DeMarco Tiffani A, Peshkin Beth N, Valdimarsdottir Heiddis B, Patenaude Andrea F, Schneider Katherine A, Tercyak Kenneth P
Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 3300 Whitehaven Street, Washington, DC 20007, USA.
J Genet Couns. 2008 Jun;17(3):283-7. doi: 10.1007/s10897-007-9147-7. Epub 2008 Feb 21.
It is known that many mothers rapidly share the results of their BRCA1/2 genetic testing with their children, especially adolescent children. What is less known is the extent to which these mothers may engage fathers in a discussion concerning genetic counseling and the anticipated disclosure of genetic test results to children, or seek shared decision making in this context. This short communication addresses this issue by first examining mothers' and fathers' discussions concerning a research study of family communication. In our view, this conversation likely served as a precursor to, and proxy indicator of, maternal receptivity to partner input regarding the genetic counseling/testing-results disclosure process. We further evaluated how the quality of the parenting relationship is associated with mothers' decisions to include or not include the child's father in this study. Finally, this report addresses potential ways in which the genetic counselor may be able to facilitate parental communication regarding the evolving process of disclosure of genetic information to children and adolescents.
众所周知，许多母亲会迅速将她们的BRCA1/2基因检测结果告知子女，尤其是青春期的孩子。鲜为人知的是，这些母亲在多大程度上会让父亲参与关于遗传咨询以及预期向孩子披露基因检测结果的讨论，或者在这种情况下寻求共同决策。这篇简短的交流文章通过首先审视母亲和父亲关于一项家庭沟通研究的讨论来解决这个问题。在我们看来，这次对话可能是母亲接受伴侣关于遗传咨询/检测结果披露过程的意见的先兆和替代指标。我们进一步评估了养育关系的质量与母亲决定是否让孩子的父亲参与本研究之间的关联。最后，本报告探讨了遗传咨询师能够促进父母就向儿童和青少年披露遗传信息这一不断发展的过程进行沟通的潜在方式。
