Prospective study of genetic counselling
A prospective study was carried out on 200 consecutive subjects seen for counselling (consultands) for serious genetic disorders. Educational and social background of consultands and their knowledge and understanding of their particular problem were assessed before counselling, and their response wa...
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| Veröffentlicht in: | BMJ 1979-05, Vol.1 (6173), p.1253-1256 |
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| creator | Emery, A E Raeburn, J A Skinner, R Holloway, S Lewis, P |
| description | A prospective study was carried out on 200 consecutive subjects seen for counselling (consultands) for serious genetic disorders. Educational and social background of consultands and their knowledge and understanding of their particular problem were assessed before counselling, and their response was determined immediately afterwards and three months and two years later by an independent observer not concerned in the genetic counselling. The husband's educational background was particularly important in influencing a couple's comprehension of counselling. X-linked recessive and chromosomal disorders presented the most difficulties in comprehension. The counsellors' assessment of comprehension was a good guide to the consultands' comprehension as assessed at subsequent follow-up. The proportion deterred from having children increased with time and over a third had been sterilised within two years of counselling. It is suggested that follow-up after counselling should be routine, especially when the counsellor suspects that comprehension has not been good, in X-linked recessive and chromosomal disorders, and when the risks of having an affected child are considered to be high. |
| doi_str_mv | 10.1136/bmj.1.6173.1253 |
| format | Article |
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Educational and social background of consultands and their knowledge and understanding of their particular problem were assessed before counselling, and their response was determined immediately afterwards and three months and two years later by an independent observer not concerned in the genetic counselling. The husband's educational background was particularly important in influencing a couple's comprehension of counselling. X-linked recessive and chromosomal disorders presented the most difficulties in comprehension. The counsellors' assessment of comprehension was a good guide to the consultands' comprehension as assessed at subsequent follow-up. The proportion deterred from having children increased with time and over a third had been sterilised within two years of counselling. It is suggested that follow-up after counselling should be routine, especially when the counsellor suspects that comprehension has not been good, in X-linked recessive and chromosomal disorders, and when the risks of having an affected child are considered to be high.</description><identifier>ISSN: 0007-1447</identifier><identifier>ISSN: 0959-8138</identifier><identifier>EISSN: 1468-5833</identifier><identifier>DOI: 10.1136/bmj.1.6173.1253</identifier><identifier>PMID: 455018</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Adult ; Attitude to Health ; Children ; Chromosome disorders ; Clinical Topics ; Educational Status ; Female ; Genetic Counseling ; Genetic disorders ; Genetic inheritance ; Human genetics ; Humans ; Huntington disease ; Male ; Medical genetics ; Population genetics ; Pregnancy ; Prenatal Diagnosis ; Prospective Studies ; Psychological counseling ; Risk ; Scotland ; Social Class ; Socioeconomics ; Time Factors</subject><ispartof>BMJ, 1979-05, Vol.1 (6173), p.1253-1256</ispartof><rights>Copyright 1979 British Medical Journal</rights><rights>Copyright BMJ Publishing Group LTD May 12, 1979</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b510t-75d7bfb47e9d3d37402a37e5a69bc8c186bef99de386ce392cd65093b5deddb53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25432344$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25432344$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27903,27904,53768,53770,57994,58227</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/455018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emery, A E</creatorcontrib><creatorcontrib>Raeburn, J A</creatorcontrib><creatorcontrib>Skinner, R</creatorcontrib><creatorcontrib>Holloway, S</creatorcontrib><creatorcontrib>Lewis, P</creatorcontrib><title>Prospective study of genetic counselling</title><title>BMJ</title><addtitle>Br Med J</addtitle><description>A prospective study was carried out on 200 consecutive subjects seen for counselling (consultands) for serious genetic disorders. Educational and social background of consultands and their knowledge and understanding of their particular problem were assessed before counselling, and their response was determined immediately afterwards and three months and two years later by an independent observer not concerned in the genetic counselling. The husband's educational background was particularly important in influencing a couple's comprehension of counselling. X-linked recessive and chromosomal disorders presented the most difficulties in comprehension. The counsellors' assessment of comprehension was a good guide to the consultands' comprehension as assessed at subsequent follow-up. The proportion deterred from having children increased with time and over a third had been sterilised within two years of counselling. It is suggested that follow-up after counselling should be routine, especially when the counsellor suspects that comprehension has not been good, in X-linked recessive and chromosomal disorders, and when the risks of having an affected child are considered to be high.