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Published in: Journal of Genetic Counseling 6/2015

01-12-2015 | Original Research

The Impact of Neurofibromatosis Type 1 on the Health and Wellbeing of Australian Adults

Authors: Hilda A. Crawford, Belinda Barton, Meredith J. Wilson, Yemima Berman, Valerie J. McKelvey-Martin, Patrick J. Morrison, Kathryn N. North

Published in: Journal of Genetic Counseling | Issue 6/2015

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Abstract

The complications of neurofibromatosis type 1 (NF1) are widespread, unpredictable and variable and each person’s experience of this disorder is unique. However, few studies have addressed the impact of NF1 from an individual’s perspective. This qualitative study aims to identify the ways in which NF1 impacts upon affected Australian adults. Sixty adults with NF1, with a range of disease severity and visibility participated in a semi-structured interview about the ways in which NF1 impacted upon their life and health. Data were analyzed using grounded theory methodology. Results indicated that NF1 impacts upon affected adults in five major ways: 1) cosmetic burden of disease 2) learning difficulties 3) concerns about the risk of passing NF1 to offspring 4) uncertain disease progression, and 5) pain. Participants identified the aspects of NF1 that bothered them the most, creating a hierarchy of NF1 concerns within the cohort. Importantly, mildly affected adults shared many of the same concerns as those more severely affected. This study enhances our current understanding of the impact of NF1 in adulthood, and augments existing recommendations for the care of these patients.
Literature
go back to reference Ablon, J. (1999). Living with genetic disorder. The impact of neurofibromatosis 1. Westport: Auburn House. Ablon, J. (1999). Living with genetic disorder. The impact of neurofibromatosis 1. Westport: Auburn House.
go back to reference Anon. (1988). Neurofibromatosis. Conference statement. National Institutes of Health consensus development conference. [Neurofibromatosis conference statement National-Institutes-of-Health consensus development conference]. Arch Neurol, 45(5), 575–578.CrossRef Anon. (1988). Neurofibromatosis. Conference statement. National Institutes of Health consensus development conference. [Neurofibromatosis conference statement National-Institutes-of-Health consensus development conference]. Arch Neurol, 45(5), 575–578.CrossRef
go back to reference Barke, J., Harcourt, D., & Coad, J. (2014). ‘It’s like a bag of pick and mix—you don’t know what you are going to get’: young people’s experience of neurofibromatosis Type 1. J Adv Nurs, 70(7), 1594–1603. doi:10.1111/jan.12319.CrossRefPubMed Barke, J., Harcourt, D., & Coad, J. (2014). ‘It’s like a bag of pick and mix—you don’t know what you are going to get’: young people’s experience of neurofibromatosis Type 1. J Adv Nurs, 70(7), 1594–1603. doi:10.​1111/​jan.​12319.CrossRefPubMed
go back to reference Charmaz, K. (2006). Constructing grounded theory. a practical guide through qualitative analysis. London: Sage. Charmaz, K. (2006). Constructing grounded theory. a practical guide through qualitative analysis. London: Sage.
go back to reference Coron, F., Rousseau, T., Jondeau, G., Gautier, E., Binquet, C., Gouya, L., et al. (2012). What do French patients and geneticists think about prenatal and preimplantation diagnoses in Marfan syndrome? Prenat Diagn, 32(13), 1318–1323. doi:10.1002/pd.4008.CrossRefPubMed Coron, F., Rousseau, T., Jondeau, G., Gautier, E., Binquet, C., Gouya, L., et al. (2012). What do French patients and geneticists think about prenatal and preimplantation diagnoses in Marfan syndrome? Prenat Diagn, 32(13), 1318–1323. doi:10.​1002/​pd.​4008.CrossRefPubMed
go back to reference Evans, D. G., Howard, E., Giblin, C., Clancy, T., Spencer, H., Huson, S. M., et al. (2010). Birth incidence and prevalence of tumor-prone syndromes: estimates from a UK Family Genetic Register service. Am J Med Genet A, 152A(2), 327–332. doi:10.1002/ajmg.a.33139.CrossRefPubMed Evans, D. G., Howard, E., Giblin, C., Clancy, T., Spencer, H., Huson, S. M., et al. (2010). Birth incidence and prevalence of tumor-prone syndromes: estimates from a UK Family Genetic Register service. Am J Med Genet A, 152A(2), 327–332. doi:10.​1002/​ajmg.​a.​33139.CrossRefPubMed
