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首页> 外文期刊>Journal of Genetic Counseling >Predictive Testing of Eighteen Year Olds: Counseling Challenges
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Predictive Testing of Eighteen Year Olds: Counseling Challenges

机译：十八岁儿童的预测测试：咨询挑战

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摘要

Genetic counseling of teenagers is challenging and complex. The ability to think abstractly, a sense of self and independence from family all develop during adolescence. Predictive genetic testing counseling protocols presuppose that these qualities exist, requiring the at-risk individual to consider the short and long term consequences of testing as well as their motivations. Eighteen year olds are in transition from adolescence to adulthood; eligible for predictive genetic testing, they may not yet be independent of their family or able to articulate their feelings. This paper presents case studies from the authors’ clinical practice to illustrate some of the difficulties faced by genetic counselors when 18 year olds request predictive testing for Hereditary Non-Polyposis Colorectal Cancer. By reflecting upon their experiences with these young adults and their families, the authors’ intention is to generate discussion about genetic counseling strategies, particularly for predictive genetic testing, that are both age-appropriate and family-sensitive.
机译：青少年的遗传咨询充满挑战且复杂。在青春期，抽象思维，自我意识和独立于家庭的能力都会增强。预测性基因测试咨询协议以这些质量为前提，要求处于风险中的个人考虑测试的短期和长期后果及其动机。 18岁的人正从青春期过渡到成年；符合预测性基因测试的资格，他们可能尚未独立于家人或无法表达自己的感受。本文提供了来自作者临床实践的案例研究，以说明当18岁的孩子要求遗传性非息肉性大肠癌的预测性检测时，遗传咨询师所面临的一些困难。通过反思他们在这些年轻人及其家庭中的经历，作者的意图是引发有关遗传咨询策略的讨论，尤其是针对预测性基因测试的遗传咨询策略，该策略既适合年龄又对家庭敏感。

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