父母如何决定在儿科中进行基因检测? 一个系统的审查
Elena Sophia Doll1, Seraina Petra Lerch2, Katja Maria Schmalenberger3
1Ruprecht-Karls University Heidelberg, Heidelberg, Germany; Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany.
概括
父母 父母 父母 父母 父母 父母
科学领域:
- 儿科遗传学 儿科遗传学
- 医疗决策 - - 医疗决策
背景情况:
- 了解父母的决策对于儿童遗传检测至关重要.
- 现有的模型需要改进,以涵盖儿科遗传测试细微差别.
研究的目的:
- 确定影响家长对儿科诊断基因测试 (DT) 和预测基因测试 (PT) 决策的因素.
- 为儿科遗传检测制定一个概念性决策模型.
- 它对遗传咨询,研究和伦理学产生了影响.
主要方法:
- 从2000年到2023年对出版物的系统审查.
- 搜索了PubMed,PsychInfo,Web of Science以及其他参考资料.
- 使用现有决策模型对提取的因素进行分类.
主要成果:
- 56项研究符合纳入标准,分析了影响家长对DT和PT决定的因素.
- 确定了关键因素:利益/希望,担忧/担忧,价值观/信仰,个人情况和情绪状态.
- 诊断与预测测试的差异化因素以及进一步发现的披露.
结论:
- 将家族基因组测序的现有决策模型扩展到儿科遗传测试.
- 将个人情况和情绪状态整合到模型中.
- 强调需要研究情绪状态,DT与PT的差异,结果披露和二元预测因素.
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