F11对亨廷顿病祖孙关系的影响

Laura Armas Junco, María Fernández-Hawrylak
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摘要

亨廷顿氏病(HD)是一种遗传性中枢神经系统神经退行性疾病。它从父母传给孩子,在家庭生活中产生情感和结构上的变化。由于其全球患病率较低,因此被归类为少数人疾病。基因分析的阳性或阴性结果假设对家庭动态有影响,祖父母-孙子关系是受患病风险或现实影响的子系统之一。本研究的双重目的是:(1)深入了解面临患HD风险或出现HD症状时的情绪过程及其对祖父母与孙辈关系的影响;(2)探讨孙辈患HD风险或诊断对祖父母的影响。方法/技术来自4个HD患者家庭的5位祖父母和5位孙辈参与了本研究。采用定性案例研究方法。访谈和家谱作为数据收集工具。结果在结果中,观察到回避公开谈论HD的存在。综上所述,需要进一步了解祖父母-孙子子系统中儿童在面对HD时所采取的具体应对策略。
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F11 Impact on the grandparents-grandchildren relationship in huntington’s disease
Background Huntington’s disease (HD) is a hereditary neurodegenerative disorder of the central nervous system. It is transmitted from parents to children, producing emotional and structural changes in family life. It is categorized as a minority disease because of its low global prevalence. The positive or negative results of the genetic analysis suppose an impact on family dynamics, with the grandparents-grandchildren relationship being one of the subsystems affected by the risk or the reality of suffering the disease. Aims The double objective of the research presented in this study is: (1) To obtain an in-depth understanding of the emotional process of coping with being at risk of having HD or being symptomatic of the disease, as well as its effect on the relationship between grandparents and grandchildren, and (2) To explore the impact on grandparents of the risk or diagnosis of HD in their grandchildren. Methods/Techniques Five grandparents and five grandchildren belonging to four families affected by HD participated in this study. A qualitative case study methodology was used. Interviews and genograms were used as data collection instruments. Results In the results obtained, avoidance of open conversation about the presence of HD is observed. Conclusions In conclusion, greater knowledge is needed about the specific coping strategies employed when faced with HD in the grandparents-grandchildren subsystem.
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