title: Psychosocial Responses to being Identified as a Balanced Chromosomal Translocation Carrier: a Qualitative Investigation of Parents in Japan.
abstract: Undergoing chromosome analysis and receiving the results may have various psychosocial effects. To identify the impact on balanced translocation carriers identified through affected offspring, we conducted semi-structured interviews with eleven parents at Saitama Children's Medical Center. The results of the interviews were analyzed qualitatively by the KJ (Kawakita Jiro) method. Categories and subcategories of the various thoughts, emotions and responses experienced by balanced chromosomal translocation carriers were extracted. Participants' reactions were mixed, and appeared to be interrelated in some cases. Parents' reactions were sometimes ambivalent with regard to effects on reproductive issues and disclosure of test results. We recommend genetic counseling before and after carrier testing to help parents cope with the mixed and complex thoughts and feelings that arise upon being identified as a carrier.
authors: Department of Genetic Counseling, Ochanomizu University, 2-1-1 Ohtsuka, Bunkyo-ku, Tokyo, 112-8610, Japan. mikiki515@gmail.com.
authors: Mikiko
authors: M
authors: Kaneko
authors: Division of Medical Genetics, Saitama Children's Medical Center, Saitama, Japan.
authors: Hirofumi
authors: H
authors: Ohashi
authors: Department of Developmental and Clinical Psychology, Ochanomizu University, Tokyo, Japan.
authors: Tomoko
authors: T
authors: Takamura
authors: Department of Genetic Counseling, Ochanomizu University, 2-1-1 Ohtsuka, Bunkyo-ku, Tokyo, 112-8610, Japan.|Divisionof Genomic Medicine Support and Genetic Counseling, Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan.
authors: Hiroshi
authors: H
authors: Kawame
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005817:Genetic Counseling / Q000379:methods; D030342:Genetic Diseases, Inborn / Q000175:diagnosis* / Q000523:psychology*; D006801:Humans; D007223:Infant; D007564:Japan; D008297:Male; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology*; D014178:Translocation, Genetic
keywords: Balanced chromosomal translocation; Carrier testing; Genetic counseling; Japan; Psychosocial responses