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Erschienen in: Journal of Genetic Counseling 4/2006

01.08.2006 | Original Research

What Do We Tell the Children? Contrasting the Disclosure Choices of Two HD Families Regarding Risk Statusand Predictive Genetic Testing

verfasst von: Kathryn Holt

Erschienen in: Journal of Genetic Counseling | Ausgabe 4/2006

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Abstract

Above all else, predictive genetic testing provides information. Gaining insight into the psychosocial effects of this information is a primary goal of genetic counseling. For individuals utilizing predictive genetic testing, the acquisition of genetic information requires choices regarding disclosure within the family. This study uses a phenomenological methodology to explore the contrasting choices of two sets of HD parents regarding the disclosure of genetic risk status to their children. Additionally, the children (now adults) discuss their lived experience growing up with contrasting disclosure dynamics, and their current views regarding the use of predictive genetic testing for themselves. The primary finding of this study is that all of the adult children now express preference for early disclosure of genetic risk and an open/supportive communication style regarding HD. This finding has value for clinicians working with HD families who must make decisions regarding disclosure issues related to predictive genetic testing.
Literatur
Zurück zum Zitat Agan, N., & Gregg, A. R. (2002). Elements of a genetics counseling service. Obstet Gynecol Clin North Amer, 29, 255.CrossRef Agan, N., & Gregg, A. R. (2002). Elements of a genetics counseling service. Obstet Gynecol Clin North Amer, 29, 255.CrossRef
Zurück zum Zitat Bowen, D. J., Bourcier, E., Press, N., Lewis, F. M., & Burke, W. (2004). Effects of individual and family functioning on interest in genetic testing. Commun Genet, 7, 25.CrossRef Bowen, D. J., Bourcier, E., Press, N., Lewis, F. M., & Burke, W. (2004). Effects of individual and family functioning on interest in genetic testing. Commun Genet, 7, 25.CrossRef
Zurück zum Zitat Broadstock, M., Michie, S., & Marteau, T. M. (2000). The psychological consequences of predictive genetic testing: A systematic review. Eur J Hum Genet, 8, 731.PubMedCrossRef Broadstock, M., Michie, S., & Marteau, T. M. (2000). The psychological consequences of predictive genetic testing: A systematic review. Eur J Hum Genet, 8, 731.PubMedCrossRef
Zurück zum Zitat Brouwer-DudokdeWit, A. C., Savenije, A., Zoeteweij, M. W., Maat-Kievit, A., & Tibben, A. (2002). A hereditary disorder in the family and the family life cycle: Huntington disease as a paradigm. Fam Proc, 41, 677.CrossRef Brouwer-DudokdeWit, A. C., Savenije, A., Zoeteweij, M. W., Maat-Kievit, A., & Tibben, A. (2002). A hereditary disorder in the family and the family life cycle: Huntington disease as a paradigm. Fam Proc, 41, 677.CrossRef
Zurück zum Zitat Bury, M. R. (1991). The sociology of chronic illness: A review of research and prospects. Sociol Health Illness, 13, 451.CrossRef Bury, M. R. (1991). The sociology of chronic illness: A review of research and prospects. Sociol Health Illness, 13, 451.CrossRef
Zurück zum Zitat Chaffee, S. H., & McLeod, J. M. (1972). Adolescent television used in the family context. In G. A. Comstock & E. A. Rubinstein (Eds.), Television and social behavior: Volume 3. Television and adolescent aggression (DHEW Publication No. HSM 72-9058, pp. 149–172). Washington, DC: US Government Printing Office. Chaffee, S. H., & McLeod, J. M. (1972). Adolescent television used in the family context. In G. A. Comstock & E. A. Rubinstein (Eds.), Television and social behavior: Volume 3. Television and adolescent aggression (DHEW Publication No. HSM 72-9058, pp. 149–172). Washington, DC: US Government Printing Office.
Zurück zum Zitat Chapman, E. (2002). Ethical dilemmas in testing for late onset conditions: Reactions to testing and perceived impact on other family members. J Genet Counsel, 11, 351.CrossRef Chapman, E. (2002). Ethical dilemmas in testing for late onset conditions: Reactions to testing and perceived impact on other family members. J Genet Counsel, 11, 351.CrossRef
