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Published in: Journal of Genetic Counseling 3/2008

01-06-2008 | Original Research

Psychosocial Conditions of Women Awaiting Genetic Counseling: A Population-based Study

Authors: Ellen M. Mikkelsen, Lone Sunde, Christoffer Johansen, Søren P. Johnsen

Published in: Journal of Genetic Counseling | Issue 3/2008

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Abstract

The decision whether to undergo genetic counseling for hereditary breast and ovarian cancer is complex. Knowledge about the psychosocial conditions of women who are awaiting counseling is sparse. We aimed to compare the psychosocial conditions of women awaiting genetic counseling with those of women in two reference groups. We included 567 women referred to genetic counseling for hereditary risk of breast or ovarian cancer (Genetic Group), 689 women referred to mammography (Mammography Group) and a random sample of 2,000 women from the general population (Population Group). One to 4 weeks before the first counseling session or mammography, data were collected by questionnaires. Both women affected with cancer and unaffected women in the Genetic Group appeared to have a somewhat higher prevalence of cancer-specific-distress than the corresponding reference groups. Further research on the effect of pre- counseling interventions appear warranted in addition with exploring a potential association between waiting time and cancer-specific distress.
Literature
go back to reference Andersen, T. F., Madsen, M., Jorgensen, J., Mellemkjoer, L., & Olsen, J. H. (1999). The Danish National Hospital Register. A valuable source of data for modern health sciences. Danish Medical Bulletin, 46, 263–268.PubMed Andersen, T. F., Madsen, M., Jorgensen, J., Mellemkjoer, L., & Olsen, J. H. (1999). The Danish National Hospital Register. A valuable source of data for modern health sciences. Danish Medical Bulletin, 46, 263–268.PubMed
go back to reference Bish, A., Sutton, S., Jacobs, C., Levene, S., Ramirez, A., & Hodgson, S. (2002). Changes in psychological distress after cancer genetic counselling: A comparison of affected and unaffected women. British Journal of Cancer, 86, 43–50.PubMedCrossRef Bish, A., Sutton, S., Jacobs, C., Levene, S., Ramirez, A., & Hodgson, S. (2002). Changes in psychological distress after cancer genetic counselling: A comparison of affected and unaffected women. British Journal of Cancer, 86, 43–50.PubMedCrossRef
go back to reference Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.PubMedCrossRef Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.PubMedCrossRef
go back to reference Bjorner, J. B., Damsgaard, M. T., Watt, T., Bech, P., Rasmussen, N. K., Kristensen, T. S., et al. (1997). Dansk manual til SF-36. Copenhagen: Lif. Bjorner, J. B., Damsgaard, M. T., Watt, T., Bech, P., Rasmussen, N. K., Kristensen, T. S., et al. (1997). Dansk manual til SF-36. Copenhagen: Lif.
go back to reference Bowen, D. J., Burke, W., McTiernan, A., Yasui, Y., & Andersen, M. R. (2004). Breast cancer risk counseling improves women’s functioning. Patient Education and Counseling, 53, 79–86.PubMedCrossRef Bowen, D. J., Burke, W., McTiernan, A., Yasui, Y., & Andersen, M. R. (2004). Breast cancer risk counseling improves women’s functioning. Patient Education and Counseling, 53, 79–86.PubMedCrossRef
go back to reference Brain, K., Gray, J., Norman, P., France, E., Anglim, C., Barton, G., et al. (2000a). Randomized trial of a specialist genetic assessment service for familial breast cancer. Journal of the National Cancer Institute, 92, 1345–1351.PubMedCrossRef Brain, K., Gray, J., Norman, P., France, E., Anglim, C., Barton, G., et al. (2000a). Randomized trial of a specialist genetic assessment service for familial breast cancer. Journal of the National Cancer Institute, 92, 1345–1351.PubMedCrossRef
go back to reference Brain, K., Gray, J., Norman, P., Parsons, E., Clarke, A., Rogers, C., et al. (2000b). Why do women attend familial breast cancer clinics. Journal of Medical Genetics, 37, 197–202.PubMedCrossRef Brain, K., Gray, J., Norman, P., Parsons, E., Clarke, A., Rogers, C., et al. (2000b). Why do women attend familial breast cancer clinics. Journal of Medical Genetics, 37, 197–202.PubMedCrossRef
go back to reference 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. Journal of the National Cancer Institute, 96, 122–133.PubMedCrossRef 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. Journal of the National Cancer Institute, 96, 122–133.PubMedCrossRef
go back to reference Brondum-Nielsen, K. (2003). Genetic counseling and genetic services. Ugeskrift for Laeger, 165, 777–779.PubMed Brondum-Nielsen, K. (2003). Genetic counseling and genetic services. Ugeskrift for Laeger, 165, 777–779.PubMed
go back to reference Calzone, K. A., Prindiville, S. A., Jourkiv, O., Jenkins, J., DeCarvalho, M., Wallerstedt, D. B., et al. (2005). Randomized comparison of group versus individual genetic education and counseling for familial breast and/or ovarian cancer. Journal of Clinical Oncology, 23, 3455–3464.PubMedCrossRef Calzone, K. A., Prindiville, S. A., Jourkiv, O., Jenkins, J., DeCarvalho, M., Wallerstedt, D. B., et al. (2005). Randomized comparison of group versus individual genetic education and counseling for familial breast and/or ovarian cancer. Journal of Clinical Oncology, 23, 3455–3464.PubMedCrossRef
go back to reference Carlsson, A. H., Bjorvatn, C., Engebretsen, L. F., Berglund, G., & Natvig, G. K. (2004). Psychosocial factors associated with quality of life among individuals attending genetic counseling for hereditary cancer. Journal of Genetic Counseling, 13, 425–445.PubMedCrossRef Carlsson, A. H., Bjorvatn, C., Engebretsen, L. F., Berglund, G., & Natvig, G. K. (2004). Psychosocial factors associated with quality of life among individuals attending genetic counseling for hereditary cancer. Journal of Genetic Counseling, 13, 425–445.PubMedCrossRef
go back to reference Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Journal of Chronic Diseases, 40, 373–383.PubMedCrossRef Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Journal of Chronic Diseases, 40, 373–383.PubMedCrossRef
go back to reference Claus, E. B., Schildkraut, J. M., Thompson, W. D., & Risch, N. J. (1996). The genetic attributable risk of breast and ovarian cancer. Cancer, 77, 2318–2324.PubMedCrossRef Claus, E. B., Schildkraut, J. M., Thompson, W. D., & Risch, N. J. (1996). The genetic attributable risk of breast and ovarian cancer. Cancer, 77, 2318–2324.PubMedCrossRef
