Genetic Test Reporting and Counseling for Melanoma Risk in Minors May Improve Sun Protection Without Inducing Distress

Tammy K. Stump, Lisa G. Aspinwall, Wendy Kohlmann, Marjan Champine, Jamie Hauglid, Yelena P. Wu, Emily Scott, Pamela Cassidy, Sancy Leachman

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Genetic testing of minors is advised only for conditions in which benefits of early intervention outweigh potential psychological harms. This study investigated whether genetic counseling and test reporting for the CDKN2A/p16 mutation, which confers highly elevated melanoma risk, improved sun protection without inducing distress. Eighteen minors (Mage = 12.4, SD = 1.9) from melanoma-prone families completed measures of protective behavior and distress at baseline, 1 week (distress only), 1 month, and 1 year following test disclosure. Participants and their mothers were individually interviewed on the psychological and behavioral impact of genetic testing 1 month and 1 year post-disclosure. Carriers (n = 9) and noncarriers (n = 9) reported significantly fewer sunburns and a greater proportion reported sun protection adherence between baseline and 1 year post-disclosure; results did not vary by mutation status. Anxiety symptoms remained low post-disclosure, while depressive symptoms and cancer worry decreased. Child and parent interviews corroborated these findings. Mothers indicated that genetic testing was beneficial (100%) because it promoted risk awareness (90.9%) and sun protection (81.8%) without making their children scared (89.9%); several noted their child’s greater independent practice of sun protection (45.4%). In this small initial study, minors undergoing CDKN2A/p16 genetic testing reported behavioral improvements and consistently low distress, suggesting such testing may be safely implemented early in life, allowing greater opportunity for risk-reducing lifestyle changes.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalJournal of Genetic Counseling
DOIs
StateAccepted/In press - Jan 19 2018

Fingerprint

Minors
Disclosure
Genetic Testing
Solar System
Counseling
Melanoma
Mothers
Psychology
Sunburn
Behavioral Genetics
Mutation
Genetic Counseling
Life Style
Anxiety
Interviews
Depression
Neoplasms

Keywords

  • CDKN2A/p16
  • Children
  • Familial melanoma
  • Genetic counseling
  • Prevention
  • Sun protection

ASJC Scopus subject areas

  • Genetics(clinical)

Cite this

Genetic Test Reporting and Counseling for Melanoma Risk in Minors May Improve Sun Protection Without Inducing Distress. / Stump, Tammy K.; Aspinwall, Lisa G.; Kohlmann, Wendy; Champine, Marjan; Hauglid, Jamie; Wu, Yelena P.; Scott, Emily; Cassidy, Pamela; Leachman, Sancy.

In: Journal of Genetic Counseling, 19.01.2018, p. 1-13.

Research output: Contribution to journalArticle

Stump, Tammy K. ; Aspinwall, Lisa G. ; Kohlmann, Wendy ; Champine, Marjan ; Hauglid, Jamie ; Wu, Yelena P. ; Scott, Emily ; Cassidy, Pamela ; Leachman, Sancy. / Genetic Test Reporting and Counseling for Melanoma Risk in Minors May Improve Sun Protection Without Inducing Distress. In: Journal of Genetic Counseling. 2018 ; pp. 1-13.
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