: A systematic review and meta-analysis. J Nati Cancer Inst, 96(2), 122–133.CrossRef

Burger, J. M., & Cooper, H. M. (1979). The desirability of control. Motiv Emotion, 3, 381–393.CrossRef

Butow, P. N., Hiller, J. E., Price, M. A., Thackway, S. V., Kricker, A., & Tennant, C. C. (2000). Epidemiological evidence for a relationship between life events, coping style, and personality factors in the development of breast cancer. J Psychosomatic Res, 49(3), 169–181.CrossRef

Carpenter, C. L., Ross, R. K., Paganini-Hill, A., & Bernstein, L. (2003). Effect of family history, obesity and exercise on breast cancer risk among postmenopausal women. Int J Cancer, 106, 96–102.PubMedCrossRef

Duvall, K. (2006). A portrait of a high risk clinic team: the nutritionalist's role. Psycho-Oncology, 15(2), S84.

Elder, J. P., Ayala, G. X., & Harris, S. (1999). Theories and intervention approaches to health-behavior change in primary care. A J Prev Med, 17(4), 275–284.

Ford, C., Easton, D. F., & Peto, J. (1995). Estimates of the gene frequency of BRCA1 and its contribution to breast and ovarian cancer incidence. A J Hum Gen, 57, 1457–1462.

Friedenreich, C. M., & Orenstein, M. R. (2002). Physical activity and cancer prevention: Etiologic evidence and biological mechanisms. J Nutr, 132(11S), S3456–S3464.

Gibbs, G. (2002). Qualitative data analysis: Explorations with NVIVO. Buckingham: Open University Press.

Gramling, R., Nash, J., Siren, K., & Culpepper, L. (2003). Predictive genetics in primary care: Expectations for the motivational impact of genetic testing affects the importance family physicians place on screening for familial cancer risk. Gen Med, 5(3), 172–175.

Grunfeld, E. A., Ramirez, A., Hunter, M. S., & Richards, M. A. (2002). Women's knowledge and beliefs regarding breast cancer. Br J Cancer, 86(9), 1373–1378.PubMedCentralCrossRef

Hadley, D. W., Jenkins, J. F., Dimond, E., de Carvalho, M., Kirsch, I., & Palmer, C. G. S. (2004). Colon cancer screening practices after genetic counseling and testing for hereditary nonpolyposis colorectal cancer. J Clin Oncology, 22(1), 39–44.CrossRef

Hall, S., Weinman, J., & Marteau, T. (2004). The motivating impact of informing women smokers of a link between smoking and cervical cancer: The role of coherence. Health Psychology, 23(4), 419–424.PubMedCrossRef

Jepson, R. (2000). The Effectiveness of Interventions to Change Health-Related Behaviours: A Review of Reviews. (No. Occasional Paper No. 3). Glasgow: Medical Research Council, MRC Social & Public Health Sciences Unit, Uniersity of Glasgow.

Johnson, K. A., Trimbath, J. D., Petersen, G. M., Griffin, C. A., & Giardiello, F. M. (2002). Impact of genetic counseling and testing on colorectal cancer screening behavior. Gen Testing, 6(4), 303–306.CrossRef

Johnson, K. C., Dixon, J. M., & Steel, C. M. (2001). Risk factors for breast cancer. Br Med J, 322(7282), 365.CrossRef

Kenen, R., Ardern-Jones, A., & Eeles, R. (2003). Living with chronic risk: healthy women with a family history of breast/ovarian cancer. Health Risk Soc, 5(3), 315–331.CrossRef

Kim, Y., Valdimarsdottir, H. B., & Bovbjerg, D. H. (2003). Family histories of breast cancer, coping styles, and psychological adjustment. J Behavioral Med, 26(3), 225–243.CrossRef

King, M., Marks, J. H., & Mandell, J. B. (2003). Breast and ovarian cancer risk due to inherited mutations in BRCA1 and BRCA2. Science, 302, 643–646.CrossRef

Krueger, R. A., King, J. A., & Morgan, D. L. (1998). Focus group kit. California: SAGE.

Lemon, S. C., Zapka, J. G., & Clemow, L. (2004). Health behavior change among women with recent familial diagnosis of breast cancer. Preventive Medicine, 39, 253–262.CrossRef

Leventhal, H., Benyamini, Y., Brownlee, S., Diefenbach, M., Leventhal, E. A., Patrick-Millar, L. et al. (1997). Illness representations: Theoretical foundations. In K. J. Petrie & J. Weinman (Eds.), Perceptions of health and illness. Current research and applications. Amsterdam: Harwood.