go back to reference Cull, A., Anderson, E. D., Campbell, S., Mackay, J., Smyth, E., & Steel, M. (1999). The impact of genetic counselling about breast cancer risk on women’s risk perceptions and levels of distress. British Journal of Cancer, 79, 501–508.PubMedCrossRef Cull, A., Anderson, E. D., Campbell, S., Mackay, J., Smyth, E., & Steel, M. (1999). The impact of genetic counselling about breast cancer risk on women’s risk perceptions and levels of distress. British Journal of Cancer, 79, 501–508.PubMedCrossRef
go back to reference Cull, A., Fry, A., Rush, R., & Steel, C. M. (2001). Cancer risk perceptions and distress among women attending a familial ovarian cancer clinic. British Journal of Cancer, 84, 594–599.PubMedCrossRef Cull, A., Fry, A., Rush, R., & Steel, C. M. (2001). Cancer risk perceptions and distress among women attending a familial ovarian cancer clinic. British Journal of Cancer, 84, 594–599.PubMedCrossRef
go back to reference Cull, A., Miller, H., Porterfield, T., Mackay, J., Anderson, E. D., Steel, C. M., et al. (1998). The use of videotaped information in cancer genetic counselling: A randomized evaluation study. British Journal of Cancer, 77, 830–837.PubMed Cull, A., Miller, H., Porterfield, T., Mackay, J., Anderson, E. D., Steel, C. M., et al. (1998). The use of videotaped information in cancer genetic counselling: A randomized evaluation study. British Journal of Cancer, 77, 830–837.PubMed
go back to reference Ford, D., Easton, D. F., Stratton, M., Narod, S., Goldgar, D., Devilee, P., et al. (1998). Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The Breast Cancer Linkage Consortium. American Journal of Human Genetics, 62, 676–689.PubMedCrossRef Ford, D., Easton, D. F., Stratton, M., Narod, S., Goldgar, D., Devilee, P., et al. (1998). Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The Breast Cancer Linkage Consortium. American Journal of Human Genetics, 62, 676–689.PubMedCrossRef
go back to reference Fry, A., Cull, A., Appleton, S., Rush, R., Holloway, S., Gorman, D., et al. (2003). A randomised controlled trial of breast cancer genetics services in South East Scotland: Psychological impact. British Journal of Cancer, 89, 653–659.PubMedCrossRef Fry, A., Cull, A., Appleton, S., Rush, R., Holloway, S., Gorman, D., et al. (2003). A randomised controlled trial of breast cancer genetics services in South East Scotland: Psychological impact. British Journal of Cancer, 89, 653–659.PubMedCrossRef
go back to reference Hallowell, N., Murton, F., Statham, H., Green, J. M., & Richards, M. P. (1997). Women’s need for information before attending genetic counselling for familial breast or ovarian cancer: a questionnaire, interview, and observational study. BMJ, 314, 281–283.PubMed Hallowell, N., Murton, F., Statham, H., Green, J. M., & Richards, M. P. (1997). Women’s need for information before attending genetic counselling for familial breast or ovarian cancer: a questionnaire, interview, and observational study. BMJ, 314, 281–283.PubMed
go back to reference Hopwood, P., Wonderling, D., Watson, M., Cull, A., Douglas, F., Cole, T., et al. (2004). A randomised comparison of UK genetic risk counselling services for familial cancer: Psychosocial outcomes. British Journal of Cancer, 91, 884–892.PubMed Hopwood, P., Wonderling, D., Watson, M., Cull, A., Douglas, F., Cole, T., et al. (2004). A randomised comparison of UK genetic risk counselling services for familial cancer: Psychosocial outcomes. British Journal of Cancer, 91, 884–892.PubMed
go back to reference Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: a measure of subjective stress. Psychosomatic Medicine, 41, 209–218.PubMed Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: a measure of subjective stress. Psychosomatic Medicine, 41, 209–218.PubMed
go back to reference Humphreys, L., Hunter, A. G., Zimak, A., O’Brien, A., Korneluk, Y., & Cappelli, M. (2000). Why patients do not attend for their appointments at a genetics clinic. Journal of Medical Genetics, 37, 810–815.PubMedCrossRef Humphreys, L., Hunter, A. G., Zimak, A., O’Brien, A., Korneluk, Y., & Cappelli, M. (2000). Why patients do not attend for their appointments at a genetics clinic. Journal of Medical Genetics, 37, 810–815.PubMedCrossRef
