What Causes Cancer in Women with a gBRCA Pathogenic Variant? Counselees’ Causal Attributions and Associations with Perceived Control

dc.contributor.authorKendel, Friederike
dc.contributor.authorKlein, Katharina
dc.contributor.authorSchüürhuis, Stephen
dc.contributor.authorBesch, Laura
dc.contributor.authorFeufel, Markus A.
dc.contributor.authorSpeiser, Dorothee
dc.date.accessioned2022-09-19T12:56:51Z
dc.date.available2022-09-19T12:56:51Z
dc.date.issued2022-08-06
dc.date.updated2022-09-07T16:49:25Z
dc.description.abstractLaypersons have a strong need to explain critical life events, such as the development of an illness. Expert explanations do not always match the beliefs of patients. We therefore assessed causal attributions made by women with a pathogenic germline variant in BRCA1/2 (gBRCA1/2-PV), both with and without a cancer diagnosis. We assumed that attributions would be associated with the control experience. We conducted a cross-sectional study of N = 101 women with a gBRCA1/2-PV (mean age 43.3 ± 10.9). Women answered self-report questionnaires on perceived causes and control. Most women (97%) named genes as a causal factor for the development of cancer. Surprisingly, the majority of women also named stress and health behavior (both 81%), environment (80%), and personality (61%). Women with a cancer diagnosis tended to endorse more causes. The attributions to personality (ρ = 0.39, p < 0.01) health behavior (ρ = 0.44, p < 0.01), and environment (ρ = 0.22, p < 0.05) were significantly associated with personal control, whereas attribution to genes showed a small, albeit significant association with treatment control (ρ = 0.20, p < 0.05). Discussing causal beliefs in clinical counseling may provide a “window of opportunity” in which risk factors and health behaviors could be better addressed and individually targeted.en
dc.identifier.eissn2073-4425
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/17504
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-16285
dc.language.isoenen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subject.ddc570 Biowissenschaften; Biologiede
dc.subject.otherhereditary breast and ovarian canceren
dc.subject.othergBRCA1/2-PVen
dc.subject.othercausal attributionsen
dc.subject.otherpersonal controlen
dc.subject.othergenetic counselingen
dc.titleWhat Causes Cancer in Women with a gBRCA Pathogenic Variant? Counselees’ Causal Attributions and Associations with Perceived Controlen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.articlenumber1399en
dcterms.bibliographicCitation.doi10.3390/genes13081399en
dcterms.bibliographicCitation.issue8en
dcterms.bibliographicCitation.journaltitleGenesen
dcterms.bibliographicCitation.originalpublishernameMDPIen
dcterms.bibliographicCitation.originalpublisherplaceBaselen
dcterms.bibliographicCitation.volume13en
tub.accessrights.dnbfreeen
tub.affiliationFak. 5 Verkehrs- und Maschinensysteme::Inst. Psychologie und Arbeitswissenschaft::FG Arbeitswissenschaftde
tub.affiliation.facultyFak. 5 Verkehrs- und Maschinensystemede
tub.affiliation.groupFG Arbeitswissenschaftde
tub.affiliation.instituteInst. Psychologie und Arbeitswissenschaftde
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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