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[Not Available].

M Keller1

  • 1Psychosoziale Nachsorgeeinrichtung, Chirurgische Klink der Universität, Im Neuenheimer Feld 155, 69120 Heidelberg.

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
|January 17, 2002
PubMed
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Genetic testing for hereditary cancer syndromes offers risk assessment but requires confirmed prevention benefits. Comprehensive counseling is crucial to mitigate legal, ethical, and psychosocial risks for individuals and families.

Area of Science:

  • Genetics and Genomics
  • Oncology
  • Psycho-oncology
  • Genetic Counseling

Context:

  • Genetic mutations increase susceptibility to hereditary cancer syndromes (e.g., hereditary breast/ovarian and colorectal cancer).
  • Genetic tests are available for at-risk family members, but their preventive benefits require further confirmation.
  • Predictive genetic testing presents legal, ethical, and psychosocial risks alongside potential benefits.

Purpose:

  • To explore the application of psycho-oncology knowledge in genetic counseling.
  • To support decision-making processes during pre-test counseling for individuals and families.
  • To provide psychosocial support post-disclosure to enhance adjustment and family communication.

Summary:

  • Guidelines and standards for genetic analyses and counseling exist globally to prevent negative consequences.
Keywords:
CancerDecision-makingEthicsFamily dynamicsGenetic counselingGenetic testingHereditaryPredictive testingPsychological distressPsychosocial

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  • Pre-test counseling aids decision-making; post-test support facilitates adjustment and communication.
  • A subgroup at risk for psychosocial distress requires additional support; further research is needed to identify risk factors and evaluate outcomes.

    • Impact:

    • Highlights the need for comprehensive genetic counseling to address psychosocial challenges.
    • Emphasizes the importance of psycho-oncology principles in managing genetic testing implications.
    • Calls for research to identify risk factors for adverse psychosocial outcomes and develop targeted support strategies.