go back to reference Jorgensen, C. K., & Karlsmose, B. (1998). Validation of automated forms processing. A comparison of Teleform with manual data entry. Computers in Biology Medicine, 28, 659–667.CrossRef Jorgensen, C. K., & Karlsmose, B. (1998). Validation of automated forms processing. A comparison of Teleform with manual data entry. Computers in Biology Medicine, 28, 659–667.CrossRef
go back to reference Kasparian, N. A., Wakefield, C. E., & Meiser, B. (2007). Assessment of psychosocial outcomes in genetic counseling research an overview of available measurement scales. Journal of Genetic Counseling, 6, 693–712.CrossRef Kasparian, N. A., Wakefield, C. E., & Meiser, B. (2007). Assessment of psychosocial outcomes in genetic counseling research an overview of available measurement scales. Journal of Genetic Counseling, 6, 693–712.CrossRef
go back to reference Kent, H. (1999). Waiting list grows for BC’s hereditary cancer program. CMAJ, 161, 1175.PubMed Kent, H. (1999). Waiting list grows for BC’s hereditary cancer program. CMAJ, 161, 1175.PubMed
go back to reference Kinmonth, A. L., Reinhard, J., Bobrow, M., & Pauker, S. (1998). The new genetics. Implications for clinical services in Britain and the United States. BMJ, 316, 767–770.PubMed Kinmonth, A. L., Reinhard, J., Bobrow, M., & Pauker, S. (1998). The new genetics. Implications for clinical services in Britain and the United States. BMJ, 316, 767–770.PubMed
go back to reference Knudsen, L. B. (1998). The Danish fertility database. Danish Medical Bulletin, 45, 221–225.PubMed Knudsen, L. B. (1998). The Danish fertility database. Danish Medical Bulletin, 45, 221–225.PubMed
go back to reference Lerman, C., Daly, M., Masny, A., & Balshem, A. (1994). Attitudes about genetic testing for breast-ovarian cancer susceptibility. Journal of Clinical Oncology, 12, 843–850.PubMed Lerman, C., Daly, M., Masny, A., & Balshem, A. (1994). Attitudes about genetic testing for breast-ovarian cancer susceptibility. Journal of Clinical Oncology, 12, 843–850.PubMed
go back to reference Lerman, C., Schwartz, M. D., Miller, S. M., Daly, M., Sands, C., & Rimer, B. K. (1996). A randomized trial of breast cancer risk counseling: interacting effects of counseling, educational level, and coping style. Health Psychology, 15, 75–83.PubMedCrossRef Lerman, C., Schwartz, M. D., Miller, S. M., Daly, M., Sands, C., & Rimer, B. K. (1996). A randomized trial of breast cancer risk counseling: interacting effects of counseling, educational level, and coping style. Health Psychology, 15, 75–83.PubMedCrossRef
go back to reference Lerman, C., Seay, J., Balshem, A., & Audrain, J. (1995). Interest in genetic testing among first-degree relatives of breast cancer patients. American Journal of Medical Genetics, 57, 385–392.PubMedCrossRef Lerman, C., Seay, J., Balshem, A., & Audrain, J. (1995). Interest in genetic testing among first-degree relatives of breast cancer patients. American Journal of Medical Genetics, 57, 385–392.PubMedCrossRef
go back to reference Lobb, E. A., Butow, P. N., Meiser, B., Barratt, A., Gaff, C., Young, M. A., et al. (2002). Tailoring communication in consultations with women from high risk breast cancer families. British Journal of Cancer, 87, 502–508.PubMedCrossRef Lobb, E. A., Butow, P. N., Meiser, B., Barratt, A., Gaff, C., Young, M. A., et al. (2002). Tailoring communication in consultations with women from high risk breast cancer families. British Journal of Cancer, 87, 502–508.PubMedCrossRef
go back to reference Meiser, B., Butow, P. N., Barratt, A. L., Schnieden, V., Gattas, M., Kirk, J., et al. (2001). Long-term outcomes of genetic counseling in women at increased risk of developing hereditary breast cancer. Patient Education and Counseling, 44, 215–225.PubMedCrossRef Meiser, B., Butow, P. N., Barratt, A. L., Schnieden, V., Gattas, M., Kirk, J., et al. (2001). Long-term outcomes of genetic counseling in women at increased risk of developing hereditary breast cancer. Patient Education and Counseling, 44, 215–225.PubMedCrossRef
go back to reference Meiser, B., & Halliday, J. L. (2002). What is the impact of genetic counselling in women at increased risk of developing hereditary breast cancer? A meta-analytic review. Social Science & Medicine, 54, 1463–1470.CrossRef Meiser, B., & Halliday, J. L. (2002). What is the impact of genetic counselling in women at increased risk of developing hereditary breast cancer? A meta-analytic review. Social Science & Medicine, 54, 1463–1470.CrossRef
go back to reference Miki, Y., Swensen, J., Shattuck-Eidens, D., Futreal, P. A., Harshman, K., Tavtigian, S., et al. (1994). A strong candidate for the breast and ovarian cancer susceptibility gene BRCA1. Science, 266, 66–71.PubMedCrossRef Miki, Y., Swensen, J., Shattuck-Eidens, D., Futreal, P. A., Harshman, K., Tavtigian, S., et al. (1994). A strong candidate for the breast and ovarian cancer susceptibility gene BRCA1. Science, 266, 66–71.PubMedCrossRef
go back to reference Mogilner, A., Otten, M., Cunningham, J. D., & Brower, S. T. (1998). Awareness and attitudes concerning BRCA gene testing. Annals of Surgical Oncology, 5, 607–612.PubMedCrossRef Mogilner, A., Otten, M., Cunningham, J. D., & Brower, S. T. (1998). Awareness and attitudes concerning BRCA gene testing. Annals of Surgical Oncology, 5, 607–612.PubMedCrossRef
go back to reference Munk-Jorgensen, P., & Mortensen, P. B. (1997). The Danish Psychiatric Central Register. Danish Medical Bulletin, 44, 82–84.PubMed Munk-Jorgensen, P., & Mortensen, P. B. (1997). The Danish Psychiatric Central Register. Danish Medical Bulletin, 44, 82–84.PubMed
go back to reference Randall, J., Butow, P., Kirk, J., & Tucker, K. (2001). Psychological impact of genetic counselling and testing in women previously diagnosed with breast cancer. Internal Medicine Journal, 31, 397–405.PubMedCrossRef Randall, J., Butow, P., Kirk, J., & Tucker, K. (2001). Psychological impact of genetic counselling and testing in women previously diagnosed with breast cancer. Internal Medicine Journal, 31, 397–405.PubMedCrossRef
go back to reference Rose, M. S., Koshman, M. L., Spreng, S., & Sheldon, R. (1999). Statistical issues encountered in the comparison of health-related quality of life in diseased patients to published general population norms: problems and solutions. Journal of Clinical Epidemiology, 52, 405–412.PubMedCrossRef Rose, M. S., Koshman, M. L., Spreng, S., & Sheldon, R. (1999). Statistical issues encountered in the comparison of health-related quality of life in diseased patients to published general population norms: problems and solutions. Journal of Clinical Epidemiology, 52, 405–412.PubMedCrossRef
go back to reference Schwartz, M. D., Peshkin, B. N., Hughes, C., Main, D., Isaacs, C., & Lerman, C. (2002). Impact of BRCA1/BRCA2 mutation testing on psychologic distress in a clinic-based sample. Journal of Clinical Oncology, 20, 514–520.PubMedCrossRef Schwartz, M. D., Peshkin, B. N., Hughes, C., Main, D., Isaacs, C., & Lerman, C. (2002). Impact of BRCA1/BRCA2 mutation testing on psychologic distress in a clinic-based sample. Journal of Clinical Oncology, 20, 514–520.PubMedCrossRef
go back to reference Storm, H. H., Michelsen, E. V., Clemmensen, I. H., & Pihl, J. (1997). The Danish Cancer Registry-history, content, quality and use. Danish Medical Bulletin, 44, 535–539.PubMed Storm, H. H., Michelsen, E. V., Clemmensen, I. H., & Pihl, J. (1997). The Danish Cancer Registry-history, content, quality and use. Danish Medical Bulletin, 44, 535–539.PubMed
