{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T03:15:42Z","timestamp":1781320542113,"version":"3.54.1"},"reference-count":46,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T00:00:00Z","timestamp":1673913600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014840","name":"Innovation Fund of the German Federal Joint Committee","doi-asserted-by":"publisher","award":["01VSF17043"],"award-info":[{"award-number":["01VSF17043"]}],"id":[{"id":"10.13039\/501100014840","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/ijerph20031684","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T05:40:02Z","timestamp":1673934002000},"page":"1684","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Coping Self-Efficacy and Its Relationship with Psychological Morbidity after Genetic Test Result Disclosure: Results from Cancer-Unaffected BRCA1\/2 Mutation Carriers"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5196-5716","authenticated-orcid":false,"given":"Anna","family":"Isselhard","sequence":"first","affiliation":[{"name":"Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Lautz","sequence":"additional","affiliation":[{"name":"Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maren","family":"T\u00f6pper","sequence":"additional","affiliation":[{"name":"Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9669-5657","authenticated-orcid":false,"given":"Kerstin","family":"Rhiem","sequence":"additional","affiliation":[{"name":"Center for Hereditary Breast and Ovarian Cancer and Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Schmutzler","sequence":"additional","affiliation":[{"name":"Center for Hereditary Breast and Ovarian Cancer and Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Vitinius","sequence":"additional","affiliation":[{"name":"Department of Psychosomatics and Psychotherapy, Faculty of Medicine, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Psychosomatics and Psychotherapy, Faculty of Medicine, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4704-4401","authenticated-orcid":false,"given":"Birte","family":"Berger-H\u00f6ger","sequence":"additional","affiliation":[{"name":"Institute for Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany"},{"name":"Institute for Health and Nursing Science, Faculty of Medicine Martin Luther University Halle-Wittenberg, 06112 Halle (Saale), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Steckelberg","sequence":"additional","affiliation":[{"name":"Institute for Health and Nursing Science, Faculty of Medicine Martin Luther University Halle-Wittenberg, 06112 Halle (Saale), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolina","family":"Beifus","sequence":"additional","affiliation":[{"name":"Center for Health Economics and Health Services Research, Schumpeter School of Business and Economics, University of Wuppertal, 42119 Wuppertal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"K\u00f6berlein-Neu","sequence":"additional","affiliation":[{"name":"Center for Health Economics and Health Services Research, Schumpeter School of Business and Economics, University of Wuppertal, 42119 Wuppertal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1726-9300","authenticated-orcid":false,"given":"Stephanie","family":"Stock","sequence":"additional","affiliation":[{"name":"Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, 50924 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/1471-2407-7-152","article-title":"The BRCA1\/2 pathway prevents hematologic cancers in addition to breast and ovarian cancers","volume":"7","author":"Friedenson","year":"2007","journal-title":"BMC Cancer"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2402","DOI":"10.1001\/jama.2017.7112","article-title":"Risks of breast, ovarian, and contralateral breast cancer for BRCA1 and BRCA2 mutation carriers","volume":"317","author":"Kuchenbaecker","year":"2017","journal-title":"JAMA"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1007\/s10897-013-9667-2","article-title":"Seeking Balance: Decision Support Needs of Women Without Cancer and a Deleterious BRCA1 or BRCA2 Mutation","volume":"23","author":"Underhill","year":"2013","journal-title":"J. Genet. Couns."},{"key":"ref_4","first-page":"29","article-title":"Tamoxifen for women at high risk of breast cancer","volume":"6","author":"Nazarali","year":"2014","journal-title":"Breast Cancer"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1520","DOI":"10.1111\/tbj.13970","article-title":"Management of breast cancer risk in BRCA1\/2 mutation carriers who are unaffected with cancer","volume":"26","author":"Collins","year":"2020","journal-title":"Breast J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"v103","DOI":"10.1093\/annonc\/mdw327","article-title":"Prevention and screening in BRCA mutation carriers and other breast\/ovarian hereditary cancer syndromes: ESMO Clinical Practice Guidelines for cancer prevention and screening","volume":"27","author":"Cardoso","year":"2016","journal-title":"Ann. Oncol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2029","DOI":"10.1093\/annonc\/mdt134","article-title":"Substantial breast cancer risk reduction and potential survival benefit after bilateral mastectomy when compared with surveillance in healthy BRCA1 and BRCA2 mutation carriers: A