Zurück zum Zitat Chapman, E., & Smith, J. A. (2002). Interpretative Phenomenological Analysis and the new genetics. J Health Psychol, 7, 125.CrossRef Chapman, E., & Smith, J. A. (2002). Interpretative Phenomenological Analysis and the new genetics. J Health Psychol, 7, 125.CrossRef
Zurück zum Zitat Croyle, R. T., & Lerman, C. (1999). Risk communication in genetic testing for cancer susceptibility. J Nat Cancer Inst Monogr, 25, 59. Croyle, R. T., & Lerman, C. (1999). Risk communication in genetic testing for cancer susceptibility. J Nat Cancer Inst Monogr, 25, 59.
Zurück zum Zitat d’Agincourt-Canning, L. (2001). Experiences of genetic risk: Disclosure and the gendering of responsibility. Bioethics, 15, 231.PubMedCrossRef d’Agincourt-Canning, L. (2001). Experiences of genetic risk: Disclosure and the gendering of responsibility. Bioethics, 15, 231.PubMedCrossRef
Zurück zum Zitat Dawson, S., Kristjanson, L. J., Toye, C. M., & Flett, P. (2004). Living with Huntington's disease: Need for supportive care. Nurs Health Sci, 6, 123.PubMedCrossRef Dawson, S., Kristjanson, L. J., Toye, C. M., & Flett, P. (2004). Living with Huntington's disease: Need for supportive care. Nurs Health Sci, 6, 123.PubMedCrossRef
Zurück zum Zitat Evers-Kiebooms, G., Nys, K., Harper, P., Zoeteweij, M., Durr, A., Jacopini, G., et al. (2002). Predictive DNA testing for Huntington's disease and reproductive decision making: A European collaborative study. Eur J Hum Genet, 10, 167.PubMedCrossRef Evers-Kiebooms, G., Nys, K., Harper, P., Zoeteweij, M., Durr, A., Jacopini, G., et al. (2002). Predictive DNA testing for Huntington's disease and reproductive decision making: A European collaborative study. Eur J Hum Genet, 10, 167.PubMedCrossRef
Zurück zum Zitat Forrest, K., Simpson, S. A., Wilson, B. J., van Teiflingen, E. R., McKee, L., Haites, N., et al. (2003). To tell or not to tell: Barriers and facilitators in family communication about genetic risk. Clin Genet, 64, 317.PubMedCrossRef Forrest, K., Simpson, S. A., Wilson, B. J., van Teiflingen, E. R., McKee, L., Haites, N., et al. (2003). To tell or not to tell: Barriers and facilitators in family communication about genetic risk. Clin Genet, 64, 317.PubMedCrossRef
Zurück zum Zitat Hagoel, L., Dishon, S., Almog, R., Silman, Z., Bisland-Becktell, S., & Rennert, G. (2000). Proband family uptake of familial-genetic counseling. Psychooncology, 9, 522.PubMedCrossRef Hagoel, L., Dishon, S., Almog, R., Silman, Z., Bisland-Becktell, S., & Rennert, G. (2000). Proband family uptake of familial-genetic counseling. Psychooncology, 9, 522.PubMedCrossRef
Zurück zum Zitat HDSA (2005). Fast Facts about HD. Huntington's Disease Society of America. Website. Retrieved on 2/1/2006 from http://www.hdsa.org/site/PageServer?pagename=help_info_ ed_publications_for_download HDSA (2005). Fast Facts about HD. Huntington's Disease Society of America. Website. Retrieved on 2/1/2006 from http://​www.​hdsa.​org/​site/​PageServer?​pagename=​help_​info_​ ed_publications_for_download
Zurück zum Zitat Kenen, R., Ardern-Jones, A., & Eeles, R. (2004). We are talking, but are they listening? Communication patterns in families with a history of breast/ovarian cancer (HBOC). Psychooncology, 13, 335.PubMedCrossRef Kenen, R., Ardern-Jones, A., & Eeles, R. (2004). We are talking, but are they listening? Communication patterns in families with a history of breast/ovarian cancer (HBOC). Psychooncology, 13, 335.PubMedCrossRef
Zurück zum Zitat MacMillan, J. C., & Snell, R. G. (1993). Molecular analysis and clinical correlations of the Huntington's disease mutation. Lancet, 342, 954.PubMedCrossRef MacMillan, J. C., & Snell, R. G. (1993). Molecular analysis and clinical correlations of the Huntington's disease mutation. Lancet, 342, 954.PubMedCrossRef
Zurück zum Zitat Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage. Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.
Zurück zum Zitat Riesch, S. K., Henriques, J., & Chanchong, W. (2003). Effects of communication skills training on parents and young adolescents from extreme family types. J Child Adolesc Psychiatr Nurs, 16, 162.PubMedCrossRef Riesch, S. K., Henriques, J., & Chanchong, W. (2003). Effects of communication skills training on parents and young adolescents from extreme family types. J Child Adolesc Psychiatr Nurs, 16, 162.PubMedCrossRef
