Evidence map›Paper›PMID 20010365›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2009

"Am I my genes?": Questions of identity among individuals confronting genetic disease.

Robert Klitzman

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 38 citations in OpenAlex.

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  17. "What does it mean?": uncertainties in understanding results of chromosomal microarray testing.Genetics in medicine : official journal of the American College of Medical Genetics · 2012
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Robert KlitzmanDepartment of Psychiatry, College of Physicians and Surgeons and Mailman School of Public Health, Columbia University, New York, New York, USA. rlk@columbia.edu
Columbia University · US

Funding

Views of Privacy of Genetic InformationR01HG002431 · NHGRI · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI KLITZMAN, ROBERT L · 2002 to 2005
$1.5M
NHGRI NIH HHS 5-R01-HG002431-01NHGRI NIH HHS R01 HG002431
6 · The paper itself

Abstract

purpose: To explore many questions raised by genetics concerning personal identities that have not been fully investigated.

methods: We interviewed in depth, for 2 hours each, 64 individuals who had or were at risk for Huntington disease, breast cancer, or alpha-1 antitrypsin deficiency.

results: These individuals struggled with several difficult issues of identity. They drew on a range of genotypes and phenotypes (e.g., family history alone; mutations, but no symptoms; or symptoms). They often felt that their predicament did not fit preexisting categories well (e.g., "sick," "healthy," "disabled," "predisposed"), due in part to uncertainties involved (e.g., unclear prognoses, since mutations may not produce symptoms). Hence, individuals varied in how much genetics affected their identity, in what ways, and how negatively. Factors emerged related to disease, family history, and other sources of identity. These identities may, in turn, shape disclosure, coping, and other health decisions.

conclusions: Individuals struggle to construct a genetic identity. They view genetic information in highly subjective ways, varying widely in what aspects of genetic information they focus on and how. These data have important implications for education of providers (to assist patients with these issues), patients, and family members; and for research, to understand these issues more fully.

Indexed as

alpha 1-Antitrypsin DeficiencyAttitude to HealthBreast NeoplasmsFemaleGenetic Predisposition to DiseaseGenetics, MedicalGenetic TestingGenotypeHumansHuntington DiseaseInterviews as TopicMaleMutationPatient Education as TopicPhenotypePhysician-Patient Relations

Identifiers

PMID20010365
PMCPMC3667672
OpenAlexW2052522489

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.