Abstract:
OBJECTIVE:Female breast cancer patients carrying a BRCA1/2-mutation have an increased risk of second primary breast and ovarian tumors. Little is known about the psychological impact and treatment consequences of rapid genetic counseling and testing offered between breast cancer diagnosis and surgery. METHODS:Female breast cancer patients, who had received rapid genetic counseling (and optional testing) (RGC(T)) at The Netherlands Cancer Institute between 2004 and 2008, received a questionnaire in 2009. RESULTS:BRCA-mutations were found in 10 of the 26 participants. Six mutation-carriers (60%) had an immediate bilateral mastectomy, compared with 25% of those without a mutation. Five patients (19%) reported having frequent worries about cancer recurrence; none indicated that such worries impaired daily functioning. Six patients had clinically relevant levels of breast cancer-specific distress at the time of assessment. CONCLUSION:These results suggest that RGC(T) in high-risk breast cancer patients may influence surgical treatment, without causing long-term psychosocial distress in the majority. PRACTICE IMPLICATIONS:These results are important, since rapid genetic counseling and testing are expected to be offered to newly diagnosed breast cancer patients with increasing frequency in order to inform these women and their surgeons about the possible familial/hereditary nature of their disease before deciding on treatment.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Wevers MR,Hahn DE,Verhoef S,Bolhaar MD,Ausems MG,Aaronson NK,Bleiker EMdoi
10.1016/j.pec.2012.03.019subject
Has Abstractpub_date
2012-10-01 00:00:00pages
89-95issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(12)00155-3journal_volume
89pub_type
杂志文章abstract::A 10-session, self-management training program was designed specifically for persons over 60 years of age having Type II diabetes. It targeted social learning variables, especially problem-solving skills and self-efficacy, found to be related to diabetes self-care in earlier correlational research. One hundred two adu...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0738-3991(92)90102-o
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVES:As communication is a central part of every interpersonal meeting within healthcare and research reveals several benefits of effective communication, we need to teach students and practitioners how to communicate with patients and with colleagues. This paper reflects on what and how to teach. METHODS:In the...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.08.011
更新日期:2015-10-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.pec.2004.08.005
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To develop, implement and evaluate a workshop to help adolescents develop independent and active relationships with their physicians. METHODS:A needs-assessment survey informed the development of a workshop delivered by medical student volunteers and incorporated into the career and personal planning curricu...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.07.007
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To examine patients' use of medication management strategies (e.g., reminders, pill boxes), and to determine how their use influences the relationship between patient characteristics and medication adherence. METHODS:Retrospective and cross-sectional study of 434 patients with coronary heart disease, examini...
journal_title:Patient education and counseling
pub_type: 杂志文章
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更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:This study sought to explore the perceived influence of narrative medicine training on clinical skill development of fourth-year medical students, focusing on competencies mandated by ACGME and the RCPSC in areas of communication, collaboration, and professionalism. METHODS:Using grounded-theory, three metho...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.01.014
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:Communication inequality has been offered as one potential mechanism through which social determinants influence multiple health behaviors. The purpose of this study was to examine the underlying mechanisms between communication inequality and health behaviors. METHODS:Data from a nationally representative c...
journal_title:Patient education and counseling
pub_type: 杂志文章
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abstract:OBJECTIVE:The European Association of Communication in Healthcare (EACH) Early Career Researchers Network (ECRN) aims are to (1) promote international collaboration among young investigators and (2) provide a support network for future innovative communication research projects. In October 2009, Miami, USA at a worksho...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.06.020
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:We aimed to specifically examine patients' and caregivers' perspectives about the use of the vignette technique (VT) integrating clinical scenarios, as a potential tool for facilitating advance care planning (ACP) discussions. METHODS:Secondary analysis of data from three studies that incorporated the VT, fo...
journal_title:Patient education and counseling
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(94)90029-9
更新日期:1994-08-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(02)00020-4
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To investigate 1) younger (< 65) and older (> 65) adults' preference for and understanding of graph formats presenting risk information, and 2) the contribution of age, health literacy, numeracy and graph literacy in understanding information. MATERIALS AND METHODS:To assess preferences, participants (n = 21...
journal_title:Patient education and counseling
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更新日期:2021-01-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2015.05.019
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:Primary care providers (PCPs) are encouraged to counsel their obese patients about weight loss. We used focus groups to explore how PCPs communicate with patients about weight management. METHODS:During the summer of 2010, we conducted five focus groups of community-based PCPs who had patients enrolled in a ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.06.033
更新日期:2012-10-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.12.012
更新日期:2017-06-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.04.016
更新日期:2014-07-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.10.025
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To investigate the perspectives of general practitioners (GPs) on the practice of soliciting additional concerns (ACs) and the acceptability and utility of two brief interventions (prompts) designed to aid the solicitation. METHODS:Eighteen GPs participating in a feasibility randomised controlled trial were ...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2015.12.005
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Investigate the effects of disease management program (DMP) implementation on physical activity, smoking, and physical quality of life among chronically ill patients. METHODS:This study used a mixed-methods approach involving qualitative (35 interviews with project managers) and quantitative (survey of patie...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.12.017
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pub_type: 杂志文章
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更新日期:1993-05-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.02.004
更新日期:2007-07-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.08.023
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:Appropriate palliative care communication is pivotal to optimizing the quality of life in dying patients and their families. This review aims at describing communication patterns in palliative care and discussing potential relations between communication patterns and upcoming telecare in the practice of palli...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.07.002
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:This study explored the impact of breast cancer patients' experiences of physician-patient communication and participation in decision making on patient depression and quality of life three and six months after primary treatment. METHODS:Participants were 135 German breast cancer patients, recruited within a...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.09.005
更新日期:2009-12-01 00:00:00
abstract::Research in interaction and interviewing behaviors usually has focused on the verbal behaviors exhibited by the interactants. These behaviors have been looked upon and analyzed in isolation, that is, as a single event. There is little or no information on physician-patient interactions that analyzes verbal behaviors a...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(84)90052-1
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVES:To validate 2 new patient-reported measures of self-management support from health professionals for mood and emotional problems. METHODS:The sample comprised primary care patients with chronic physical conditions and co-morbid depressive symptoms enrolled in a randomized trial of telephone coaching of a de...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2017.06.002
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:The implementation of patient-centered care (PCC) innovations continues to be poorly understood. We used the implementation effectiveness framework to pilot a method for measuring the impact of a PCC innovation in primary care practices. METHODS:We analyzed data from a prior study that assessed the implement...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.09.009
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To investigate the applied and conceptual relationship between two measures of shared decision making using the OPTION instrument developed in Wales and the Informed Decision Making instrument developed in Seattle, USA using audio-taped consultation data from a UK general practice population. METHODS:Twelve ...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2007.09.001
更新日期:2008-01-01 00:00:00
abstract::Objective Chronic fatigue syndrome (CFS) patients report limited social support, which can affect symptom severity. Friends are a key source of social support for young adults with CFS, but there is limited research on friends' responses to the CFS label. We explored the potential benefits or harms of the CFS label fo...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2018.10.011
更新日期:2019-03-01 00:00:00