Lincoln, Y., & Guba, E. (1985). Naturalistic Inquiry. Beverly Hills, CA: Sage.CrossRef

Marteau, T. M., & Lerman, C. Y. (2001). Genetic risk and behavioural change. B Med J, 322(7293), 1056–1059.CrossRef

Marteau, T. M., & Weinman, J. (2006). Self-regulation and the behavioural response to DNA risk information: A theoretical analysis and framework for future research. Soc Sci Med, 62(6), 1360–1368.PubMedCrossRef

Maykut, P., & Morehouse, R. (1994). Qualitative data analysis: Using the constant comparative method. In Beginning Qualitative Research: A Philosophic and Practical Guide. (pp. 126–149). London: Falmer Press.

McPherson, K., Steel, C. M., & Dixon, J. M. (2000). ABC of breast diseases: Breast cancer epidemiology, risk factors, and genetics. Br Med J, 321(7261), 624–628.CrossRef

McTiernan, A. (2003). Behavioral risk factors in breast cancer: Can risk be modified? Oncologist, 8(4), 326–334.CrossRef

NHMRC. (1999). Familial aspects of cancer: A guide to clinical practice. Canberra, Australia: National Health and Medical Research Council.

Pichert, G., Bolliger, B., Buser, K., & Pagani, O. (2003). Evidence-based management options for women at increased breast/ovarian cancer risk. Annals Oncology, 14, 9–19.CrossRef

Rees, G., Fry, A., & Cull, A. (2001). A family history of breast cancer: women's experiences from a theoretical perspective. Social Science & Medicine, 52, 1433–1440.CrossRef

Rees, G., Young, M. A., Gaff, C., & Martin, P. R. (2006). A qualitative study of health professionals’ views regarding provision of information about health-protective behaviors during genetic consultation for breast cancer. J Gen Coun, 15(2), 95–104.

Richard, R., vanderPligt, J., & deVries, N. (1996). Anticipated affect and behavioral choice. Basic Appl Soc Psychol, 18(2), 111–129.CrossRef

Robertson, A. (2000). Embodying risk, embodying political rationality: women's accounts of risk for breast cancer. Health Risk Soc, 2(2), 219–235.CrossRef

Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychol Monographs, 80(1), 609.CrossRef

Schwartz, M. D., Kaufman, E., Peshkin, B. N., Isaacs, C., Hughes, C., DeMarco, T. et al. (2003). Bilateral prophylactic oophorectomy and ovarian cancer screening following BRCA1/BRCA2 mutation testing. J Clin Oncology, 21(21), 4034–4041.CrossRef

Sheeran, P., Milne, S., Webb, T., & Gollwitzer, P. (Eds.). (2005). Implementing Intentions and Health Behaviour. (2 ed.). Maidenhead: Open University Press.

Steptoe, A., Kerry, S., Rink, E., & Hilton, S. (2001). The impact of behavioral counseling on stage of change in fat intake, physical activity, and cigarette smoking in adults at increased risk of coronary heart disease. A J Public Health, 91, 265– 269.

Stewart, D. E., Cheung, A. M., Duff, S., Wong, F., McQuestion, M., Cheng, T. et al. (2001). Attributions of cause and recurrence in long-term breast cancer survivors. Psycho-Oncology, 10(2), 179–183.

Thompson, S. C., & Collins, M. A. (1995). Applications of perceived control to cancer—An overview of theory and measurement. J Psychosoc Oncology, 13(1–2), 11–26.CrossRef

Thomson, C. A., Flatt, S. W., Rock, C. L., Ritenbaugh, C., Newman, V., & Pierce, J. P. (2002). Increased fruit, vegetable and fiber intake and lower fat intake reported among women previously treated for invasive breast cancer. J A Diet Assoc, 102(6), 801–808.

Vachon, C. M., Cerhan, J. R., Vierkant, R. A., & Sellers, T. A. (2001). Investigation of an interaction of alcohol intake and family history of breast cancer risk in the Minnesota Breast Cancer Family Study. Cancer Epidemiology Biomarkers Prev, 92(2), 240–248.

Vaughn, S., Schumm, J. S., & Sinagub, J. (1996). Focus Group Interviews in Education and Psychology. California: Sage.CrossRef

Wilkinson, S. (2004). Focus group research. In D. Silverman (Ed.), Qualitative Research: Theory, Method, Practice (pp. 177–199). London: Sage.

Title: Health Beliefs and Behaviors of Women Who Have Received Genetic Counseling For Breast Cancer
Authors: Gwyneth Rees
Clara Gaff
Mary-Anne Young
Paul R. Martin
Publication date: 01-08-2007
Publisher: Springer US
Published in: Journal of Genetic Counseling / Issue 4/2007
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI: https://doi.org/10.1007/s10897-006-9079-7

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Health Beliefs and Behaviors of Women Who Have Received Genetic Counseling For Breast Cancer

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