The study aims to determine whether there are differences in coping wi
th the threat of breast cancer between women with a family history of
such cancer and those with no such history. The sample consisted of 93
women who have a family history of breast cancer and 142 women who do
not have such a history (each group divided into four subgroups), all
of whom were referred to a breast health clinic in northern Israel. P
sychological distress was measured by the Brief Symptom Inventory pers
onal coping resources were measured by the Sense of Coherence scale, r
ite coping process was measured by the Health Opinion Survey, and the
denial mechanism was measured by denial scales. The results showed tha
t women at high risk for breast cancer who came to the clinic for a re
gular checkup and who had a symptom showed more symptoms of psychologi
cal distress than any of the other groups, The establishment of specia
l clinics for women with a family history of breast cancer is recommen
ded to provide counseling in coping skills in addition to medical exam
inations.