prospective analysis","volume":"24","author":"Jager","year":"2013","journal-title":"Ann. Oncol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1001\/jama.2010.1237","article-title":"Association of risk-reducing surgery in BRCA1 or BRCA2 mutation carriers with cancer risk and mortality","volume":"304","author":"Domchek","year":"2010","journal-title":"JAMA"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1007\/s10689-012-9588-5","article-title":"Body image issues after bilateral prophylactic mastectomy with breast reconstruction in healthy women at risk for hereditary breast cancer","volume":"12","author":"Gopie","year":"2012","journal-title":"Fam. Cancer"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1001\/jama.2018.18942","article-title":"Risk-reducing mastectomy in BRCA1 and BRCA2 mutation carriers: A complex discussion","volume":"321","author":"Domchek","year":"2019","journal-title":"JAMA"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s10549-019-05152-9","article-title":"High-risk breast cancer surveillance with MRI: 10-year experience from the German consortium for hereditary breast and ovarian cancer","volume":"175","author":"Bick","year":"2019","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1472-6874-10-24","article-title":"Women\u2019s constructions of the \u2018right time\u2019 to consider decisions about risk-reducing mastectomy and risk-reducing oophorectomy","volume":"10","author":"Howard","year":"2010","journal-title":"BMC Women\u2019s Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1001\/jama.2011.766","article-title":"Effect of Screening on Ovarian Cancer Mortality","volume":"305","author":"Buys","year":"2011","journal-title":"JAMA"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1001\/jama.2017.21421","article-title":"Screening for Ovarian Cancer","volume":"319","author":"Henderson","year":"2018","journal-title":"JAMA"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12905-014-0150-5","article-title":"Risk-reducing salpingo-oophorectomy: A meta-analysis on impact on ovarian cancer risk and all cause mortality in BRCA 1 and BRCA 2 mutation carriers","volume":"14","author":"Marchetti","year":"2014","journal-title":"BMC Women\u2019s Health"},{"key":"ref_16","first-page":"543","article-title":"BRCA Carriers, Prophylactic Salpingo-Oophorectomy and Menopause: Clinical Management Considerations and Recommendations","volume":"8","author":"Finch","year":"2012","journal-title":"Women\u2019s Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1097\/AOG.0000000000003729","article-title":"Clinical Effects of Early or Surgical Menopause","volume":"135","author":"Kingsberg","year":"2020","journal-title":"Obstet. Gynecol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"3647","DOI":"10.1007\/s00520-019-04918-7","article-title":"Psychological aspects, risk and protective factors related to BRCA genetic testing: A review of the literature","volume":"27","author":"Lombardi","year":"2019","journal-title":"Support. Care Cancer"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.socscimed.2016.06.039","article-title":"\u201cIt\u2019s not if I get cancer, it\u2019s when I get cancer\u201d: BRCA-positive patients\u2019(un) certain health experiences regarding hereditary breast and ovarian cancer risk","volume":"163","author":"Dean","year":"2016","journal-title":"Soc. Sci. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"20516","DOI":"10.1038\/s41598-022-25014-7","article-title":"Author Correction: Physical activity and sleep behaviour in women carrying BRCA1\/2 mutations","volume":"12","author":"Galasso","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1111\/j.1552-6909.2002.tb00083.x","article-title":"An Evidence-Based Approach to Managing Women\u2019s Decisional Conflict","volume":"31","author":"Jacobsen","year":"2002","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_22","first-page":"330","article-title":"Effect of decision aid for breast cancer prevention on decisional conflict in women with a BRCA1 or BRCA2 mutation: A multisite, randomized, controlled trial","volume":"19","author":"Metcalfe","year":"2017","journal-title":"Anesthesia Analg."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Bandura, A., Freeman, W.H., and Lightsey, R. (1999). Self-Efficacy: The Exercise of Control, Springer.","DOI":"10.1891\/0889-8391.13.2.158"},{"key":"ref_24","first-page":"277","article-title":"An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patients","volume":"15","author":"Lev","year":"2001","journal-title":"Sch. Inq. Nurs. Pract."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1111\/tbj.12736","article-title":"Population-Based Study of Attitudes toward BRCA Genetic Testing among Orthodox Jewish Women","volume":"23","author":"Tang","year":"2017","journal-title":"Breast J."},{"key":"ref_26","first-page":"1","article-title":"Anxiety and depression symptoms among women attending group-based patient education courses for hereditary breast and ovarian cancer","volume":"15","author":"Eide","year":"2017","journal-title":"Hered. Cancer Clin. Pract."