Comprehensive Support for Young Women with BRCA Variants

Impact of BRCA Variants on Young Women’s Lives

The discovery of BRCA PVs often leads to feelings of anxiety and uncertainty regarding future health outcomes. Research indicates that the lifetime risk of breast cancer for BRCA1 carriers is approximately 70%, with ovarian cancer risks reaching up to 44% (Kuchenbaecker et al., 2017). The psychological burden that accompanies this knowledge can be substantial, with many women experiencing distress that impacts decision-making regarding risk-reduction strategies and family planning (Hesse-Biber et al., 2022).

A study highlighted that young women in Norway often struggle with the pressure of making health-related decisions, especially concerning preventive surgeries and surveillance (Johnsen & Strømsvik, 2025). The urgency to manage cancer risk adds complexity to their lives, particularly as they navigate the transitional phase into adulthood, which includes decisions about education, work, and family (Godino et al., 2019).

Table 1: Summary of Cancer Risks for BRCA Carriers

Navigating Genetic Counseling and Testing Experiences

Genetic counseling serves as a critical component in the process of understanding BRCA testing. Women often perceive genetic counseling as a source of valuable information that aids in making informed decisions (Johnsen & Strømsvik, 2025). However, the experience can be overwhelming, particularly when participants are faced with complex information about their health risks and the implications of their genetic status.

The decision to undergo testing is typically made autonomously, although influences from family, particularly parents, can play a significant role. Many young women express relief upon receiving their test results, even if the news is unfavorable, as it allows them to move forward with a clear understanding of their health risks (Dean et al., 2017).

Key Findings on Genetic Counseling Experiences

1. Need for Additional Information: Many women enter genetic counseling with limited knowledge and express a desire for more comprehensive resources that explain the implications of their BRCA status (Johnsen & Strømsvik, 2025).

2. Impact on Future Decision-Making: The psychological impact of knowing one’s genetic status can lead to significant stress regarding family planning and health management decisions (Hesse-Biber et al., 2022).

3. Social and Psychological Support Needs: There is a pronounced need for support groups tailored specifically for young women with BRCA PVs, as many feel isolated in their experiences (Johnsen & Strømsvik, 2025).

Social and Psychological Support Needs for BRCA Carriers

Young women identified with BRCA PVs often report feelings of loneliness and isolation, especially when they lack peer support. The need for community and connection with others who share similar experiences is essential for emotional well-being. Educational support groups can provide a vital platform for sharing experiences, coping strategies, and emotional support (Johnsen & Strømsvik, 2025).

Table 2: Suggested Features of Effective Educational Support Groups

Importance of Educational Support Groups for Young Women

The establishment of educational support groups specifically designed for young women with BRCA PVs is imperative. These groups should focus on:

• Providing Information: Participants should receive clear, accessible information about the implications of BRCA testing and risk management options (Hesse-Biber et al., 2022).
• Creating Community: Support groups can help alleviate feelings of loneliness and provide a sense of belonging, allowing young women to share their journeys and learn from one another (Johnsen & Strømsvik, 2025).

The development of these support systems can lead to improved mental health outcomes and help women feel empowered in their decision-making processes regarding their health.

Frequently Asked Questions (FAQ)

What are BRCA variants?

BRCA variants refer to mutations in the BRCA1 and BRCA2 genes, which are associated with a significantly increased risk of breast and ovarian cancers.

At what age can women undergo genetic testing for BRCA variants?

In Norway, women can undergo genetic testing from the age of

How can educational support groups help young women with BRCA variants?

These groups provide a safe space for young women to share experiences, receive information, and gain emotional support from peers facing similar challenges.

What psychological impacts do BRCA variants have on young women?

Young women often experience anxiety, fear of cancer, and pressure regarding family planning due to their increased cancer risk.

How can I find support if I am a young woman with a BRCA variant?

You can seek support through genetic counseling services, local health organizations, or online support groups specifically for BRCA carriers.

References

1. Johnsen, K. B., & Strømsvik, N. (2025). Need for specially designed educational support groups: Young women’s experiences of being identified with BRCA pathogenic variants. Journal of Genetic Counseling, 34, e1980
2. Hesse-Biber, S., Seven, M., Jiang, J., Schaik, S. V., & Dwyer, A. A. (2022). Impact of BRCA status on reproductive decision-making and self-concept: A mixed-methods study on forming the development of tailored interventions. Cancers (Basel), 14(6), 1494. https://doi.org/10.3390/cancers14061494
3. Kuchenbaecker, K. B., Hopper, J. L., Barnes, D. R., Phillips, K. A., Mooij, T. M., Roos-Blom, M. J., Jervis, S., van Leeuwen, F. E., Milne, R. L., Andrieu, N., Goldgar, D. E., Terry, M. B., Rookus, M. A., Easton, D. F., Antoniou, A. C., McGuffog, L., Evans, D. G., Barrowdale, D., Frost, D., & Olsson, H. (2017). Risks of breast, ovarian, and contralateral breast cancer for BRCA1 and BRCA2 mutation carriers. JAMA, 317(23), 2402–2416. https://doi.org/10.1001/jama.2017.7112
4. Dean, M., & Fisher, C. L. (2019). Uncertainty and previvors’ cancer risk management: Understanding the decision-making process. Journal of Applied Communication Research, 47(4), 460–483
5. Godino, L., Turchetti, D., Jackson, L., Hennessy, C., & Skirton, H. (2016). Impact of presymptomatic genetic testing on young adults: A systematic review. European Journal of Human Genetics, 24(4), 496–503. https://doi.org/10.1038/ejhg.2015.153