Zurück zum Zitat Ritchie, L. D. (1991). Family communication patterns: An epistemic analysis and conceptual reinterpretation. Commun Res, 18, 548–565.CrossRef Ritchie, L. D. (1991). Family communication patterns: An epistemic analysis and conceptual reinterpretation. Commun Res, 18, 548–565.CrossRef
Zurück zum Zitat Sanders, T., Campbell, R., Sharp, D., & Donovan, J. (2003). Risk constructions among people who have a first-degree relative with cancer. Health, Risk, Soc, 5, 53.CrossRef Sanders, T., Campbell, R., Sharp, D., & Donovan, J. (2003). Risk constructions among people who have a first-degree relative with cancer. Health, Risk, Soc, 5, 53.CrossRef
Zurück zum Zitat Sarangi, S., Bennert, K., Howell, L., Clarke, A., Harper, P., & Gray, J. (2004). Initiation of reflective frames in counseling for Huntington's disease predictive testing. J Genet Counsel, 13, 135.CrossRef Sarangi, S., Bennert, K., Howell, L., Clarke, A., Harper, P., & Gray, J. (2004). Initiation of reflective frames in counseling for Huntington's disease predictive testing. J Genet Counsel, 13, 135.CrossRef
Zurück zum Zitat Smith, J. A. (2004). Reflecting on the development of Interpretative Phenomenological Analysis and its contribution to qualitative research in psychology. Qual Res Psychol, 1, 39. Smith, J. A. (2004). Reflecting on the development of Interpretative Phenomenological Analysis and its contribution to qualitative research in psychology. Qual Res Psychol, 1, 39.
Zurück zum Zitat Smith, J. A., & Osborn, M. (2003). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology (pp.51–80). London: Sage. Smith, J. A., & Osborn, M. (2003). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology (pp.51–80). London: Sage.
Zurück zum Zitat Sobel, S. K., & Brookes Cowan, D. (2000). Impact of genetic testing for Huntington's disease on the family system. Am J Med Genet, 90, 49.PubMedCrossRef Sobel, S. K., & Brookes Cowan, D. (2000). Impact of genetic testing for Huntington's disease on the family system. Am J Med Genet, 90, 49.PubMedCrossRef
Zurück zum Zitat Sobel, S., & Brookes Cowan, C. (2003). Ambiguous loss and disenfranchised grief: The impact of DNA predictive testing on the family as a system. Fam Proc, 42, 47.CrossRef Sobel, S., & Brookes Cowan, C. (2003). Ambiguous loss and disenfranchised grief: The impact of DNA predictive testing on the family as a system. Fam Proc, 42, 47.CrossRef
Zurück zum Zitat Williams, J. K., & Schutte, D. L. (2000). Genetic testing and mental health: The model of Huntington's disease. Online JIssu Nurs, 5, retrieved on May 4, 2004, from http://www.nursingworld.org/ojin/topic13/tpc13_4 .htm Williams, J. K., & Schutte, D. L. (2000). Genetic testing and mental health: The model of Huntington's disease. Online JIssu Nurs, 5, retrieved on May 4, 2004, from http://​www.​nursingworld.​org/​ojin/​topic13/​tpc13_​4 .htm
Zurück zum Zitat Wilson, B. J., Forrest, K., van Teijlingen, E. R., McKee, L., Haites, N., Matthews, E., et al. (2004). Family communication about genetic risk: The little that is known. Commun Genet, 7, 15.CrossRef Wilson, B. J., Forrest, K., van Teijlingen, E. R., McKee, L., Haites, N., Matthews, E., et al. (2004). Family communication about genetic risk: The little that is known. Commun Genet, 7, 15.CrossRef
Zurück zum Zitat Wood, B. E., Kim, K. K., & Harpold, G. J. (2002). Psychiatric management of Huntington's disease in extended care settings. Psychiatr Serv, 53, 703.PubMedCrossRef Wood, B. E., Kim, K. K., & Harpold, G. J. (2002). Psychiatric management of Huntington's disease in extended care settings. Psychiatr Serv, 53, 703.PubMedCrossRef
Zurück zum Zitat Young, A. B. (2003). Huntingtin in health and disease. J Clin Investig, 111, 299. Young, A. B. (2003). Huntingtin in health and disease. J Clin Investig, 111, 299.
Metadaten
Titel
What Do We Tell the Children? Contrasting the Disclosure Choices of Two HD Families Regarding Risk Statusand Predictive Genetic Testing
verfasst von
Kathryn Holt
Publikationsdatum
01.08.2006
Verlag
Springer US
Erschienen in
Journal of Genetic Counseling / Ausgabe 4/2006
Print ISSN: 1059-7700
Elektronische ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-006-9021-z

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