go back to reference Farhi, D., Bastuji-Garin, S., Khosrotchrani, K., Vidaud, D., Bellane, C., Revuz, J., et al. (2008). Neurofibromatosis 1: Analysis of the demand for prenatal diagnosis in a French cohort of 361 patients. Am J Med Genet A, 146A(2), 159–165. doi:10.1002/ajmg.a.32066.CrossRefPubMed Farhi, D., Bastuji-Garin, S., Khosrotchrani, K., Vidaud, D., Bellane, C., Revuz, J., et al. (2008). Neurofibromatosis 1: Analysis of the demand for prenatal diagnosis in a French cohort of 361 patients. Am J Med Genet A, 146A(2), 159–165. doi:10.​1002/​ajmg.​a.​32066.CrossRefPubMed
go back to reference Fildes, J., Robbins, A., Cave, L., Perrens, B., & Wearring, A. (2014). Mission Australia’s 2014 Youth Survey Report. Sydney: Mission Australia. Fildes, J., Robbins, A., Cave, L., Perrens, B., & Wearring, A. (2014). Mission Australia’s 2014 Youth Survey Report. Sydney: Mission Australia.
go back to reference Granstrom, S., Friedrich, R. E., Langenbruch, A. K., Augustin, M., & Mautner, V. F. (2014). Influence of learning disabilities on the tumour predisposition syndrome NF1-survey from adult patients’ perspective. Anticancer Res, 34(7), 3675–3681.PubMed Granstrom, S., Friedrich, R. E., Langenbruch, A. K., Augustin, M., & Mautner, V. F. (2014). Influence of learning disabilities on the tumour predisposition syndrome NF1-survey from adult patients’ perspective. Anticancer Res, 34(7), 3675–3681.PubMed
go back to reference Kodra, Y., Giustini, S., Divona, L., Porciello, R., Calvieri, S., Wolkenstein, P., et al. (2009). Health-related quality of life in patients with neurofibromatosis type 1. Dermatology, 218(3), 215–220. doi:10.1159/000187594.CrossRefPubMed Kodra, Y., Giustini, S., Divona, L., Porciello, R., Calvieri, S., Wolkenstein, P., et al. (2009). Health-related quality of life in patients with neurofibromatosis type 1. Dermatology, 218(3), 215–220. doi:10.​1159/​000187594.CrossRefPubMed
go back to reference Korf, B., & Rubenstein, A. E. (2005). Neurofibromatosis a handbook for patients, families, and health care professionals (2nd ed.). NY: Thieme. Korf, B., & Rubenstein, A. E. (2005). Neurofibromatosis a handbook for patients, families, and health care professionals (2nd ed.). NY: Thieme.
go back to reference Krueger, G., Koo, J., Lebwohl, M., Menter, A., Stern, R. S., & Rolstad, T. (2001). The impact of psoriasis on quality of life—results of a 1998 National Psoriasis Foundation patient-membership survey. Arch Dermatol, 137(3), 280–284.PubMed Krueger, G., Koo, J., Lebwohl, M., Menter, A., Stern, R. S., & Rolstad, T. (2001). The impact of psoriasis on quality of life—results of a 1998 National Psoriasis Foundation patient-membership survey. Arch Dermatol, 137(3), 280–284.PubMed
go back to reference Mauger, D., Zeller, J., Revuz, J., & Wolkenstein, P. (1999). Psychological impact of neurofibromatosis type I: analysis of interviews with 12 patients to evaluate quality of life. Annales De Dermatologie Et De Venereologie, 126(8–9), 619–620.PubMed Mauger, D., Zeller, J., Revuz, J., & Wolkenstein, P. (1999). Psychological impact of neurofibromatosis type I: analysis of interviews with 12 patients to evaluate quality of life. Annales De Dermatologie Et De Venereologie, 126(8–9), 619–620.PubMed
go back to reference Mautner, V. F., Granstrom, S., & Leark, R. A. (2012). Impact of ADHD in adults with neurofibromatosis type 1: associated psychological and social problems. J Atten Disord, XX(X), 1–9. Mautner, V. F., Granstrom, S., & Leark, R. A. (2012). Impact of ADHD in adults with neurofibromatosis type 1: associated psychological and social problems. J Atten Disord, XX(X), 1–9.
go back to reference Oates, E. C., Payne, J. M., Foster, S. L., Clarke, N. F., & North, K. N. (2013). Young Australian adults with NF1 have poor access to health care, high complication rates, and limited disease knowledge. Am J Med Genet A, 161A(4), 659–666. doi:10.1002/ajmg.a.35840.CrossRefPubMed Oates, E. C., Payne, J. M., Foster, S. L., Clarke, N. F., & North, K. N. (2013). Young Australian adults with NF1 have poor access to health care, high complication rates, and limited disease knowledge. Am J Med Genet A, 161A(4), 659–666. doi:10.​1002/​ajmg.​a.​35840.CrossRefPubMed
go back to reference Odonnell, B. F., Lawlor, F., Simpson, J., Morgan, M., & Greaves, M. W. (1997). The impact of chronic urticaria on the quality of life. Br J Dermatol, 136(2), 197–201.CrossRef Odonnell, B. F., Lawlor, F., Simpson, J., Morgan, M., & Greaves, M. W. (1997). The impact of chronic urticaria on the quality of life. Br J Dermatol, 136(2), 197–201.CrossRef
go back to reference Page, P. Z., Korf, B. R., Page, G. P., Leplege, A., & Wolkenstein, P. (2004). Quality of life in adults with neurofibromatosis type 1. Genetics in Medicine, 6(4), 346. Page, P. Z., Korf, B. R., Page, G. P., Leplege, A., & Wolkenstein, P. (2004). Quality of life in adults with neurofibromatosis type 1. Genetics in Medicine, 6(4), 346.
go back to reference Pride, N. A., & North, K. N. (2012). The cognitive profile of NF1 children: therapeutic implications. In M. Upadhhyaya & D. N. Cooper (Eds.), Neurofibromatosis Type 1 Molecular and Cellular Biology (pp. 55–70). Heidelberg: Springer.CrossRef Pride, N. A., & North, K. N. (2012). The cognitive profile of NF1 children: therapeutic implications. In M. Upadhhyaya & D. N. Cooper (Eds.), Neurofibromatosis Type 1 Molecular and Cellular Biology (pp. 55–70). Heidelberg: Springer.CrossRef
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. J Genet Couns, 16(4), 387–407. doi:10.1007/s10897-007-9101-8.CrossRefPubMed 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. J Genet Couns, 16(4), 387–407. doi:10.​1007/​s10897-007-9101-8.CrossRefPubMed
go back to reference Reichardt, C., Scherwath, A., Mautner, V. F., Bullinger, M., & Petersen-Ewert, C. (2013). Psychological distress in adults with neurofibromatosis type 1: a longitudinal study. Psychother Psychosom Med Psychol, 63(2), 85–92. doi:10.1055/s-0032-1321883.CrossRefPubMed Reichardt, C., Scherwath, A., Mautner, V. F., Bullinger, M., & Petersen-Ewert, C. (2013). Psychological distress in adults with neurofibromatosis type 1: a longitudinal study. Psychother Psychosom Med Psychol, 63(2), 85–92. doi:10.​1055/​s-0032-1321883.CrossRefPubMed
go back to reference Riccardi, V. M., & Kleiner, B. (1977). Neurofibromatosis: a neoplastic birth defect with two age peaks of severe problems. Birth Defects Original Article Series, 13(3C), 131–138.PubMed Riccardi, V. M., & Kleiner, B. (1977). Neurofibromatosis: a neoplastic birth defect with two age peaks of severe problems. Birth Defects Original Article Series, 13(3C), 131–138.PubMed
go back to reference Rieley, M. B., Stevenson, D. A., Viskochil, D. H., Tinkle, B. T., Martin, L. J., & Schorry, E. K. (2011). Variable expression of neurofibromatosis 1 in monozygotic twins. Am J Med Genet A, 155A(3), 478–485. doi:10.1002/ajmg.a.33851.CrossRefPubMed Rieley, M. B., Stevenson, D. A., Viskochil, D. H., Tinkle, B. T., Martin, L. J., & Schorry, E. K. (2011). Variable expression of neurofibromatosis 1 in monozygotic twins. Am J Med Genet A, 155A(3), 478–485. doi:10.​1002/​ajmg.​a.​33851.CrossRefPubMed
go back to reference Samuelsson, B., & Axelsson, R. (1981). Neurofibromatosis - a clinical and genetic-study of 96 cases in Gothenburg, Sweden. Acta Dermato-Venereologica, 67–71. Samuelsson, B., & Axelsson, R. (1981). Neurofibromatosis - a clinical and genetic-study of 96 cases in Gothenburg, Sweden. Acta Dermato-Venereologica, 67–71.
go back to reference Sarwer, D. B., Bartlett, S. P., Whitaker, L. A., Paige, K. T., Pertschuk, M. J., & Wadden, T. A. (1999). Adult psychological functioning of individuals born with craniofacial anomalies. Plast Reconstr Surg, 103(2), 412–418. doi:10.1097/00006534-199902000-00008. Sarwer, D. B., Bartlett, S. P., Whitaker, L. A., Paige, K. T., Pertschuk, M. J., & Wadden, T. A. (1999). Adult psychological functioning of individuals born with craniofacial anomalies. Plast Reconstr Surg, 103(2), 412–418. doi:10.​1097/​00006534-199902000-00008.
