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Title: Investigating the role of genetic counseling in neuromuscular disease considering life events
Authors: Shibata, Yuka
Yabe, Ichiro
Matsushima, Masaaki
Hashimoto, Naoki
Yamada, Takahiro  kyouindb  KAKEN_id  orcid https://orcid.org/0000-0002-5370-7873 (unconfirmed)
Sasaki, Hidenao
Author's alias: 山田, 崇弘
Issue Date: Jun-2019
Publisher: Nature Publishing Group
Journal title: Journal of Human Genetics
Volume: 64
Start page: 551
End page: 559
Abstract: Genetic diagnoses are becoming a routine in the medical practice of neuromuscular diseases. Many diagnoses, however, can have an influence on relatives and family members and thus must be handled carefully by genetic counseling (GC). Here, we aimed to assess the purpose of undergoing GC to verify the utility of collaborations between clinical and genetic divisions. We investigated consecutive GC cases of neuromuscular disease and examined the role of GC. Our study included 102 cases who underwent GC in our hospital from July 2005 to March 2018: 86.3% were women and 45.1% were in their 30’s. Disease explanation was the most common reason for attending GC (29.4%), followed by prenatal diagnosis (25.5%), pre-symptomatic diagnosis (17.6%), and carrier diagnosis (14.7%). Clients typically visited the hospital for GC when some kind of life event occurred, such as marriage, had a desire to bear a child, or a change in the condition of the proband. Clinicians should be conscious of such life events from the perspective of both the client and their relatives, and guide the GC at an appropriate time. Overall, the degree of recognition of genetic risk by clients differed; thus, it is important for GC to determine the status of each unique situation and respond individually.
Rights: This is the accepted manuscript of the article, which has been published in final form at https://doi.org/10.1038/s10038-019-0590-8.
The full-text file will be made open to the public on 13 September 2019 in accordance with publisher's 'Terms and Conditions for Self-Archiving'.
This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。
URI: http://hdl.handle.net/2433/241614
DOI(Published Version): 10.1038/s10038-019-0590-8
PubMed ID: 30867548
Appears in Collections:Journal Articles

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