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There was a negative association between health motivation and BDI scores (r:-0.433, p\u2009&lt;\u20090.001). Married individuals had higher BDI and STAI-S scores (p\u2009=\u20090.001, p\u2009=\u20090.01 respectively), as well as lower STAI-T scores (p\u2009=\u20090.006). BDI, STAI-S and STAI-T scores were higher in those refusing genetic testing (p\u2009&lt;\u20090.001, p\u2009&lt;\u20090.001, p\u2009=\u20090.003 respectively) and those with metastases (p\u2009=\u20090.03, p\u2009=\u20090.01, p\u2009=\u20090.03 respectively). Furthermore, individuals with low health motivation were more likely to exhibit high BDI scores (p\u2009&lt;\u20090.001) and low STAI-T scores (p\u2009=\u20090.02).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Common perceptions and beliefs about cancer and genetic testing during genetic counselling were found to have a negative impact on distress in high-risk women with breast cancer. The negative relationship between psychological distress and health motivation may reduce patients' compliance with genetic counselling recommendations. A comprehensive psychological evaluation should be considered as an important part of genetic counselling.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00520-024-08573-5","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T04:01:41Z","timestamp":1715832101000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with psychological distress during genetic counseling in high-risk women with breast cancer in Turkey"],"prefix":"10.1007","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7804-5434","authenticated-orcid":false,"given":"Dilek","family":"Anuk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8023-3223","authenticated-orcid":false,"given":"Seref Bugra","family":"Tuncer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2981-9541","authenticated-orcid":false,"given":"Mine","family":"\u00d6zkan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8919-0482","authenticated-orcid":false,"given":"H\u00fclya","family":"Yaz\u0131c\u0131","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,16]]},"reference":[{"issue":"3","key":"8573_CR1","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1300\/J013v37n03_07","volume":"37","author":"S Sheinfeld Gorin","year":"2003","unstructured":"Sheinfeld Gorin S, Albert SM (2003) The meaning of risk to first degree relatives of women with breast cancer. 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