Coping Self-Efficacy and Its Relationship with Psychological Morbidity after Genetic Test Result Disclosure: Results from Cancer-Unaffected BRCA1/2 Mutation Carriers

Anna Isselhard (), Zoe Lautz, Maren Töpper, Kerstin Rhiem, Rita Schmutzler, Frank Vitinius, Hannah Fischer, Birte Berger-Höger, Anke Steckelberg, Karolina Beifus, Juliane Köberlein-Neu and Stephanie Stock
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Anna Isselhard: Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany
Zoe Lautz: Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany
Maren Töpper: Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany
Kerstin Rhiem: Center for Hereditary Breast and Ovarian Cancer and Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, 50924 Cologne, Germany
Rita Schmutzler: Center for Hereditary Breast and Ovarian Cancer and Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, 50924 Cologne, Germany
Frank Vitinius: Department of Psychosomatics and Psychotherapy, Faculty of Medicine, University Hospital Cologne, 50924 Cologne, Germany
Hannah Fischer: Department of Psychosomatics and Psychotherapy, Faculty of Medicine, University Hospital Cologne, 50924 Cologne, Germany
Birte Berger-Höger: Institute for Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
Anke Steckelberg: Institute for Health and Nursing Science, Faculty of Medicine Martin Luther University Halle-Wittenberg, 06112 Halle (Saale), Germany
Karolina Beifus: Center for Health Economics and Health Services Research, Schumpeter School of Business and Economics, University of Wuppertal, 42119 Wuppertal, Germany
Juliane Köberlein-Neu: Center for Health Economics and Health Services Research, Schumpeter School of Business and Economics, University of Wuppertal, 42119 Wuppertal, Germany
Stephanie Stock: Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany

IJERPH, 2023, vol. 20, issue 3, 1-12

Abstract: Women who are found to carry a BRCA1/2 pathogenic variant experience psychological distress due to an increased risk of breast and ovarian cancer. They may decide between different preventive options. In this secondary analysis of data collected alongside a larger randomized controlled trial, we are looking at 130 newly found BRCA1/2 pathogenic variant carriers and how their coping self-efficacy immediately after genetic test result disclosure is related to their psychological burden and status of preventive decision making. Participants received the Coping Self-Efficacy Scale, the Hospital Anxiety and Depression Scale, the Impact of Event Scale, the Decisional Conflict Scale, and the Stage of Decision-Making Scale after positive genetic test result disclosure. We found that women with higher coping self-efficacy showed fewer symptoms of anxiety or depression and were less affected by receiving the genetic test result in terms of post-traumatic stress. However, coping self-efficacy had no relationship with any decision-related criteria, such as decisional conflict or stage of decision making. This shows that despite its buffering capacity on psychological burden, possessing coping self-efficacy does not lead to more decisiveness in preference-sensitive decisions.

Keywords: BRCA1; BRCA2; self-efficacy; psychological burden; anxiety; breast cancer (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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