Need for specially designed educational support groups: Young women's experiences of being identified with BRCA...

In Norway, genetic testing is permitted from the age of 16, and females identified with pathogenic variants in the BRCA1 or BRCA2 genes (BRCA PVs) can manage their cancer risk through screening programs and/or by undergoing risk-reducing surgery from the age of 25 years'. This qualitative study aimed to explore and describe how women under the age of 25 years' experience the genetic counseling and testing process for BRCA PVs and living with an increased cancer risk. Semi-structured individual interviews were conducted with five women with BRCA PVs. Thematic cross-case data analysis with systematic text condensation was used. Three main themes were identified: (1) experience with genetic counseling and testing, (2) impact of pathogenic variants on participants' future, and (3) social and psychological support needs. Women perceive genetic counseling as a source of information and care. The decision for genetic testing was made autonomously, both in line with and conflicting with the parents' wishes. Living with genetic risk adds a layer of worry and pressure regarding future decisions. Many experienced loneliness owing to a lack of contact with other young women with BRCA PVs. The results of this study indicate the need for better support after genetic testing, such as the need for educational support groups specially designed for these young women and a meeting place with their peers. Genetic counselors need to emphasize the opportunity for follow-up counseling and give assistance to choose suitable psychologists.