Evidence map›Paper›PMID 20921894›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2010

Generation after generation: exploring the psychological impact of providing genetic services through a cascading approach.

Donald W Hadley, Sato Ashida, Jean F Jenkins, Jean C Martin, Kathleen A Calzone, Natalia R Kuhn, Colleen M McBride, Ilan R Kirsch, Laura M Koehly

Open access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Family Adjustment to Hereditary Cancer Syndromes: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. The psychological impact of genetic information on children: a systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Population sciences, translational research, and the opportunities and challenges for genomics to reduce the burden of cancer in the 21st century.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011
    Review
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

9 authors at 1 institution in 1 country.

Donald W HadleySocial and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland 20892-2073, USA. dhadley@mail.nih.gov
Sato Ashida
Jean F Jenkins
Jean C Martin
Kathleen A Calzone
Natalia R Kuhn
Colleen M McBride
Ilan R Kirsch
Laura M Koehly
National Institutes of Health · US

Funding

Molecular Profiling of Clinical SpecimensZICBC011040 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI EDELMAN, DANIEL · 2009 to 2020
$25.5M
Outcomes of Education and Counseling for HNPCC TestingZIAHG000059 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI KOEHLY, LAURA M · 2009 to 2022
$1.7M
OUTCOMES OF EDUCATION &COUNSELING FOR HNPCC TESTINGZ01HG000059 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI KOEHLY, LAURA M · 1998 to 2008
$822k
Intramural NIH HHS Z01 HG000059Intramural NIH HHS ZIA HG000059Intramural NIH HHS ZIC BC011040NHGRI NIH HHS Z01HG000059-11
6 · The paper itself

Abstract

purposeThe provision of genetic services often occurs in a cascading fashion within families experiencing inherited diseases. This study examines whether previous family experiences with genetic services influences levels of psychological well-being of family members receiving services later.

methodsTwo hundred ninety-seven persons from 38 families with Lynch syndrome completed questionnaires before receiving genetic services. Baseline levels of test-related distress, depressive symptoms, and cancer worries were assessed in relationship to the (1) amount of time elapsed since services were provided to the index case and (2) generation of the family member relative to the index case.

resultsFamily members in the same generation as the index case experienced significant increases in test-related distress (P = 0.003) and cancer worry (P = 0.001) with increasing time between receipt of genetic test results by the index case and provision of services to family members. Change in the number of depressive symptoms was not significant (P = 0.17).

conclusionThe provision of genetic services through a cascading approach significantly increases distress and worry among family members within the same generation as the index case who receive services at increasingly distant time intervals. Additional research is needed to explore social influences after the introduction of genetic services.

Indexed as

Stress, PsychologicalAdolescentAdultAgedAged, 80 and overColorectal Neoplasms, Hereditary NonpolyposisDepressionFamilyFamily CharacteristicsFemaleGenetic ServicesHumansMaleMiddle AgedMutationYoung Adult

Identifiers

PMID20921894
PMCPMC7282696
OpenAlexW2041916493

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.