go back to reference Sbaraini, A., Carter, S. M., Evans, R. W., & Blinkhorn, A. (2011). How to do a grounded theory study: a worked example of a study of dental practices. Bmc Medical Research Methodology, 11. doi:10.1186/1471-2288-11-128 Sbaraini, A., Carter, S. M., Evans, R. W., & Blinkhorn, A. (2011). How to do a grounded theory study: a worked example of a study of dental practices. Bmc Medical Research Methodology, 11. doi:10.​1186/​1471-2288-11-128
go back to reference Shannon, M. L., & Stark, C. P. (2003). The influence of physical appearance on personnel selection. Social Behavior and Personality, 31(6), 613–623.CrossRef Shannon, M. L., & Stark, C. P. (2003). The influence of physical appearance on personnel selection. Social Behavior and Personality, 31(6), 613–623.CrossRef
go back to reference Sharif, S., Moran, A., Huson, S. M., Iddenden, R., Shenton, A., Howard, E., et al. (2007). Women with neurofibromatosis 1 are at a moderately increased risk of developing breast cancer and should be considered for early screening. J Med Genet, 44(8), 481–484. doi:10.1136/jmg.2007.049346.PubMedCentralCrossRefPubMed Sharif, S., Moran, A., Huson, S. M., Iddenden, R., Shenton, A., Howard, E., et al. (2007). Women with neurofibromatosis 1 are at a moderately increased risk of developing breast cancer and should be considered for early screening. J Med Genet, 44(8), 481–484. doi:10.​1136/​jmg.​2007.​049346.PubMedCentralCrossRefPubMed
go back to reference Skirton, H., & Bylund, C. L. (2010). Management of uncertainty. In C. L. Gaff & C. L. Bylund (Eds.), Family Communication about Genetics Theory and Practice (pp. 136–151). New York: Oxford University Press. Skirton, H., & Bylund, C. L. (2010). Management of uncertainty. In C. L. Gaff & C. L. Bylund (Eds.), Family Communication about Genetics Theory and Practice (pp. 136–151). New York: Oxford University Press.
go back to reference Smith, K. B., Wang, D. L., Plotkin, S. R., & Park, E. R. (2013). Appearance concerns among women with neurofibromatosis: examining sexual/bodily and social self-consciousness. Psycho-Oncology, 22(12), 2711–2719. doi:10.1002/pon.3350.CrossRefPubMed Smith, K. B., Wang, D. L., Plotkin, S. R., & Park, E. R. (2013). Appearance concerns among women with neurofibromatosis: examining sexual/bodily and social self-consciousness. Psycho-Oncology, 22(12), 2711–2719. doi:10.​1002/​pon.​3350.CrossRefPubMed
go back to reference Sorensen, S. A., Mulvihill, J. J., & Nielsen, A. (1986). On the natural-history of Von Recklinghausen neurofibromatosis. Ann N Y Acad Sci, 486, 30–37.CrossRefPubMed Sorensen, S. A., Mulvihill, J. J., & Nielsen, A. (1986). On the natural-history of Von Recklinghausen neurofibromatosis. Ann N Y Acad Sci, 486, 30–37.CrossRefPubMed
go back to reference Terzi, Y. K., Oguzkan-Balci, S., Anlar, B., Aysun, S., Guran, S., & Ayter, S. (2009). Reproductive decisions after prenatal diagnosis in neurofibromatosis type 1: importance of genetic counseling. Genet Couns, 20(2), 195–202.PubMed Terzi, Y. K., Oguzkan-Balci, S., Anlar, B., Aysun, S., Guran, S., & Ayter, S. (2009). Reproductive decisions after prenatal diagnosis in neurofibromatosis type 1: importance of genetic counseling. Genet Couns, 20(2), 195–202.PubMed
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. Arch Dermatol, 137(11), 1421–1425.CrossRefPubMed 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. Arch Dermatol, 137(11), 1421–1425.CrossRefPubMed
go back to reference World Med Association. (2013). World Medical Association Declaration of Helsinki ethical principles for medical research involving human subjects. Jama-Journal of the American Medical Association, 310(20), 2191–2194. doi:10.1001/jama.2013.281053.CrossRef World Med Association. (2013). World Medical Association Declaration of Helsinki ethical principles for medical research involving human subjects. Jama-Journal of the American Medical Association, 310(20), 2191–2194. doi:10.​1001/​jama.​2013.​281053.CrossRef
Metadata
Title
The Impact of Neurofibromatosis Type 1 on the Health and Wellbeing of Australian Adults
Authors
Hilda A. Crawford
Belinda Barton
Meredith J. Wilson
Yemima Berman
Valerie J. McKelvey-Martin
Patrick J. Morrison
Kathryn N. North
Publication date
01-12-2015
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 6/2015
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-015-9829-5

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