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The Process of Family Reconstruction After DNA Testing for Huntington Disease

Overview
Journal J Genet Couns
Publisher Wiley
Specialty Genetics
Date 2015 Jul 5
PMID 26141319
Citations 4
Authors
Affiliations
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Abstract

The needs of families to reconstruct their relationships in response to the DNA testing for Huntington disease of one or more of their asymptomatic members are presented. Data were collected from family interviews with 18 families, and from their responses on a post interview questionnaire. Findings are that families need to (a) address "unfinished business" associated with the decision for testing; (b) bring family members, peripheral in the decision for testing, into the loop; (c) reorganize patterns of communication and roles altered by the testing and heal ruptures in family membership; and (d) revise family stories about illness to provide a meaning for HD and explain the test results in a way that leaves them with a sense of mastery. Findings suggest that families should be more involved in the initial decision for testing of a member and that protocols should be established to provide help for their ongoing adjustment.

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References
1.
Kessler S . Psychiatric implications of presymptomatic testing for Huntington's disease. Am J Orthopsychiatry. 1987; 57(2):212-219. DOI: 10.1111/j.1939-0025.1987.tb03531.x. View

2.
Rolland J . Chronic illness and the life cycle: a conceptual framework. Fam Process. 1987; 26(2):203-21. DOI: 10.1111/j.1545-5300.1987.00203.x. View

3.
Huggins M, Bloch M, Wiggins S, Adam S, Suchowersky O, Trew M . Predictive testing for Huntington disease in Canada: adverse effects and unexpected results in those receiving a decreased risk. Am J Med Genet. 1992; 42(4):508-15. DOI: 10.1002/ajmg.1320420417. View

4.
Wahlin T, Lundin A, Backman L, Almqvist E, Haegermark A, Winblad B . Reactions to predictive testing in Huntington disease: case reports of coping with a new genetic status. Am J Med Genet. 1998; 73(3):356-65. DOI: 10.1002/(sici)1096-8628(19971219)73:3<356::aid-ajmg24>3.0.co;2-h. View

5.
Kessler S . Predictive testing for Huntington disease: a psychologist's view. Am J Med Genet. 1994; 54(3):161-6. DOI: 10.1002/ajmg.1320540302. View