caa a22 4500 397498861 CHVBK 20180308164528.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/fampra/12.4.433 doi (NATIONALLICENCE)oxford-10.1093/fampra/12.4.433 My family dies from heart attacks. How hypercholesterolaemic men refer to their family history [Elektronische Daten] [Annika Brorsson, Margareta Troein, Eva Lindladh, Staffan Selander, Mona Widlund, Lennart Råstam] Patients often worry considerably about biomedically mild and self-limiting conditions. A previous study on non-selected primary care patients showed that this could be partly explained by frequent associations with cases of serious illness in their family histories. This study further investigated these phenomena in middle aged men with a recent diagnosis of hypercholesterolaemia. Sixty-three out of 453, 35-45-year-old male participants were diagnosed with moderate hypercholesterolaemia (6.5-7.7 mmol/l) in a health survey and received 20-30 minutes of life-style counselling. These sessions were audio-taped, transcribed and analysed with respect to the subjects' references to their family histories. Of the 63 men, 28 (45%) mentioned their family history. The main content category in these talks was perceived threat or risk, comprising the seriousness of the event in the family history on one hand and its believed relevance on the other. Fatal, serious or premature disease was discussed. Prevailing lay knowledge and beliefs about hypercholesterolaemia, risk factors and disease causation seemed to determine what conditions in the family history were judged relevant by the men. Several of the men referred to heredity and several regarded emotional closeness important. In a few cases the event referred to mainly functioned as an illustration or example of lay knowledge and beliefs. This study provides support for the view that the family history can play an important role for how asymptomatic patients interpret their risk factors for disease. This is important for the development of consultation skills. © Oxford University Press Clinical topics nationallicence Brorsson Annika Department of Community Medicine, Lund University Malmö aut Troein Margareta Department of Community Medicine, Lund University Malmö aut Lindladh Eva Department of Community Medicine, Lund University Malmö aut Selander Staffan Department of Education, Uppsala University Uppsala aut Widlund Mona Schoo1 of Nursing, Malmö University Hospital Malmö, Sweden aut Råstam Lennart Department of Community Medicine, Lund University Malmö aut Family Practice Oxford University Press 12/4(1995-12), 433-437 0263-2136 12:4<433 1995 12 famprj https://doi.org/10.1093/fampra/12.4.433 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/fampra/12.4.433 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Brorsson Annika Department of Community Medicine, Lund University Malmö aut NATIONALLICENCE 700 1- Troein Margareta Department of Community Medicine, Lund University Malmö aut NATIONALLICENCE 700 1- Lindladh Eva Department of Community Medicine, Lund University Malmö aut NATIONALLICENCE 700 1- Selander Staffan Department of Education, Uppsala University Uppsala aut NATIONALLICENCE 700 1- Widlund Mona Schoo1 of Nursing, Malmö University Hospital Malmö, Sweden aut NATIONALLICENCE 700 1- Råstam Lennart Department of Community Medicine, Lund University Malmö aut NATIONALLICENCE 773 0- Family Practice Oxford University Press 12/4(1995-12), 433-437 0263-2136 12:4<433 1995 12 famprj Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford