caa a22 4500 445331046 CHVBK 20180317142737.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10689-011-9464-8 doi (NATIONALLICENCE)springer-10.1007/s10689-011-9464-8 Concerns about inherited risk of breast cancer prior to diagnosis in Japanese patients with breast complaints [Elektronische Daten] [Noriko Ando, Yumi Iwamitsu, Masaru Kuranami, Shigemi Okazaki, Kenji Yamamoto, Masahiko Watanabe, Hitoshi Miyaoka] The purpose of this study was to reveal characteristics that underlie patients' expressions of concern about their genetic risk of breast cancer at an initial outpatient clinic visit prior to a definitive diagnosis of cancer. A total of 233 women, at their initial outpatient clinic visits, participated in semi-structured and open-ended interviews that surveyed their anxieties, worries, thoughts, and feelings. Each patient completed a self-administered survey comprising questions about her family history of breast cancer and responded to a questionnaire that assessed psychological distress. Patients were divided into those who expressed concerns about inherited risk of breast cancer during the interview (expression group, n=39) and those who did not (non-expression group, n=194). Although patients in the expression group tended to have higher rates of breast cancer in their families, patients without a family history of breast cancer also expressed concerns. We used qualitative content analysis to identify the emotions and thoughts of patients expressing these concerns. Patients with a family history of breast cancer experienced anxiety/worry, risk-reducing behavior, acceptance, objective fact, and denial, whereas patients without a family history of breast cancer experienced anxiety/worry, risk-reducing behavior, surprise/shock, acceptance, objective fact, denial, optimistic thought, regret, and realistic thought. Some patients in the breast clinic had concerns about their inherited risk of cancer, despite lacking a family history of breast cancer. Health care professionals should inquire about family histories and provide appropriate support and counseling to patients as needed, regardless of the patient's genetic risk for the disease. Springer Science+Business Media B.V., 2011 Breast cancer nationallicence Family history nationallicence Genetic counseling nationallicence Heredity concerns nationallicence Qualitative study nationallicence Ando Noriko Department of Medical Psychology, Pharmaceutical Education Research Center, Kitasato University School of Pharmacy, Minato, Tokyo, Japan aut Iwamitsu Yumi Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa, Japan aut Kuranami Masaru Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut Okazaki Shigemi Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa, Japan aut Yamamoto Kenji Department of Psychiatry, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut Watanabe Masahiko Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut Miyaoka Hitoshi Department of Psychiatry, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut Familial Cancer Springer Netherlands 10/4(2011-12-01), 681-689 1389-9600 10:4<681 2011 10 10689 https://doi.org/10.1007/s10689-011-9464-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10689-011-9464-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ando Noriko Department of Medical Psychology, Pharmaceutical Education Research Center, Kitasato University School of Pharmacy, Minato, Tokyo, Japan aut NATIONALLICENCE 700 1- Iwamitsu Yumi Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa, Japan aut NATIONALLICENCE 700 1- Kuranami Masaru Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut NATIONALLICENCE 700 1- Okazaki Shigemi Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa, Japan aut NATIONALLICENCE 700 1- Yamamoto Kenji Department of Psychiatry, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut NATIONALLICENCE 700 1- Watanabe Masahiko Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut NATIONALLICENCE 700 1- Miyaoka Hitoshi Department of Psychiatry, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan aut NATIONALLICENCE 773 0- Familial Cancer Springer Netherlands 10/4(2011-12-01), 681-689 1389-9600 10:4<681 2011 10 10689 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer