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亨廷顿病预测基因测试:探索参与者在诊所预约之间不确定性和矛盾的经验
L M Ballard1, S Doheny2, R Dimond3
1Clinical Ethics, Law & Society (CELS), Primary Care, Population Sciences and Medical Education, Aldermoor Health Centre, Aldermoor Close, Southampton, UK.
Journal of genetic counseling
|May 14, 2024
概括
面临亨廷顿病 (HD) 风险的人在决定进行基因检测时会经历相当大的不确定性. 他们更多地关注他们的当前状态或遥远的未来与症状,而不是立即的测试后结果.
科学领域:
- 心理学 心理学 心理学
- 遗传学 遗传学是一种遗传学.
- 医疗保健 医疗保健 医疗保健 医疗保健
背景情况:
- 矛盾和不确定性在医疗保健心理学中很普遍.
- 面临亨廷顿病 (HD) 风险的个人面临复杂的遗传检测决策,原因是缺乏疾病修饰治疗方法.
研究的目的:
- 了解在辅导约会之间考虑预测性HD遗传测试的个体的不确定性和矛盾的经验.
- 为从业人员提供信息,以更好地支持个人通过基因测试决策过程.
主要方法:
- 这项研究涉及9名参与者,他们在英格兰和威尔士接受了预测性疾病检测.
- 数据收集包括诊所咨询记录,参与者日记和深入采访.
- 用专题分析来分析收集的数据.
主要成果:
- 四个主题出现,代表基于测试决策和结果的不同未来情景.
- 参与者更多地关注他们的当前状态 (没有测试) 和遥远的未来 (有症状的阳性结果).
- 较少关注的是更直接的未来,例如收到没有症状的积极结果或负面结果.
结论:
- 日记的使用为参与者的矛盾,不确定性,心理困扰和情绪负担提供了独特的见解.
- 这些发现可以加强临床讨论,并鼓励使用日记来研究临床环境之外的经验.
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