Analyzing the process and content of genetic counseling in familial breast cancer consultations.
Analyzing the process and content of genetic counseling in familial breast cancer consultations.
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DOI：
10.1023/b:jogc.0000044201.73103.4f
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发表时间：
2004-10-01
影响因子：
1.9
通讯作者：
Lobb, Elizabeth A
中科院分区：
文献类型：
--
作者：
Butow, Phyllis N;Lobb, Elizabeth A
遗传咨询过程的详细检查已被确定为优先领域的研究由以前的作者。这项多中心纵向研究探讨了遗传咨询的过程和内容，在最初的咨询与妇女的高危乳腺癌家庭。158名未受影响和受乳腺癌影响的妇女的咨询被录音和逐字转录。开发了详细的编码系统。临床遗传学家和遗传咨询师在提供与家族性乳腺癌相关的基本方面的详细信息方面表现出一贯的良好做法，如筛查和管理，基因检测，乳腺癌遗传学和预防性手术。引起情感上的关注和促进沟通被发现是不一致的。由于临床实践指南和一般沟通文献强调了这些因素的重要性，因此这是一个培训或自我监测此类行为的领域，可以帮助顾问进一步发展这些技能。
A detailed examination of the process of genetic counseling has been identified as a priority area for research by previous authors. This multicenter longitudinal study examined the process and content of genetic counseling in initial consultations with women from high-risk breast cancer families. One hundred and fifty-eight consultations with women unaffected and affected with breast cancer were audio taped and transcribed verbatim. A detailed coding system was developed. Clinical geneticists and genetic counselors demonstrated consistently good practice in giving detailed information on essential aspects related to familial breast cancer such as screening and management, genetic testing, breast cancer genetics, and prophylactic surgery. Eliciting emotional concerns and facilitating communication were found to be inconsistently present. As clinical practice guidelines and the general communication literature emphasize the importance of these factors, this is an area where training in or self-monitoring of such behaviors may assist consultants to further develop these skills.