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1037\/0278-6133.19.5.487","article-title":"Social-cognitive predictors of health behavior: Action self-efficacy and coping self-efficacy","volume":"19","author":"Schwarzer","year":"2000","journal-title":"Health Psychol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13063-020-04431-x","article-title":"Implementation and evaluation of a nurse-led decision-coaching program for healthy breast cancer susceptibility gene (BRCA1\/2) mutation carriers: A study protocol for the randomized controlled EDCP-BRCA study","volume":"21","author":"Isselhard","year":"2020","journal-title":"Trials"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1348\/135910705X53155","article-title":"A validity and reliability study of the coping self-efficacy scale","volume":"11","author":"Chesney","year":"2006","journal-title":"Br. J. Health Psychol."},{"key":"ref_30","unstructured":"Snaith, R.P., and Zigmond, A.S. (2000). Hospital anxiety and depression scale (HADS). Handbook of Psychiatric Measures, American Psychiatric Association."},{"key":"ref_31","unstructured":"Herrmann-Lingen, C., Buss, U., and Snaith, P. (2011). Hospital Anxiety and Depression Scale-Deutsche Version (HADS-D), Huber."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1097\/00006842-197905000-00004","article-title":"Impact of Event Scale: A Measure of Subjective Stress","volume":"41","author":"Horowitz","year":"1979","journal-title":"Psychosom. Med."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Weiss, D.S. (2007). The impact of event scale: Revised. Cross-Cultural Assessment of Psychological Trauma and PTSD, Springer.","DOI":"10.1007\/978-0-387-70990-1_10"},{"key":"ref_34","first-page":"130","article-title":"Erfassung von psychischen Belastungsfolgen: Die Impact of Event Skala-revidierte Version (IES-R)","volume":"44","author":"Maercker","year":"1998","journal-title":"Diagnostica"},{"key":"ref_35","unstructured":"O\u2019Connor, A. (2000). User Manual\u2013Stage of Decision Making, Ottawa Hospital Research Institute."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1177\/0272989X9501500105","article-title":"Validation of a Decisional Conflict Scale","volume":"15","year":"1995","journal-title":"Med. Decis. Mak."},{"key":"ref_37","first-page":"15","article-title":"Die decisional conflict scale in deutscher sprache (DCS-D)\u2013dimensionale struktur in einer stichprobe von hausarztpatienten","volume":"4","author":"Buchholz","year":"2011","journal-title":"Klin. Diagn. Eval."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s12160-008-9060-9","article-title":"The Trajectory of Psychological Impact in BRCA1\/2 Genetic Testing: Does Time Heal?","volume":"36","author":"Beran","year":"2008","journal-title":"Ann. Behav. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1002\/pon.933","article-title":"Psychological impact of genetic testing for cancer susceptibility: An update of the literature","volume":"14","author":"Meiser","year":"2005","journal-title":"Psycho-Oncology"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1002\/pon.1291","article-title":"Psychological distress and quality of life associated with genetic testing for breast cancer risk","volume":"17","author":"Smith","year":"2008","journal-title":"Psycho-Oncology"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"36800","DOI":"10.18632\/oncotarget.15758","article-title":"A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life","volume":"8","author":"Chirico","year":"2017","journal-title":"Oncotarget"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s10549-022-06576-6","article-title":"Risk factors for psychological morbidity and the protective role of coping self-efficacy in young women with breast cancer early in diagnosis: A national multicentre cohort study","volume":"194","author":"Howell","year":"2022","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_43","first-page":"1229","article-title":"Predicting decisional conflict: Anxiety and depression in shared decision making","volume":"104","author":"Alpers","year":"2020","journal-title":"Patient Educ. Couns."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1037\/a0015205","article-title":"Cognitive and emotional factors predicting decisional conflict among high-risk breast cancer survivors who receive uninformative BRCA1\/2 results","volume":"28","author":"Rini","year":"2009","journal-title":"Health Psychol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12911-019-0872-2","article-title":"Effectiveness of decision aids for female BRCA1 and BRCA2 mutation carriers: A systematic review","volume":"19","author":"Krassuski","year":"2019","journal-title":"BMC Med. Inform. Decis. Mak."},{"key":"ref_46","first-page":"1","article-title":"Evaluation of two evidence-based decision aids for female BRCA1\/2 mutation carriers in Germany: Study protocol for a randomised controlled parallel-group trial","volume":"23","author":"Isselhard","year":"2022","journal-title":"Trials"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/3\/1684\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:08:20Z","timestamp":1760119700000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/3\/1684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,17]]},"references-count":46,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["ijerph20031684"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20031684","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,17]]}}}