Genetic Counselling: Communication and Psychosocial Aspects

Borreani, Claudia; Gangeri, Laura

doi:10.1177/030089169608200209

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…This field of study and intervention should be taken into account for these reasons, not only from a medical standpoint but also from an ethical and psychological one. It is important to take a comprehensive approach to this issue, psychological support often thought of as a parallel intervention becomes a part of genetic counseling: the focus of the intervention shifts to the person, rather than just the issue (13). Families with down syndrome babies are recommended to receive genetic counseling, which may help them adapt to the difficulties brought on by this diagnosis.…”

Section: Evidence From Literaturementioning

confidence: 99%

Psychosocial Effect and Role of Genetic Counselling in Primary Health Care

Baoum¹,

Balobaid²,

Aljedany³

et al. 2022

JOHS

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Medical knowledge of both prevalent and rare diseases is changing as a result of recent advanced innovations. In the team that provides genetic services, such as genetic risk assessment, counseling, and continuous medical care for patients with inherited predisposition to disease, primary healthcare plays a crucial role. Primary care physicians can integrate genetic counseling within the larger context of a patient's overall health state since they are accustomed to prioritizing among competing clinical needs. The ongoing relationship that develops between physicians and patients over time is another aspect of primary care that is well-suited for genetic counseling. As patients' needs and emotional states change over time, primary care may provide continual patient education and counseling. When patients ask their primary care physicians about genetic tests and capabilities, they are frequently ill-equipped to respond for which further research along with the training of physicians is needed. Additionally, the majority of patients are also unprepared for the plethora of psychosocial problems that result from genetic testing. The primary care physician is more equipped to incorporate psychosocial factors into any discussion of genetic information since they are more familiar with the patient's broader perspective. When a patient is identified with genetic or familial predisposition to an illness, a number of psychosocial problems may arise. If their risk is revealed, people can be concerned about stigmatization, insurance eligibility, and employment discrimination. The purpose of this research is to review the available information about psychosocial effect and role of genetic counselling in primary health care.

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Section: Evidence From Literaturementioning

confidence: 99%

Psychosocial Effect and Role of Genetic Counselling in Primary Health Care

Baoum¹,

Balobaid²,

Aljedany³

et al. 2022

JOHS

View full text Add to dashboard Cite

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“…The role of the genetic counselor in addressing the psychosocial needs of patients has been advocated, but rarely framed in the context of developmental events [26]. Data suggest that patients may not expect a genetic counselor to address psychosocial needs [27].…”

Section: Introductionmentioning

confidence: 99%

“…Genetic counselors in pediatric and adult settings often develop long-term relationships with patients, due to follow-up care. This extended relationship is becoming increasingly common as genetic counselors move into various medical sub-specialties, such as neurology, ophthalmology, oncology and cardiology.The role of the genetic counselor in addressing the psychosocial needs of patients has been advocated, but rarely framed in the context of developmental events [26]. Data suggest that patients may not expect a genetic counselor to address psychosocial needs [27].…”

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confidence: 99%

Exploration of transitional life events in individuals with Friedreich ataxia: Implications for genetic counseling

White

Leib²,

Farmer

et al. 2010

Behav Brain Funct

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BackgroundHuman development is a process of change, adaptation and growth. Throughout this process, transitional events mark important points in time when one's life course is significantly altered. This study captures transitional life events brought about or altered by Friedreich ataxia, a progressive chronic illness leading to disability, and the impact of these events on an affected individual's life course.MethodsForty-two adults with Friedreich ataxia (18-65y) were interviewed regarding their perceptions of transitional life events. Data from the interviews were coded and analyzed thematically using an iterative process.ResultsIdentified transitions were either a direct outcome of Friedreich ataxia, or a developmental event altered by having the condition. Specifically, an awareness of symptoms, fear of falling and changes in mobility status were the most salient themes from the experience of living with Friedreich ataxia. Developmental events primarily influenced by the condition were one's relationships and life's work.ConclusionsFriedreich ataxia increased the complexity and magnitude of transitional events for study participants. Transitional events commonly represented significant loss and presented challenges to self-esteem and identity. Findings from this study help alert professionals of potentially challenging times in patients' lives, which are influenced by chronic illness or disability. Implications for developmental counseling approaches are suggested for genetic counseling.BackgroundHuman development can be described in terms of key transitional events, or significant times of change. Transitional events initiate shifts in the meaning or direction of life and require the individual to develop skills or utilize coping strategies to adapt to a novel situation [1,2]. A successful transition has been defined as the development of a sense of mastery over the changed event [3].Transitions can be influenced by a variety of factors including one's stage of development, such as graduation from high school, historical events, including war, and idiosyncratic factors, such as health status [4,5]. Of particular interest in the present study are transitional life events, brought about or altered by progressive chronic illness and disability, and the impact of these events on the lives of affected individuals.It has been recognized that the clinical characteristics of a chronic illness or disability may alter the course and timing of many developmentally-related transitional events [6]. For example, conditions associated with a shortened lifespan may cause an individual to pursue a career with a shorter course of training [6]. Specific medical manifestations may also promote a lifestyle incongruent with developmental needs [6,7]. For example, an adolescent with a disability may have difficulty achieving autonomy because of his/her physical dependence on others.In addition to the aforementioned effects of chronic illness and disability on developmentally-related transitional events, a growing body of...

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