[Psychosocial impact of the first oncogenetic consultation in a familial context of XXXX of the breast and the ovary].

@entity1 @entity0 @entity5 @entity1613
The purpose of the oncogenetic consultation, is to respond to @entity1 who wonder about their risk of developing a @entity5 and wish to learn about ways of prevention and detection. The object of this investigation is (1) to study the impact of a first consultation in genetics on the quality of life and the psychology of @entity1 with a family history of @entity5 , and @entity1 with or without family antecedents but who suffered themselves from @entity0 at an early age (< or = 35 years); (2) to evaluate their risk perception and their comprehension of the information after the consultation. The study was performed on 200 @entity1 attending a first consultation at Institut Curie. Fifty-nine of them had no @entity5 . Among the 141 consultants with @entity5 , 54 had developed @entity0 at an early age (< or = 35 years). Their quality of life, their psychological state and their knowledge of the risk of @entity0 were evaluated before consulting and 6-8 months afterwards. Before consulting, their quality of life was altered in some (non-relational) fields but their psychic condition was relatively maintained. Six-nine months after consulting, their quality of life had not deteriorated, but tests results on their psychological state were not as good. The @entity1613 , itself related to the medical status of the consulting @entity1 , was the most significant predictor of their quality of life a few months after their first genetics consultation. After consulting, the @entity1 expressed satisfaction with the information delivered by the genetician and their appreciation of @entity5 risks was improved.
