Skip to main content
Top
Published in: Journal of Genetic Counseling 2/2013

01-04-2013 | Original Research

Young Adults’ Experience of Living with Neurofibromatosis Type 1

Authors: Grete Hummelvoll, Kjell Magnus Antonsen

Published in: Journal of Genetic Counseling | Issue 2/2013

Login to get access

Abstract

Neurofibromatosis Type 1 (NF1) may have many psychosocial consequences for affected adults. More knowledge is needed about the experience of psychosocial aspects in different stages of adulthood. This qualitative study aims to describe the experiences and concerns of persons living with NF1 in the early stages of adulthood. In semi-structured interviews, Norwegian adults with NF1 (n = 15) between 18 and 37 years of age described their experiences and concerns. Interview transcripts were analysed in a both concept and data driven way. Severity of NF1 was assessed from interview data. Our data indicate that many informants have more friends than in childhood, including friends with NF1. An important topic is whether or not to inform others about the NF1 diagnosis . Low self-confidence is common, often related to early school failure and bullying or to visible neurofibromas. The unpredictable development of NF1 causes much concern. The experience of NF1’s impact seems less associated with the assessed severity than with social network, relation to the labour market, and psychological factors.
Literature
go back to reference Ablon, J. (1999). Living with genetic disorder. The impact of neurofibromatosis 1. Westport, Connecticut. London: Auburn House. Ablon, J. (1999). Living with genetic disorder. The impact of neurofibromatosis 1. Westport, Connecticut. London: Auburn House.
go back to reference Barton, B., & North, K. (2004). Social skills of children with neurofibromatosis type 1. Developmental Medicine and Child Neurology, 46, 553–563.CrossRef Barton, B., & North, K. (2004). Social skills of children with neurofibromatosis type 1. Developmental Medicine and Child Neurology, 46, 553–563.CrossRef
go back to reference Belzeaux, R., & Lancon, C. (2006). Neurofibromatose de type 1. Troubles psychiatrique et alteration de la qualite de vie (in French). Presse Médicale, 35, 277–280.CrossRef Belzeaux, R., & Lancon, C. (2006). Neurofibromatose de type 1. Troubles psychiatrique et alteration de la qualite de vie (in French). Presse Médicale, 35, 277–280.CrossRef
go back to reference Benjamin, C. M., Colley, A., Donnai, D., et al. (1993). Neurofibromatosis type 1 (NF1): knowledge, experience, and reproductive decisions of affected patients and families. Journal of Medical Genetics, 30, 567–574.CrossRef Benjamin, C. M., Colley, A., Donnai, D., et al. (1993). Neurofibromatosis type 1 (NF1): knowledge, experience, and reproductive decisions of affected patients and families. Journal of Medical Genetics, 30, 567–574.CrossRef
go back to reference Campbell, T. L., & Patterson, J. M. (1995). The effectiveness of family interventions in the treatment of physical illness. Journal of Marital and Family Therapy, 21, 545–583.CrossRef Campbell, T. L., & Patterson, J. M. (1995). The effectiveness of family interventions in the treatment of physical illness. Journal of Marital and Family Therapy, 21, 545–583.CrossRef
go back to reference Descheemaeker, M.-J., Ghesquiere, P., Symons, H., Fryns, J. P., & Legius, E. (2005). Behavioural, academic and neuropsychological profile of normally gifted Neurofibromatosis type I children. Journal of Intellectual Disability Research, 49, 33–46.CrossRef Descheemaeker, M.-J., Ghesquiere, P., Symons, H., Fryns, J. P., & Legius, E. (2005). Behavioural, academic and neuropsychological profile of normally gifted Neurofibromatosis type I children. Journal of Intellectual Disability Research, 49, 33–46.CrossRef
go back to reference Dilts, C. V., Carey, J. C., Kircher, J. C., Hoffman, R. O., Creel, D., Ward, K., & Leonard, C. O. (1996). Children and adolescents with neurofibromatosis 1: a behavioral phenotype. Developmental and Behavioral Pediatrics, 17(4), 229–239.CrossRef Dilts, C. V., Carey, J. C., Kircher, J. C., Hoffman, R. O., Creel, D., Ward, K., & Leonard, C. O. (1996). Children and adolescents with neurofibromatosis 1: a behavioral phenotype. Developmental and Behavioral Pediatrics, 17(4), 229–239.CrossRef
go back to reference Ferner, R. E. (2007). Neurofibromatosis 1 and neurofibromatosis 2: a twenty first century perspective. Lancet Neurology, 6, 340–351. Review.CrossRef Ferner, R. E. (2007). Neurofibromatosis 1 and neurofibromatosis 2: a twenty first century perspective. Lancet Neurology, 6, 340–351. Review.CrossRef
go back to reference Friedman, J. M., & Birch, P. H. (1997). Type 1 neurofibromatosis: a descriptive analysis of the disorder in 1728 patients. American Journal of Medical Genetics, 70, 138–143.CrossRef Friedman, J. M., & Birch, P. H. (1997). Type 1 neurofibromatosis: a descriptive analysis of the disorder in 1728 patients. American Journal of Medical Genetics, 70, 138–143.CrossRef
go back to reference Gibbs, G. (2009). Analyzing qualitative data. London: Sage. Gibbs, G. (2009). Analyzing qualitative data. London: Sage.
go back to reference Goffman, E. (1963). STIGMA: Notes on the management of spoiled identity. New York London Toronto: Simon & Schuster. Goffman, E. (1963). STIGMA: Notes on the management of spoiled identity. New York London Toronto: Simon & Schuster.
go back to reference Graf, A., Landolt, M.A., Mori, A.C., & Boltshauser, E. (2006). Quality of life and psychological adjustment in children and adolescents with neurofibromatosis type 1. The Journal of Pediatrics, 348–353.CrossRef Graf, A., Landolt, M.A., Mori, A.C., & Boltshauser, E. (2006). Quality of life and psychological adjustment in children and adolescents with neurofibromatosis type 1. The Journal of Pediatrics, 348–353.CrossRef
go back to reference Grue, L. (2001). Motstand og mestring. Om funksjonshemming og livsvilkår (in Norwegian) NOVA rapport. Oslo: Norwegian Social Research.CrossRef Grue, L. (2001). Motstand og mestring. Om funksjonshemming og livsvilkår (in Norwegian) NOVA rapport. Oslo: Norwegian Social Research.CrossRef
go back to reference Grut, L., Kvam, M. H., & Lippestad, J. W. (2008). Rare disorders in Norway. How the users experience the health services. Oslo: SINTEF. Grut, L., Kvam, M. H., & Lippestad, J. W. (2008). Rare disorders in Norway. How the users experience the health services. Oslo: SINTEF.
go back to reference Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders. A meta-analysis (abstract). The British Journal of Psychiatry: the Journal of Mental Science, 170(4), 205–228.CrossRef Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders. A meta-analysis (abstract). The British Journal of Psychiatry: the Journal of Mental Science, 170(4), 205–228.CrossRef
go back to reference Hoxmark, L. (2010). Men hvordan har DU det? (But how are YOU doing?) Master thesis. MA-dissertation. Frambu Resource Centre for Rare Disorders. Oslo: Vestfold University College. Hoxmark, L. (2010). Men hvordan har DU det? (But how are YOU doing?) Master thesis. MA-dissertation. Frambu Resource Centre for Rare Disorders. Oslo: Vestfold University College.
go back to reference Huson, S. M., Compston, D. A. S., Clark, P., & Harper, P. S. (1989). A genetic study of von Recklinghausen neurofibromatosis in south east Wales. Prevalence, fitness, mutation rate, and effect of parental transmission on severity. Journal of Medical Genetics, 26, 704–711.CrossRef Huson, S. M., Compston, D. A. S., Clark, P., & Harper, P. S. (1989). A genetic study of von Recklinghausen neurofibromatosis in south east Wales. Prevalence, fitness, mutation rate, and effect of parental transmission on severity. Journal of Medical Genetics, 26, 704–711.CrossRef
go back to reference Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer Publishing Company. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer Publishing Company.
go back to reference Lerdal, B., Sørensen, K., Vestrheim, I.E., & Skranes, J. (2011). Parental effects from participation in an intensified multimodal programme of habilitation for children with cerebral palsy. Scandinavian Journal of Disability Research, 1–10. Lerdal, B., Sørensen, K., Vestrheim, I.E., & Skranes, J. (2011). Parental effects from participation in an intensified multimodal programme of habilitation for children with cerebral palsy. Scandinavian Journal of Disability Research, 1–10.
go back to reference Lingsom, S. (2008). Invisible impairments: dilemmas of concealment and disclosure. Scandinavian Journal of Disability Research, 10(1), 2–16.CrossRef Lingsom, S. (2008). Invisible impairments: dilemmas of concealment and disclosure. Scandinavian Journal of Disability Research, 10(1), 2–16.CrossRef
go back to reference Manniche, V. (1997). At leve med Neurofibromatosis Recklinghausen (PhD dissertation) in Danish. Copenhagen: Center for Små Handicapgrupper. Manniche, V. (1997). At leve med Neurofibromatosis Recklinghausen (PhD dissertation) in Danish. Copenhagen: Center for Små Handicapgrupper.
go back to reference Metcalfe, A., Plumridge, G., Coad, J., Shanks, A., & Gill, P. (2011). Parents’ and children’s communication about genetic risk: a qualitative study, learning from families’ experience. European Journal of Human Genetics, 19, 640–646.CrossRef Metcalfe, A., Plumridge, G., Coad, J., Shanks, A., & Gill, P. (2011). Parents’ and children’s communication about genetic risk: a qualitative study, learning from families’ experience. European Journal of Human Genetics, 19, 640–646.CrossRef
