The Psychological Impact of Predictive Genetic Testing for Huntington′s Disease: A Systematic Review of the Literature

Verfasser / Beitragende:
[S Crozier, N Robertson, M Dale]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Genetic Counseling, 24/1(2015-02-01), 29-39
Format:
Artikel (online)
ID: 605544239
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024 7 0 |a 10.1007/s10897-014-9755-y  |2 doi 
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245 0 4 |a The Psychological Impact of Predictive Genetic Testing for Huntington′s Disease: A Systematic Review of the Literature  |h [Elektronische Daten]  |c [S Crozier, N Robertson, M Dale] 
520 3 |a Huntington′s disease (HD) is a neurodegenerative genetic condition for which a predictive genetic test by mutation analysis has been available since 1993. However, whilst revealing the future presence of the disease, testing may have an adverse psychological impact given that the disease is progressive, incurable and ultimately fatal. This review seeks to systematically explore the psychological impact of genetic testing for individuals undergoing pre-symptomatic mutation analysis. Three databases (Medline, PsycInfo and Scopus) were interrogated for studies utilising standardised measures to assess psychological impact following predictive genetic testing for HD. From 100 papers initially identified, eight articles were eligible for inclusion. Psychological impact of predictive genetic testing was not found to be associated with test result. No detrimental effect of predictive genetic testing on non-carriers was found, although the process was not found to be psychologically neutral. Fluctuation in levels of distress was found over time for carriers and non-carriers alike. Methodological weaknesses of published literature were identified, notably the needs of individuals not requesting genetic testing, as well as inadequate support for individuals registering elevated distress and declining post-test follow-up. Further assessment of these vulnerable individuals is warranted to establish the extent and type of future psychological support. 
540 |a National Society of Genetic Counselors, Inc., 2014 
690 7 |a Genetic testing  |2 nationallicence 
690 7 |a Predictive testing  |2 nationallicence 
690 7 |a Huntington′s disease  |2 nationallicence 
690 7 |a Psychological impact  |2 nationallicence 
690 7 |a Systematic review  |2 nationallicence 
700 1 |a Crozier  |D S.  |u Department of Clinical Psychology, University of Leicester, 104 Regent Road, Leicester, UK  |4 aut 
700 1 |a Robertson  |D N.  |u Department of Clinical Psychology, University of Leicester, 104 Regent Road, Leicester, UK  |4 aut 
700 1 |a Dale  |D M.  |u Adult Mental Health Psychology, Leicestershire Partnership NHS Trust, Leicester, UK  |4 aut 
773 0 |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/1(2015-02-01), 29-39  |x 1059-7700  |q 24:1<29  |1 2015  |2 24  |o 10897 
856 4 0 |u https://doi.org/10.1007/s10897-014-9755-y  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10897-014-9755-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Crozier  |D S.  |u Department of Clinical Psychology, University of Leicester, 104 Regent Road, Leicester, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Robertson  |D N.  |u Department of Clinical Psychology, University of Leicester, 104 Regent Road, Leicester, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dale  |D M.  |u Adult Mental Health Psychology, Leicestershire Partnership NHS Trust, Leicester, UK  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/1(2015-02-01), 29-39  |x 1059-7700  |q 24:1<29  |1 2015  |2 24  |o 10897