</description><subject>Adult</subject><subject>Attitude to Health</subject><subject>Children</subject><subject>Chromosome disorders</subject><subject>Clinical Topics</subject><subject>Educational Status</subject><subject>Female</subject><subject>Genetic Counseling</subject><subject>Genetic disorders</subject><subject>Genetic inheritance</subject><subject>Human genetics</subject><subject>Humans</subject><subject>Huntington disease</subject><subject>Male</subject><subject>Medical genetics</subject><subject>Population genetics</subject><subject>Pregnancy</subject><subject>Prenatal Diagnosis</subject><subject>Prospective Studies</subject><subject>Psychological counseling</subject><subject>Risk</subject><subject>Scotland</subject><subject>Social Class</subject><subject>Socioeconomics</subject><subject>Time Factors</subject><issn>0007-1447</issn><issn>0959-8138</issn><issn>1468-5833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1r3DAQxUVpky5pzr00sBAopeCN5NGHdQmUpWkL6cchyaEXYUnjjbe71kayQ_PfV8ZhSXvpSYjfm8e8eYS8ZnTBGMgzu10v2EIyBQtWCnhGZozLqhAVwHMyo5SqgnGuXpLjlNb5W4KqtOSH5IALQVk1I-9-xJB26Pr2HuepH_zDPDTzFXbYt27uwtAl3GzabvWKvGjqTcLjx_eIXF98vFp-Li6_f_qy_HBZWMFoXyjhlW0sV6g9eFCcljUoFLXU1lWOVdJio7VHqKRD0KXzUlANVnj03go4IueT726wW_QOuz7WG7OL7baODybUrfmbdO2tWYV7w4TWFEaDt48GMdwNmHqzbZPLIeoOw5CMytEVcJ2Fp_8I12GIXQ5nmFISmBCyyqqzSeXyoVLEZr8Ko2YsweQSDDNjCWYsIU-8eZpgr59OnvHJhNepD3FPS8GhBM4zLybeph5_73kdfxmpQAnz7WZpbr6W7Ce_uDKj3_tJP-7xv93-ANRSqIA</recordid><startdate>19790512</startdate><enddate>19790512</enddate><creator>Emery, A E</creator><creator>Raeburn, J A</creator><creator>Skinner, R</creator><creator>Holloway, S</creator><creator>Lewis, P</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19790512</creationdate><title>Prospective study of genetic counselling</title><author>Emery, A E ; Raeburn, J A ; Skinner, R ; Holloway, S ; Lewis, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b510t-75d7bfb47e9d3d37402a37e5a69bc8c186bef99de386ce392cd65093b5deddb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Adult</topic><topic>Attitude to Health</topic><topic>Children</topic><topic>Chromosome disorders</topic><topic>Clinical Topics</topic><topic>Educational Status</topic><topic>Female</topic><topic>Genetic Counseling</topic><topic>Genetic disorders</topic><topic>Genetic inheritance</topic><topic>Human genetics</topic><topic>Humans</topic><topic>Huntington disease</topic><topic>Male</topic><topic>Medical genetics</topic><topic>Population genetics</topic><topic>Pregnancy</topic><topic>Prenatal Diagnosis</topic><topic>Prospective Studies</topic><topic>Psychological counseling</topic><topic>Risk</topic><topic>Scotland</topic><topic>Social Class</topic><topic>Socioeconomics</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Emery, A E</creatorcontrib><creatorcontrib>Raeburn, J A</creatorcontrib><creatorcontrib>Skinner, R</creatorcontrib><creatorcontrib>Holloway, S</creatorcontrib><creatorcontrib>Lewis, P</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emery, A E</au><au>Raeburn, J A</au><au>Skinner, R</au><au>Holloway, S</au><au>Lewis, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective study of genetic counselling</atitle><jtitle>BMJ</jtitle><addtitle>Br Med J</addtitle><date>1979-05-12</date><risdate>1979</risdate><volume>1</volume><issue>6173</issue><spage>1253</spage><epage>1256</epage><pages>1253-1256</pages><issn>0007-1447</issn><issn>0959-8138</issn><eissn>1468-5833</eissn><abstract>A prospective study was carried out on 200 consecutive subjects seen for counselling (consultands) for serious genetic disorders. Educational and social background of consultands and their knowledge and understanding of their particular problem were assessed before counselling, and their response was determined immediately afterwards and three months and two years later by an independent observer not concerned in the genetic counselling. The husband's educational background was particularly important in influencing a couple's comprehension of counselling. X-linked recessive and chromosomal disorders presented the most difficulties in comprehension. The counsellors' assessment of comprehension was a good guide to the consultands' comprehension as assessed at subsequent follow-up. The proportion deterred from having children increased with time and over a third had been sterilised within two years of counselling. It is suggested that follow-up after counselling should be routine, especially when the counsellor suspects that comprehension has not been good, in X-linked recessive and chromosomal disorders, and when the risks of having an affected child are considered to be high.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>455018</pmid><doi>10.1136/bmj.1.6173.1253</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | Jstor Complete Legacy; MEDLINE; PubMed Central |
| subjects | Adult Attitude to Health Children Chromosome disorders Clinical Topics Educational Status Female Genetic Counseling Genetic disorders Genetic inheritance Human genetics Humans Huntington disease Male Medical genetics Population genetics Pregnancy Prenatal Diagnosis Prospective Studies Psychological counseling Risk Scotland Social Class Socioeconomics Time Factors |
| title | Prospective study of genetic counselling |
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