go back to reference North, K., Hyman, S., & Barton, B. (2002). Cognitive deficits in neurofibromatosis 1. Journal of Child Neurology, 17, 605–612.CrossRef North, K., Hyman, S., & Barton, B. (2002). Cognitive deficits in neurofibromatosis 1. Journal of Child Neurology, 17, 605–612.CrossRef
go back to reference Pandit, N. R. (1996). The creation of theory: a recent application of the grounded theory method. The Qualitative Report, 2(4). Pandit, N. R. (1996). The creation of theory: a recent application of the grounded theory method. The Qualitative Report, 2(4).
go back to reference Radtke, H. B., Sebold, C. D., Allison, C., Haidle, J. L., & Schneider, G. (2007). Neurofibromatosis type 1 in genetic counseling practice: recommendations of the national society of genetic counselors. Journal of Genetic Counseling, 16, 387–407.CrossRef Radtke, H. B., Sebold, C. D., Allison, C., Haidle, J. L., & Schneider, G. (2007). Neurofibromatosis type 1 in genetic counseling practice: recommendations of the national society of genetic counselors. Journal of Genetic Counseling, 16, 387–407.CrossRef
go back to reference Raina, P., O’Donnell, M., Rosenbaum, P., Brehaut, J., Walter, S. D., Russell, D., & Wood, E. (2005). The health and well-being of caregivers of children with cerebral palsy. Pediatrics, 115, 626–636.CrossRef Raina, P., O’Donnell, M., Rosenbaum, P., Brehaut, J., Walter, S. D., Russell, D., & Wood, E. (2005). The health and well-being of caregivers of children with cerebral palsy. Pediatrics, 115, 626–636.CrossRef
go back to reference Reiter-Purtill, J., Schorry, E. K., Lovell, A., Vannatta, K., Gerhardt, C. A., & Noll, R. B. (2008). Parental distress, family functioning, and social support in families with and without a child with neurofibromatosis 1. Journal of Pediatric Psychology, 33, 422–434.CrossRef Reiter-Purtill, J., Schorry, E. K., Lovell, A., Vannatta, K., Gerhardt, C. A., & Noll, R. B. (2008). Parental distress, family functioning, and social support in families with and without a child with neurofibromatosis 1. Journal of Pediatric Psychology, 33, 422–434.CrossRef
go back to reference Sebold, C. D., Lovell, A., Hopkin, R., Noll, R. B., & Schorry, E. K. (2004). Perception of disease severity in adolescents diagnosed with neurofibromatosis type 1. Journal of Adolescent Health, 35, 297–302.CrossRef Sebold, C. D., Lovell, A., Hopkin, R., Noll, R. B., & Schorry, E. K. (2004). Perception of disease severity in adolescents diagnosed with neurofibromatosis type 1. Journal of Adolescent Health, 35, 297–302.CrossRef
go back to reference Söderström, S. (2009). The significance of ICT in disabled youth’s negotiations. Scandinavian Journal of Disability Research, 11(2), 131–144.CrossRef Söderström, S. (2009). The significance of ICT in disabled youth’s negotiations. Scandinavian Journal of Disability Research, 11(2), 131–144.CrossRef
go back to reference Tongerloo, A. V., & De Paepe, A. (1998). Psychosocial adaptation in adolescents and young adults with Marfan syndrome: an exploratory study. Journal of Medical Genetics, 35, 405–409.CrossRef Tongerloo, A. V., & De Paepe, A. (1998). Psychosocial adaptation in adolescents and young adults with Marfan syndrome: an exploratory study. Journal of Medical Genetics, 35, 405–409.CrossRef
go back to reference Wallander, J. L., & Varni, J. W. (1998). Effects of pediatric chronic physical disorders on child and family adjustment. Journal of Child Psychology and Psychiatry, 39, 29–46.CrossRef Wallander, J. L., & Varni, J. W. (1998). Effects of pediatric chronic physical disorders on child and family adjustment. Journal of Child Psychology and Psychiatry, 39, 29–46.CrossRef
go back to reference Wolkenstein, P., Zeller, J., Revuz, J., Ecosse, E., & Leplege, A. (2001). Quality-of-life impairment in neurofibromatosis type 1. A cross-sectional study of 128 cases. Archives of Dermatology, 137, 1421–1425.CrossRef Wolkenstein, P., Zeller, J., Revuz, J., Ecosse, E., & Leplege, A. (2001). Quality-of-life impairment in neurofibromatosis type 1. A cross-sectional study of 128 cases. Archives of Dermatology, 137, 1421–1425.CrossRef
go back to reference Zöller, M. E., & Rembeck, B. (1999). A psychiatric 12-year follow-up of adult patients with neurofibromatosis type1. Journal of Psychiatric Research, 33(1), 63–68.CrossRef Zöller, M. E., & Rembeck, B. (1999). A psychiatric 12-year follow-up of adult patients with neurofibromatosis type1. Journal of Psychiatric Research, 33(1), 63–68.CrossRef
Metadata
Title
Young Adults’ Experience of Living with Neurofibromatosis Type 1
Authors
Grete Hummelvoll
Kjell Magnus Antonsen
Publication date
01-04-2013
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 2/2013
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-012-9527-5

Other articles of this Issue 2/2013

Journal of Genetic Counseling 2/2013 Go to the issue