在未受影响的亲属中,心理困扰和癌症的担忧通过多基因面板测试进行级联测试,并进行多基因面板测试
Kaori Kimura1, Takeshi Kuwata2, Yumie Hiraoka1
1Department of Genetic Medicine and Services, National Cancer Center Hospital East, Kashiwa, Japan.
Journal of human genetics
|March 1, 2026
概括
家庭中的多基因小组测试 (MGPT) 对未受影响的亲属产生了最小的心理影响. 预先存在的癌症担心,而不是测试结果,预测的痛苦,表明需要有针对性的心理社会支持.
科学领域:
- 遗传学 遗传学 是一个
- 心理学 心理学 心理学
- 在瘤学瘤学.
背景情况:
- 多基因小组测试 (MGPT) 正在扩大用于遗传性癌症诊断.
- 它在级联测试中的使用和对亲属的心理影响未得到充分研究.
研究的目的:
- 评估MGPT对日本未受影响亲属的心理影响.
- 在基因测试披露后,确定影响痛苦的因素.
主要方法:
- 一项多中心研究涉及123名没有个人癌症史的一级亲属.
- 在MGPT结果披露之前和之后进行的心理评估 (日本版本的癌症担忧量表,事件影响量表修订).
主要成果:
- 6.5%的亲属在披露后表现出临床上显著的痛苦.
- 更高的痛苦与先前存在的癌症担忧和家庭讨论有关,而不是MGPT结果.
- 没有受影响的亲属报告说,与患有癌症的人相比,他们对癌症的担忧较低.
结论:
- MGPT级联测试对未受影响的亲属具有有限的心理影响.
- 预先存在的癌症担忧是痛苦的关键因素,需要心理社会支持.
- 关于癌症风险的家庭沟通影响了痛苦水平.
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