Sources of uncertainty about daughters' breast cancer risk that emerge during genetic counseling consultations Journal Article


Authors: Bylund, Carma; Fisher, Carla; Brashers, Dale; Edgerson, Shawna; Glogowski, Emily; Boyar, Sherry; Kemel, Yelena; Spencer, Sara; Kissane, David
Article Title: Sources of uncertainty about daughters' breast cancer risk that emerge during genetic counseling consultations
Abstract: Uncertainty is central to the experience of genetic decision making and counseling about cancer risk. Women seeking genetic counseling about their breast cancer risk may experience a great deal of uncertainty about issues related to their daughters. We used a theory of Communication and Uncertainty Management to guide analysis of sources of uncertainty about daughters that emerged during 16 video-recorded and transcribed conversations between mothers at risk for a BRCA 1/2 mutation and their genetic healthcare practitioners. An interpretive design and constant comparative method revealed three dominant patterns or themes representing sources of uncertainty mothers have relating to their daughters: disease risk, future cancer screening, and communication of related information to daughters. Both practitioners and mothers discussed these aspects of uncertainty. The findings identify the significant role uncertainty and familial concerns play in mothers' genetic testing decision making process. To assist genetic practitioners, we highlight daughter-related concerns that mothers are uncertain about and which are vital to their genetic counseling needs. © National Society of Genetic Counselors, Inc. 2011.
Keywords: breast cancer; communication; brca1; brca2; qualitative research; genetic testing; genetic counseling; family communication; uncertainty; grounded theory
Journal Title: Journal of Genetic Counseling
Volume: 21
Issue: 2
ISSN: 1059-7700
Publisher: Springer  
Date Published: 2012-04-01
Start Page: 292
End Page: 304
Language: English
PROVIDER: EBSCOhost
DOI: 10.1007/s10897-011-9400-y
PUBMED: 21833819
PROVIDER: cin20
DOI/URL:
Notes: --- - "Export Date: 1 August 2012" - "CODEN: JGCOE" - "Source: Scopus"
Altmetric Score
MSK Authors
  1. David W Kissane
    158 Kissane
  2. Sherry R Boyar
    4 Boyar
  3. Yelena Kemel
    10 Kemel