본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

Psycho-oncology v.27 no.7, 2018년, pp.1825 - 1832  

Maternal perceptions of BRCA genetic counseling communication processes about disclosing cancer risk information to children and adult relatives

Hamilton, Jada G. (Department of Psychiatry and Behavioral Sciences ) ; Peshkin, Beth N. (Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA ) ; Mays, Darren (Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA ) ; DeMarco, Tiffani A. (Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA ) ; Patenaude, Andrea Farkas (Cancer Genetics Program, Inova Translational Medicine Institute, Fairfax, VA, USA ) ; Tercyak, Kenneth P. (Dana‐Farber Cancer Institute, Boston, MA, USA ) ;
  • 초록  

    Abstract Objectives Using a novel measure, examine maternal perceptions of the process by which issues pertaining to family communication of BRCA test results are addressed during cancer genetic counseling. Methods After receiving BRCA results, mothers ( N = 211) of minor‐age children reported on their counseling experiences with providers using a communication process measure as well as other psychosocial variables. Results The novel Genetic Counseling Communication Process measure demonstrated good internal consistency of its 2 factors: patient‐led communication (Cronbach's α = 0.73) and provider‐led communication (Cronbach's α = 0.82). Participants most often reported that discussions about family communication of BRCA test results to children and adult relatives were led only by their providers (38.2%‐39.2%), as opposed to being led by the patient, both parties, or neither party. Providers were most likely to lead these discussions when mothers had stronger family histories of cancer and expressed more confidence about making a decision to talk to their children about BRCA . However, mothers typically led such discussions if they were raising older children and held more positive attitudes about pediatric BRCA testing. Conclusions When the assessment of BRCA genetic counseling outcomes includes family communication to potentially at‐risk relatives, we learned that most but not all sessions addressed this topic. Cancer family history, child age, and maternal attitudes are important co‐factors in these patient‐provider communication exchanges. Providers delivering BRCA genetic counseling should be attentive to mothers' information and support needs regarding communicating cancer genetic test results to at‐risk relatives, including children.


  • 주제어

    breast cancer .   children .   family communication .   genetic counseling .   genetic testing .   mothers .   oncology.  

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
  • 원문이 없습니다.
유료다운로드

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기