系统性审查:自闭症相关遗传测试的心理社会影响
Ben Curran Wills1, Margaret M Matthews2, Josephine Johnston3
1University of California San Diego, La Jolla, California; At the time of the study: The Hastings Center, Garrison, New York; At the time of the study: Georgia Institute of Technology, Atlanta, Georgia.
概括
对自闭症谱系障碍 (ASD) 的基因测试为父母提供了各种情感结果. 自闭症成年人对同意和遗传歧视表示严重担忧,强调不同的观点.
科学领域:
- 遗传学 是一个遗传学.
- 心理学 心理学 心理学
- 神经发育障碍 神经发育障碍
背景情况:
- 对自闭症谱系障碍 (ASD) 的基因检测越来越多.
- 了解接收基因测试结果的心理社会影响对于明智决策至关重要.
研究的目的:
- 系统地审查接收自闭症相关遗传测试结果对父母和自闭症患者的心理社会影响.
主要方法:
- 在多个数据库 (MEDLINE,PsycINFO,CINAHL,科学网,社会学指数,Scopus) 进行了系统的文献搜索.
- 选了3,606篇文章,其中22篇符合纳入标准.
- 文章的质量使用"多元研究质量评估" (QuADS) 工具进行了评估.
主要成果:
- 对父母的心理社会影响包括缓解,心灵平静,减少内,但也包括失望,恐惧和压力.
- 遗传结果有时会证实诊断,改变护理计划或影响计划生育决策.
- 自闭症成年人对未经同意的测试和潜在的遗传歧视表示担忧.
结论:
- 对父母的心理社会影响通常是温和的,但混合.
- 自闭症成年人的经历和观点与父母的经历和观点有很大不同.
- 临床医生应该承认这些差异,以支持知情决策.
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