Journal of Genetic Counseling

, Volume 21, Issue 1, pp 59–71

Influence of Genetic Risk Information on Parental Role Identity in Adolescent Girls and Young Women from Families with Fragile X Syndrome

  • Allyn McConkie-Rosell
  • Elizabeth Melvin Heise
  • Gail A. Spiridigliozzi
Original Research

DOI: 10.1007/s10897-011-9391-8

Cite this article as:
McConkie-Rosell, A., Heise, E.M. & Spiridigliozzi, G.A. J Genet Counsel (2012) 21: 59. doi:10.1007/s10897-011-9391-8


Using a multi-group cross-sectional design, we explored self-concept related to parental role salience and enactment in 53 young women (14 to 24 years) with knowledge they were either carriers, non-carriers, or could be a carrier of fragile X syndrome (FXS). Parental role salience included the participants’ desire “to be a mother” and the importance they placed on this role. Enactment focused on the participants’ views regarding ways to become a mother (reproductive options), parenting a child affected by FXS, and the development of partner relationships (marriage). Participants completed the FXS Adolescent Interview and the FX-Visual Analog Scale. Participants’ knowledge of their genetic risk status appears to have influenced both salience and enactment of the parental role, and the effect varied based on carrier status. For many, knowledge of genetic risk appears to have led to reappraisal, redefinition, and re-engagement with the goal of becoming a parent. This process was prominent in those who were carriers and less so in those who were at-risk, and it did not typically occur in those who were non-carriers. Findings offer valuable insight into the impact of genetic risk information on developing perceptions of the parental role and offer new directions for genetic counseling with adolescents and young women with a family history of FXS.


Fragile X syndromeSelf-conceptParental roleAdolescentCarrier testingGenetic counseling

Copyright information

© National Society of Genetic Counselors, Inc. 2011

Authors and Affiliations

  • Allyn McConkie-Rosell
    • 1
    • 3
  • Elizabeth Melvin Heise
    • 1
  • Gail A. Spiridigliozzi
    • 2
  1. 1.Division of Medical Genetics, Department of PediatricsDuke University Health SystemDurhamUSA
  2. 2.Department of Pediatrics, Department of PsychiatryDuke University Health SystemDurhamUSA
  3. 3.Division of Medical GeneticsDuke University Health SystemDurhamUSA