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重新构想遗传咨询中的风险:对临床实践的影响。

Re-conceptualizing risk in genetic counseling: implications for clinical practice.

作者信息

Austin Jehannine C

机构信息

Department of Psychiatry and Medical Genetics, University of British Columbia, Rm A3-112 - 3rd Floor, CFRI Translational Lab Building, 938 W28th Ave, Vancouver, BC, Canada, V5Z 4H4.

出版信息

J Genet Couns. 2010 Jun;19(3):228-34. doi: 10.1007/s10897-010-9279-z. Epub 2010 Jan 30.

DOI:10.1007/s10897-010-9279-z
PMID:20119700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3706327/
Abstract

Risk communication is an important component of genetic counseling. However, many authors have noted that after genetic counseling, subjective risk frequently does not match the objective risk provided by the counselor. This inevitably leads to the conclusion that the risk communication process was not "effective". There has been much discussion about how this problem can be better addressed, such that our clients recall numeric risks more accurately after genetic counseling. This article draws on the risk and probability literature from other fields (including psychology, economics, philosophy and climate change) to deconstruct the concepts of "risk" and risk perception to attempt to expand upon and develop thought and discussion about and investigation of the risk communication process in genetic counseling.

摘要

风险沟通是遗传咨询的一个重要组成部分。然而,许多作者指出,在遗传咨询之后,主观风险常常与咨询师提供的客观风险不相符。这不可避免地导致这样一个结论,即风险沟通的过程并不“有效”。关于如何能更好地解决这个问题,已经有很多讨论,以便我们的客户在遗传咨询后能更准确地记住数字风险。本文借鉴了其他领域(包括心理学、经济学、哲学和气候变化)的风险和概率文献,来解构“风险”和风险认知的概念,试图拓展并深化关于遗传咨询中风险沟通过程的思考、讨论及调查。

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本文引用的文献

1
Women's Understanding of Their Risk of Developing Breast/Ovarian Cancer Before and After Genetic Counseling.女性在遗传咨询前后对自身患乳腺癌/卵巢癌风险的理解。
J Genet Couns. 1998 Aug;7(4):345-64. doi: 10.1023/A:1022072017436.
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Risk perception after genetic counseling in patients with increased risk of cancer.癌症风险增加患者接受遗传咨询后的风险认知
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Perceiving others' perceptions of risk: still a task for Sisyphus.感知他人对风险的认知:仍是西西弗斯的任务。
Ann N Y Acad Sci. 2008 Apr;1128:121-37. doi: 10.1196/annals.1399.013.
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Interventions to improve risk communication in clinical genetics: systematic review.改善临床遗传学风险沟通的干预措施:系统评价
Patient Educ Couns. 2008 Apr;71(1):4-25. doi: 10.1016/j.pec.2007.11.026. Epub 2008 Jan 18.
6
How risk is perceived, constructed and interpreted by clients in clinical genetics, and the effects on decision making: systematic review.临床遗传学中客户如何感知、构建和解释风险,以及对决策的影响:系统评价
J Genet Couns. 2008 Feb;17(1):30-63. doi: 10.1007/s10897-007-9132-1. Epub 2007 Oct 30.
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Illness representations, self-regulation, and genetic counseling: a theoretical review.疾病表征、自我调节与遗传咨询:理论综述
J Genet Couns. 2006 Oct;15(5):325-37. doi: 10.1007/s10897-006-9044-5.