Non-uptake of predictive genetic testing for BRCA1/2 among relatives of known carriers: Attributes, cancer worry, and barriers to testing in a multicenter clinical cohort

BRCA1/2 test decliners/deferrers have received almost no attention in the literature and this is the first study of this population in the United Kingdom. The aim of this multicenter study is to examine the attributes of a group of individuals offered predictive genetic testing for breast/ovarian cancer predisposition who did not wish to proceed with testing at the time of entry into this study. This forms part of a larger study involving 9 U.K. centers investigating the psychosocial impact of predictive genetic testing for BRCA1/2. Cancer worry and reasons for declining or deferring BRCA1/2 predictive genetic testing were evaluated by questionnaire following genetic counseling. A total of 34 individuals declined the offer of predictive genetic testing. Compared to the national cohort of test acceptors, test decliners are significantly younger. Female test decliners have lower levels of cancer worry than female test acceptors. Barriers to testing include apprehension about the result, traveling to the genetics clinic, and taking time away from work/family. Women are more likely than men to worry about receiving less screening if found not to be a carrier. The findings do not indicate that healthy BRCA1/2 test decliners are a more vulnerable group in terms of cancer worry. However, barriers to testing need to be discussed in genetic counseling.

«Pour l'amour de Dieu madame, n'annulez pas votre venue!» : la migration familiale au Nouveau Monde espagnol d’après les «Cartas privadas de emigrantes a Indias», 1540-1616

Le mouvement migratoire espagnol en Amérique à l'époque moderne peut être partagé en deux phases distinctes : La première est essentiellement masculine alors que la seconde intègre un nombre considérable de femmes et d'enfants. En analysant la correspondance privée provenant des Indes espagnoles entre 1540 et 1616, avec une attention particulière aux missives échangées entre les membres d'une même famille, l’objectif de ce mémoire est d’accéder au quotidien et à l'intimité des migrants et des migrantes et d’expliquer les origines et les modalités de la migration familiale dont l'apogée se situe entre 1560 et 1620. L'analyse dans la perspective du genre des « Cartas privadas de emigrantes a Indias » jette ainsi une lumière nouvelle sur les pratiques épistolaires familiales, les motifs des réunions des familles et sur l’agentivité des Espagnoles dans la construction de la société coloniale.

The development of an observation tool for use with parents with psychiatric disability and their preschool children

Community-based treatment and care of people with psychiatric disabilities has meant that they are now more likely to engage in the parenting role. This has led to the development of programs designed to enhance the parenting skills of people with psychiatric disabilities. Evaluation of these programs has been hampered by a paucity of evaluation tools. This study's aim was to develop and trial a tool that examined the parent-child interaction within a group setting, was functional and easy to use, required minimum training and equipment, and had acceptable levels of reliability and validity. The revised tool yielded a single scale with acceptable reliability. It had discriminative validity and concurrent validity with non-independent global ratings of parenting. Sensitivity to change was not investigated. The findings suggest that this method of evaluating parenting is likely to have both clinical and research utility and further investigation of the psychometric properties of the tool is warranted.

Portrait of four generations of women: Henny Molling nee Meyerhof, Elizabeth Gottschalk, Julie Meyerhof nee Oppenheimer and Therese Gottschalk nee Molling Portraits; Family

From left to right: Henny Molling, born Meyerhof, Elizabeth Gottschalk, Julie Meyerhof born Oppenheimer, and Therese Gottschalk, born Molling.

Unidentified women and man Portraits Family

Handwritten on verso: Jetzt sind wir wieder vergnuegt und gluecklich zusammen. Herzlichst Deine (Illegible name Neni or Leni?)

Family portrait with six unidentified men and women around a dining table holding up large glasses of beer.

Handwritten caption: Es war einmal (Once upon a time there was)

Studio portrait of the women of the Oppenheimer family.

l-r: Thekla Oppenheimer-Benedick, Jenny Oppenheimer-Frank, Fanny Oppenheimer and Adele Oppenheimer-Nathan

Studio portrait of the women of the Oppenheimer family.

l-r: Sisters Adele Oppenheimer-Nathan, Thekla Oppenheimer-Benedick, Jenny Oppenheimer-Frank and their mother Fanny Oppenheimer

Portrait of four generations of women: Henny Molling nee Meyerhof, Elizabeth Gottschalk, Julie Meyerhof nee Oppenheimer and Therese Gottschalk nee Molling Portraits; Family

From left to right: Henny Molling, born Meyerhof, Elizabeth Gottschalk, Julie Meyerhof born Oppenheimer, and Therese Gottschalk, born Molling.

heilbrunn-goldschmict family collection; mother or grandmother of johanna heilbrunn Portraits Women

Digital Image

heilbrunn-goldschmidt family collection' ;4 unidentified men; 6 unidentified women; fashion show; osterode Portraits Groups

Digital Image