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Genet Med. 2010 Jul;12(7):396-410. doi: 10.1097/GIM.0b013e3181e38fb6.

A systematic review of population screening for fragile X syndrome.

Author information

1
Genetics Education and Health Research, Murdoch Childrens Research Institute, Melbourne, Australia.

Abstract

PURPOSE:

To conduct a systematic review of literature regarding population-based screening for fragile X syndrome in newborns and women of reproductive age, either before or during pregnancy.

METHODS:

Seven electronic databases were searched for English language studies published between January 1991 and November 2009. Data extraction was performed for all included studies. Results were synthesized using a narrative approach.

RESULTS:

One article that examined offering newborn screening for fragile X syndrome and 10 that examined the offer of fragile X syndrome screening to women of reproductive age were identified. Two of these articles also addressed psychosocial aspects of population screening for fragile X syndrome such as attitudes to screening and experiences of screening, and a further nine addressed these issues alone. Studies exploring psychosocial issues demonstrated challenges for counseling arising from a lack of awareness or personal experience with fragile X syndrome in the general population.

CONCLUSIONS:

Targeted counseling and educational strategies will be essential to support women from the general population. It is crucial that future studies offering screening for fragile X syndrome explore a range of psychosocial aspects in addition to looking at uptake of testing and mutation frequency.

PMID:
20548240
DOI:
10.1097/GIM.0b013e3181e38fb6
[Indexed for MEDLINE]

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