File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Hopefulness predicts resilience after hereditary colorectal cancer genetic testing: A prospective outcome trajectories study

TitleHopefulness predicts resilience after hereditary colorectal cancer genetic testing: A prospective outcome trajectories study
Authors
Issue Date2010
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmccancer/
Citation
Bmc Cancer, 2010, v. 10 How to Cite?
AbstractBackground -: Genetic testing for hereditary colorectal cancer (HCRC) had significant psychological consequences for test recipients. This prospective longitudinal study investigated the factors that predict psychological resilience in adults undergoing genetic testing for HCRC.Methods -: A longitudinal study was carried out from April 2003 to August 2006 on Hong Kong Chinese HCRC family members who were recruited and offered genetic testing by the Hereditary Gastrointestinal Cancer Registry to determine psychological outcomes after genetic testing. Self-completed questionnaires were administered immediately before (pre-disclosure baseline) and 2 weeks, 4 months and 1 year after result disclosure. Using validated psychological inventories, the cognitive style of hope was measured at baseline, and the psychological distress of depression and anxiety was measured at all time points.Results -: Of the 76 participating subjects, 71 individuals (43 men and 28 women; mean age 38.9 ± 9.2 years) from nine FAP and 24 HNPCC families completed the study, including 39 mutated gene carriers. Four patterns of outcome trajectories were created using established norms for the specified outcome measures of depression and anxiety. These included chronic dysfunction (13% and 8.7%), recovery (0% and 4.3%), delayed dysfunction (13% and 15.9%) and resilience (76.8% and 66.7%). Two logistic regression analyses were conducted using hope at baseline to predict resilience, with depression and anxiety employed as outcome indicators. Because of the small number of participants, the chronic dysfunction and delayed dysfunction groups were combined into a non-resilient group for comparison with the resilient group in all subsequent analysis. Because of low frequencies, participants exhibiting a recovery trajectory (n = 3 for anxiety and n = 0 for depression) were excluded from further analysis. Both regression equations were significant. Baseline hope was a significant predictor of a resilience outcome trajectory for depression (B = -0.24, p < 0.01 for depression); and anxiety (B = -0.11, p = 0.05 for anxiety).Conclusions -: The current findings suggest that hopefulness may predict resilience after HCRC genetic testing in Hong Kong Chinese. Interventions to increase the level of hope may be beneficial to the psychological adjustment of CRC genetic testing recipients. © 2010 Ho et al; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/124081
ISSN
2015 Impact Factor: 3.265
2015 SCImago Journal Rankings: 1.627
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHo, SMYen_HK
dc.contributor.authorHo, JWCen_HK
dc.contributor.authorBonanno, GAen_HK
dc.contributor.authorChu, ATWen_HK
dc.contributor.authorChan, EMSen_HK
dc.date.accessioned2010-10-21T07:30:06Z-
dc.date.available2010-10-21T07:30:06Z-
dc.date.issued2010en_HK
dc.identifier.citationBmc Cancer, 2010, v. 10en_HK
dc.identifier.issn1471-2407en_HK
dc.identifier.urihttp://hdl.handle.net/10722/124081-
dc.description.abstractBackground -: Genetic testing for hereditary colorectal cancer (HCRC) had significant psychological consequences for test recipients. This prospective longitudinal study investigated the factors that predict psychological resilience in adults undergoing genetic testing for HCRC.Methods -: A longitudinal study was carried out from April 2003 to August 2006 on Hong Kong Chinese HCRC family members who were recruited and offered genetic testing by the Hereditary Gastrointestinal Cancer Registry to determine psychological outcomes after genetic testing. Self-completed questionnaires were administered immediately before (pre-disclosure baseline) and 2 weeks, 4 months and 1 year after result disclosure. Using validated psychological inventories, the cognitive style of hope was measured at baseline, and the psychological distress of depression and anxiety was measured at all time points.Results -: Of the 76 participating subjects, 71 individuals (43 men and 28 women; mean age 38.9 ± 9.2 years) from nine FAP and 24 HNPCC families completed the study, including 39 mutated gene carriers. Four patterns of outcome trajectories were created using established norms for the specified outcome measures of depression and anxiety. These included chronic dysfunction (13% and 8.7%), recovery (0% and 4.3%), delayed dysfunction (13% and 15.9%) and resilience (76.8% and 66.7%). Two logistic regression analyses were conducted using hope at baseline to predict resilience, with depression and anxiety employed as outcome indicators. Because of the small number of participants, the chronic dysfunction and delayed dysfunction groups were combined into a non-resilient group for comparison with the resilient group in all subsequent analysis. Because of low frequencies, participants exhibiting a recovery trajectory (n = 3 for anxiety and n = 0 for depression) were excluded from further analysis. Both regression equations were significant. Baseline hope was a significant predictor of a resilience outcome trajectory for depression (B = -0.24, p < 0.01 for depression); and anxiety (B = -0.11, p = 0.05 for anxiety).Conclusions -: The current findings suggest that hopefulness may predict resilience after HCRC genetic testing in Hong Kong Chinese. Interventions to increase the level of hope may be beneficial to the psychological adjustment of CRC genetic testing recipients. © 2010 Ho et al; licensee BioMed Central Ltd.en_HK
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmccancer/en_HK
dc.relation.ispartofBMC Canceren_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshAdaptation, Psychological-
dc.subject.meshAdult-
dc.subject.meshColonic Neoplasms - diagnosis - genetics - psychology-
dc.subject.meshGenetic Testing - psychology-
dc.subject.meshResilience, Psychological-
dc.titleHopefulness predicts resilience after hereditary colorectal cancer genetic testing: A prospective outcome trajectories studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1471-2407&volume=10 article no. 279&spage=&epage=&date=2010&atitle=Hopefulness+predicts+resilience+after+hereditary+colorectal+cancer+genetic+testing:+a+prospective+outcome+trajectories+study-
dc.identifier.emailHo, SMY: munyin@hkucc.hku.hken_HK
dc.identifier.authorityHo, SMY=rp00554en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/1471-2407-10-279en_HK
dc.identifier.pmid20537192-
dc.identifier.pmcidPMC2891641-
dc.identifier.scopuseid_2-s2.0-77953313929en_HK
dc.identifier.hkuros171404-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77953313929&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume10en_HK
dc.identifier.isiWOS:000279794800001-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridHo, SMY=25722730500en_HK
dc.identifier.scopusauthoridHo, JWC=7402649983en_HK
dc.identifier.scopusauthoridBonanno, GA=7101685888en_HK
dc.identifier.scopusauthoridChu, ATW=36150389800en_HK
dc.identifier.scopusauthoridChan, EMS=10840694600en_HK
dc.identifier.citeulike7297857-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats