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| The first 150 words of the full text of this article appear below. |
EDITOR
An important aim of genetic risk
counselling is to confirm a level of cancer risk and offer risk
management strategies.1 By giving counsellees accurate
information about their risk, in place of ignorance, uncertainty, or a
false assumption of the inevitability of breast cancer, it is hoped
that some of the associated worry about personal risk may be alleviated.
Earlier work by the authors showed that women frequently
overestimate their risk of breast cancer,2 creating
the possibility of reassuring women by providing a more realistic risk
value. Subsequent research showed that risk counselling significantly improved risk accuracy over a one year follow up period, both for women
who overestimated and underestimated risk.3 This improvement was more likely if women were sent a personal letter containing the risk information after their visit.3
However, there was concern that accurate risk information may induce or increase anxiety in women referred for genetic
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