Lerman C, Croyle R T
Department of Medicine and Psychiatry, Georgetown University Medical Center, Washington, DC, USA.
Oncology (Williston Park). 1996 Feb;10(2):191-5, 9; discussion 200-2.
As genetic testing for susceptibility to cancer becomes more widely available, cancer-care providers will become more involved in counseling patients about cancer risks and the meaning of genetic test results. As a result, oncologists and oncology nurses need to be aware of the unique psychological issues and challenges posed by genetic testing for cancer susceptibility. This paper first describes a psychological profile of individuals who are likely to opt for such testing, based on extrapolation from studies of people at high risk of cancer. It also discusses the possible adverse emotional responses individuals may have to learning test results, and offers suggestions for preventing or lessening these psychological consequences. In addition, the article explores a wide range of issues relating to the genetic counseling process and the impact of genetic information on family relationships.
随着癌症易感性基因检测的普及，癌症护理提供者将更多地参与到为患者提供癌症风险咨询以及解读基因检测结果的意义中来。因此，肿瘤学家和肿瘤护理护士需要了解癌症易感性基因检测所带来的独特心理问题和挑战。本文首先基于对癌症高危人群的研究推断，描述了可能选择此类检测的个体的心理特征。它还讨论了个体得知检测结果后可能产生的不良情绪反应，并提出了预防或减轻这些心理后果的建议。此外，本文探讨了与基因咨询过程以及基因信息对家庭关系影响相关的一系列问题。
