ArticlePsycho-oncology2026
"A Much Needed Specialist Service": Patient Perspectives on Hereditary Cancer Risk Psychology Service Delivery and Future Service Development.
Article in Psycho-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo evaluate a pilot specialist clinical psychology service for patients who have hereditary risk of breast and ovarian cancer (HBOC).
methodsMulti-method study reviewing 51 patients' demographic data, their engagement with the service and psychological assessment data (PHQ-9 and GAD-7). Additionally, a reflexive thematic analysis was conducted on 16 patients' responses to patient feedback forms.
resultsThis study reviewed patients referred to this service, their engagement with interventions, and outcomes of interventions. Proportions of attendees experiencing clinical levels of depression and anxiety at intake decreased across moderate and severe levels at discharge with large effect sizes for both (d = 1.38 and d = 1.87). Patient feedback indicated very high levels of satisfaction, with the specialist nature of the service and dedicated time highlighted as particular strengths.
conclusionsDemographics reflect the national setting as well as clinical characteristics of this cohort with 49% not having an identified genetic variant. Anxiety and depression symptoms among referred patients indicate elevated clinical needs relative to previously reported means for HBOC patients. Important learnings to consider for service development include: embedded service provision; supporting connections with family and peers; flexibility; and creation of more access points to the service. To our knowledge, this is the first study evaluating a pilot psychology service dedicated to individuals with HBOC. The findings support the value of a dedicated psychological service for people with HBOC and have implications for the design and delivery of such a service.
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