go back to reference Sundin, E. C., & Horowitz, M. J. (2002). Impact of Event Scale: psychometric properties. British Journal of Psychiatry, 180, 205–209.PubMedCrossRef Sundin, E. C., & Horowitz, M. J. (2002). Impact of Event Scale: psychometric properties. British Journal of Psychiatry, 180, 205–209.PubMedCrossRef
go back to reference Thorlacius, S., Struewing, J. P., Hartge, P., Olafsdottir, G. H., Sigvaldason, H., Tryggvadottir, L., et al. (1998). Population-based study of risk of breast cancer in carriers of BRCA2 mutation. Lancet, 352, 1337–1339.PubMedCrossRef Thorlacius, S., Struewing, J. P., Hartge, P., Olafsdottir, G. H., Sigvaldason, H., Tryggvadottir, L., et al. (1998). Population-based study of risk of breast cancer in carriers of BRCA2 mutation. Lancet, 352, 1337–1339.PubMedCrossRef
go back to reference Van Asperen, C. J., Van Dijk, S., Zoeteweij, M. W., Timmermans, D. R., De Bock, G. H., Meijers-Heijboer, E. J., et al. (2002). What do women really want to know? Motives for attending familial breast cancer clinics. Journal of Medical Genetics, 39, 410–414.PubMedCrossRef Van Asperen, C. J., Van Dijk, S., Zoeteweij, M. W., Timmermans, D. R., De Bock, G. H., Meijers-Heijboer, E. J., et al. (2002). What do women really want to know? Motives for attending familial breast cancer clinics. Journal of Medical Genetics, 39, 410–414.PubMedCrossRef
go back to reference Ware Jr., J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473–483.PubMedCrossRef Ware Jr., J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473–483.PubMedCrossRef
go back to reference Watson, M., Lloyd, S., Davidson, J., Meyer, L., Eeles, R., Ebbs, S., et al. (1999). The impact of genetic counselling on risk perception and mental health in women with a family history of breast cancer. British Journal of Cancer, 79, 868–874.PubMedCrossRef Watson, M., Lloyd, S., Davidson, J., Meyer, L., Eeles, R., Ebbs, S., et al. (1999). The impact of genetic counselling on risk perception and mental health in women with a family history of breast cancer. British Journal of Cancer, 79, 868–874.PubMedCrossRef
go back to reference Wonderling, D., Hopwood, P., Cull, A., Douglas, F., Watson, M., Burn, J., et al. (2001). A descriptive study of UK cancer genetics services: an emerging clinical response to the new genetics. British Journal of Cancer, 85, 166–170.PubMedCrossRef Wonderling, D., Hopwood, P., Cull, A., Douglas, F., Watson, M., Burn, J., et al. (2001). A descriptive study of UK cancer genetics services: an emerging clinical response to the new genetics. British Journal of Cancer, 85, 166–170.PubMedCrossRef
go back to reference Wood, M. E., Mullineaux, L., Rahm, A. K., Fairclough, D., & Wenzel, L. (2000). Impact of BRCA1 testing on women with cancer: a pilot study. Genetic Testing, 4, 265–272.PubMedCrossRef Wood, M. E., Mullineaux, L., Rahm, A. K., Fairclough, D., & Wenzel, L. (2000). Impact of BRCA1 testing on women with cancer: a pilot study. Genetic Testing, 4, 265–272.PubMedCrossRef
go back to reference Wooster, R., Neuhausen, S. L., Mangion, J., Quirk, Y., Ford, D., Collins, N., et al. (1994). Localization of a breast cancer susceptibility gene, BRCA2, to chromosome 13q12–13. Science, 265, 2088–2090.PubMedCrossRef Wooster, R., Neuhausen, S. L., Mangion, J., Quirk, Y., Ford, D., Collins, N., et al. (1994). Localization of a breast cancer susceptibility gene, BRCA2, to chromosome 13q12–13. Science, 265, 2088–2090.PubMedCrossRef
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef
Metadata
Title
Psychosocial Conditions of Women Awaiting Genetic Counseling: A Population-based Study
Authors
Ellen M. Mikkelsen
Lone Sunde
Christoffer Johansen
Søren P. Johnsen
Publication date
01-06-2008
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 3/2008
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-007-9139-7

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