Reflections of parents of children with 22q11.2 Deletion Syndrome on the experience of receiving psychiatric genetic counseling: 'Awareness to Act'

被引:12
作者
Carrion, Prescilla [1 ]
Semaka, Alicia [1 ]
Batallones, Rolan [1 ]
Slomp, Caitlin [1 ]
Morris, Emily [1 ,2 ]
Inglis, Angela [1 ,2 ]
Moretti, Marlene [3 ]
Austin, Jehannine [1 ,2 ]
机构
[1] Univ British Columbia, Dept Psychiat, Rm A3-112,3rd Floor,Translat Lab Bldg, Vancouver, BC V5Z 4H4, Canada
[2] Univ British Columbia, Dept Med Genet, Rm A3-112,3rd Floor,Translat Lab Bldg, Vancouver, BC V5Z 4H4, Canada
[3] Simon Fraser Univ, Dept Psychol, Burnaby, BC, Canada
基金
加拿大健康研究院;
关键词
22q11; 2; deletion; genetic counseling; intervention; mental health; psychiatric illness; velocardiofacial syndrome; RISK; DISORDERS; MANIFESTATIONS; PHENOTYPE;
D O I
10.1002/jgc4.1460
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Individuals with 22q11.2 deletion syndrome (22qDS) have a 25%-41% risk for a psychotic disorder. Although early intervention for psychiatric conditions leads to the best long-term outcomes, healthcare providers often provide inadequate information about these issues and psychiatric services are underused by this population. We conducted semi-structured interviews with parents of children with 22qDS a month after they received psychiatric genetic counseling (pGC), to evaluate outcomes and perceived value of pGC with respect to parents' needs. Using grounded theory, we generated a theoretical framework of the process of building parental awareness of psychiatric risks associated with 22qDS and protective and management strategies for mental health (MH). Parents described how after their child's diagnosis with 22qDS, a variety of barriers stalled their building awareness of psychiatric risk and protective/management strategies: dealing with the immediate symptoms of 22qDS; child's young age; parental fear and stigma; and missing MH guidance. These barriers led them to carry the burden of worrying over missing emerging psychiatric symptoms and the stress over advocating for their child's MH. Parents indicated pGC was beneficial in that led them to achieve an 'awareness to act,' feeling confident in being alert and equipped to protect and/or manage their child's MH.
引用
收藏
页码:140 / 152
页数:13
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