Psychologists working in pediatric settings may provide the team with developmental assessment of the child's cognitive understanding of the role genetics plays in the etiology of the condition that runs in his or her family.
Psychologists typically assess psychological readiness for genetic testing and can judge the emotional value of genetic information to parents and children.
However, several pediatric conditions involve disposition to pediatric cancers for which genetic testing is available and is, in some cases, considered standard patient care.
Discussion of these conditions provides a template for raising general questions about the genetic testing of children.
Hence, the direct benefits of genetic testing of adults or children are limited to (1) allowing for the recognition of the 50% of family members who are not carriers and, thus, not at increased risk for cancer; (2) alerting parents, patients, and physicians to the high likelihood of cancer in even quite young individuals who are mutation carriers and enouraging early investigation of symptoms; and (3) providing clarity for patients and parents about whether children are mutation carriers.The most common types of genetic cancer testing currently performed are for genes that predispose to breast or ovarian cancer or testing for the several genes that predispose carriers to colon cancer. partnerbörse Trier Professional medical organizations have issued guidelines suggesting that children not undergo genetic testing for adult-onset disorders unless treatment in childhood would substantially affect the outcome of the serious adult disorder (American Medical Association, 1995; American Society of Human Genetics/American College of Medical Genetics, Statement on Children, 1995), and most professionals concur.This article is directed at those responsible for the training of twenty-first-century pediatric psychologists.It briefly reviews current genetic knowledge as it relates to physical and psychiatric diseases of childhood and describes the roles of pediatric psychologists in the clinical care of patients with genetic concerns.
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gene is autosomal dominant; thus, each child has a 50% chance of inheriting the deleterious mutation.LFS family members who are mutation carriers have a 40% chance of developing cancer by age 20 (Williams & Strong, 1985), far above the population risk of malignancy in childhood.Objective To demonstrate the importance of genetic knowledge in coming decades and to outline necessary areas of genetic education. Method This article reviews research involving genetic testing of children for cancer syndromes, development disabilities, psychiatric problems, and other conditions.There is often some overlap in roles between members of different professions represented on a genetics team, with geneticists, genetic counselors, and nurses offering information about the inheritance patterns, risk estimates, and options for prevention and several team members providing psychological support.
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