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Predicting immediate outcome of genetic counseling following genetic screening

Bibliographic Data

ID10518271
AuthorsLawrence Fisher (0000-0001-9481-9727, University of Rochester, corresponding author), Peter T Rowley (University of Rochester), Mack Lipkin (0000-0001-9970-0725, University of Rochester)
Year1979
Volume26
Issue4
Pages289-301
Publication date1979-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSocial Biology (JOURNAL)
Journal identifiersISSN: 0037-766X
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/19485565.1979.9988387
PMID553295
OpenAlexW2072445392
LanguageEN
References cited15

Because genetic counseling provides potentially stressful information to the patient, it is important for the screener of genetic disorders (1) to create effective counseling strategies sensitive to groups of patients at risk for stressful outcome and (2) to identify and scale variables to designate such groups prior to counseling. In this study, patients in a health maintenance organization were screened for thalassemia trait as part of regular health care. Positive individuals were randomly placed in one of two counseling groups. One group received information from a videotaped program; the second, from a lecture in person by a physician. Four domains of potential outcome predictor variables were identified and quantitatively scaled: demographic, attitudinal, personality, and intellectual. These variables were then used to predict knowledge gained and mood change immediately after counseling. No variable or variable domain reliably predicted short‐term outcome. These findings were consistent across counseling method. These data indicate that prospective genetic counseling leads to no untoward immediate outcomes when undertaken in a primary health care setting and that audiovisual procedures can be used effectively to provide relevant information

Family medicine · Genetic counseling · Mood · Outcome (game theory · Personality · Trait · Clinical Psychology · Ethics and Legal Issues in Pediatric Healthcare · Family and Disability Support Research · Family Support in Illness · Medicine · Psychology · Social Psychology

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Citation velocityhistorical
Highly citedNo

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