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Biomedical subjects

Lisa G Aspinwall

Publications and source records attributed to Lisa G Aspinwall.

2 recordsLinked to original sources

Patterns of photoprotection following CDKN2A/p16 genetic test reporting and counseling.

BACKGROUND: The impact of melanoma genetic testing and counseling on photoprotective behaviors is unknown. OBJECTIVE: To determine if genetic testing and counseling alter compliance with photoprotection recommendations. METHODS: Reported use of sunscreen, protective clothing, and sun avoidance by 59 members of CDKN2A/p16-mutation positive pedigrees was assessed as a function of mutation status and melanoma history, before, immediately after, and 1 month following test reporting. RESULTS: Intentions to practice all photoprotective behaviors increased in all participant groups (P < .0001). At 1 month, 33% of participants reported the adoption of a new photoprotective behavior. Subpopulation analyses identified different patterns of change in photoprotection relative to baseline (P < .005), with no net decline in any group. LIMITATIONS: This initial study of CDKN2A/p16 families is small and awaits replication in a larger sample. CONCLUSION: Melanoma genetic testing and counseling enhanced intentions to implement photoprotective strategies and did not result in reduced compliance in the CDKN2A/p16-subpopulation.

Adult↗

Taking positive changes seriously.

It is a common finding that 30-90% of people experiencing serious illness and other forms of adversity report increased quality of life and other positive life changes after their experience, yet there is still considerable disagreement among scientists and practitioners about whether such changes are real or beneficial. The current article identified four pervasive assumptions about positive emotions and beliefs that may limit progress in understanding and promoting resilience among survivors of cancer, namely, that positive beliefs and emotions are absent, dangerous, delusional, or trivial among people managing life-threatening illnesses. A review of evidence on each of these points suggested instead that positive emotions and beliefs seem not only to be associated with good outcomes among people experiencing adversity, but also to play a role in realizing them. Implications for the study of positive beliefs, emotions, and life changes among survivors of cancer and for interventions to promote mental and physical health were discussed.

Adaptation, Psychological↗