Skip to main content
padlock icon - secure page this page is secure

The role of cognitive appraisal and worry in BRCA1/2 testing decisions among a clinic population

Buy Article:

$53.00 + tax (Refund Policy)

Previous studies examining decision making in the context of genetic testing for BRCA1/2 gene mutations have been limited in their reliance on cross-sectional designs, lack of theoretical guidance, and focus on measures of intention rather than actual behavior. Informed by the Health Belief Model and other theories of self-regulation, the present study set out to examine the role of cognitive appraisal and worry in BRCA1/2 testing decisions. A total of 205 women completed baseline questionnaires prior to their genetic counselling appointment. Medical charts were audited to determine testing decisions. Bivariate analyses indicated that perceived severity of being a carrier and perceived benefits and barriers to testing were significantly associated with testing decisions. Perceived benefits remained significant in multivariate analyses. Moreover, multivariate analyses revealed a significant three-way interaction between perceived susceptibility, perceived severity, and worry about being a mutation carrier and testing decisions. Among women high in baseline worry, those high in perceived susceptibility but low in perceived severity were significantly more likely to undergo genetic testing than all other susceptibility/severity combinations (80% vs. 36.2-42.9% range; Wald test = 8.79, p < 0.01). These results support the need for researchers and practitioners to consider how interactions between cognition and worry may influence genetic testing decisions.
No Reference information available - sign in for access.
No Citation information available - sign in for access.
No Supplementary Data.
No Article Media
No Metrics

Keywords: Cognitive appraisal; Health Belief Model; decision making; genetic testing; self-regulation; worry

Document Type: Research Article

Affiliations: 1: Division of Population Science, Fox Chase Cancer Center, Philadelphia, PA, USA 2: Department of Psychology, University of Michigan, MI, USA 3: Department of Health Behavior and Health Education, University of Michigan, MI, USA 4: Department of Internal Medicine, University of Michigan, MI, USA,Comprehensive Cancer Center, University of Michigan, MI, USA

Publication date: August 1, 2007

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more