Congruence-Incongruence Patterns in Alpha-1 Antitrypsin Deficiency Couples' Genetic Determinist Beliefs and Perceived Control over Genes: Implications for Clinical and Public Health Genomic Communication

Verfasser / Beitragende:
[Roxanne Parrott, Rachel Smith, Soo Hong, Amber Worthington]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Genetic Counseling, 24/3(2015-06-01), 532-540
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10897-014-9786-4  |2 doi 
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245 0 0 |a Congruence-Incongruence Patterns in Alpha-1 Antitrypsin Deficiency Couples' Genetic Determinist Beliefs and Perceived Control over Genes: Implications for Clinical and Public Health Genomic Communication  |h [Elektronische Daten]  |c [Roxanne Parrott, Rachel Smith, Soo Hong, Amber Worthington] 
520 3 |a Genomics makes possible the isolation of multiple genes as co-factors that increase, but do not determine, risk for many adult-onset medical conditions, including alpha-1 antitrypsin deficiency (AATD). Those diagnosed with an adult-onset medical condition, such as AATD, are often married and make decisions about testing and care as a couple. We examined genetic essentialist and threat beliefs, focusing on beliefs about the genetic contribution to disease susceptibility and severity, as well as perceptions of control related to genes and health for married couples (N =59), in which one spouse has been tested for genetic mutations associated with AATD. The intraclass correlation for spouses' beliefs about genetic essentialism was strong and statistically significant, but the associations for their other beliefs were not. Incongruence between AATD participants and their spouses regarding genes' influence on disease severity directly related to incongruent perceptions of control and genetic contribution to disease susceptibility. Results revealed an inverse relationship to AATD participants' perceptions of behavioral control and a direct relationship to their beliefs about genes' influence on disease severity. This suggests a pattern of incongruence in which AATD participants have low levels of perceived control over genes' influence on health and high levels of perceived genetic influence on disease severity compared to spouses. With public health communication efforts lagging behind the science of genomics, insights regarding the congruence or incongruence associated with married couples' beliefs about genes' influence on disease afford pathways to guide clinical and public health communication about genomics. 
540 |a National Society of Genetic Counselors, Inc., 2014 
690 7 |a Communication  |2 nationallicence 
690 7 |a Perceived control  |2 nationallicence 
690 7 |a Couples  |2 nationallicence 
690 7 |a AATD  |2 nationallicence 
690 7 |a Genetic determinism  |2 nationallicence 
690 7 |a Beliefs  |2 nationallicence 
700 1 |a Parrott  |D Roxanne  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
700 1 |a Smith  |D Rachel  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
700 1 |a Hong  |D Soo  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
700 1 |a Worthington  |D Amber  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
773 0 |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/3(2015-06-01), 532-540  |x 1059-7700  |q 24:3<532  |1 2015  |2 24  |o 10897 
856 4 0 |u https://doi.org/10.1007/s10897-014-9786-4  |q text/html  |z Onlinezugriff via DOI 
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908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Parrott  |D Roxanne  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Smith  |D Rachel  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hong  |D Soo  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Worthington  |D Amber  |u Communication Arts and Sciences, The Pennsylvania State University, University Park, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/3(2015-06-01), 532-540  |x 1059-7700  |q 24:3<532  |1 2015  |2 24  |o 10897