Talking about familial breast cancer risk: Topics and strategies to enhance mother-daughter interactions Journal Article


Authors: Fisher, C. L.; Maloney, E.; Glogowski, E.; Hurley, K.; Edgerson, S.; Lichtenthal, W. G.; Kissane, D.; Bylund, C.
Article Title: Talking about familial breast cancer risk: Topics and strategies to enhance mother-daughter interactions
Abstract: A hereditary cancer predisposition can rattle families, creating dysfunctional interactions. Families need assistance navigating conversations about risk. Because mothers and daughters uniquely share breast cancer experiences and risk, there is a particular need for practitioners to assist them with communication. Three focus groups were conducted with 11 mothers with an elevated cancer risk (with adolescent daughters) receiving genetic counseling. We explored three inquiries to capture mother-daughter communication: emergent challenging topics (e.g., health-promotion behavior, daughter's risk, mother's risk of death), factors complicating discussions (e.g., balancing what to share and when, guilt and blaming, confusion about risk and prevention), and strategies enhancing conversations initiated by mothers (e.g., paying attention to daughter's cues) or practitioners (e.g., inviting daughters to appointments). Findings suggested that mothers struggle to balance eliciting daughters' concerns, providing them with support, and imparting knowledge without overwhelming them. We offer mothers and practitioners guidance to help facilitate these conversations. © The Author(s) 2014.
Keywords: women's health; cancer, psychosocial aspects; cancer, breast; cancer, genetics; cancer, screening and prevention; communication, medical; families, high-risk; relationships, parent-child
Journal Title: Qualitative Health Research
Volume: 24
Issue: 4
ISSN: 1049-7323
Publisher: Sage Publications  
Date Published: 2014-04-01
Start Page: 517
End Page: 535
Language: English
DOI: 10.1177/1049732314524638
PROVIDER: scopus
PUBMED: 24633365
DOI/URL:
Notes: Qual. Health Res. -- Export Date: 2 June 2014 -- CODEN: QHREE -- Source: Scopus
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  1. Karen E Hurley
    45 Hurley