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学生群体对阿尔茨海默病预测性检测的态度。

Attitudes toward predictive testing for Alzheimer's disease in a student population.

作者信息

Welkenhuysen M, Evers-Kiebooms G, Van den Berghe H

机构信息

Centre for Human Genetics, University Hospital, Leuven, Belgium.

出版信息

Psychiatr Genet. 1997 Autumn;7(3):121-6. doi: 10.1097/00041444-199723000-00006.

Abstract

Attitudes toward predictive testing for Alzheimer's disease and knowledge about this disease were investigated in a group of medical and psychology students. Overall, knowledge was poor and their own chance of getting Alzheimer's disease was mostly perceived as small. About half the students thought the development of a predictive test for Alzheimer's disease important, while the other half held the opposite view. Considerable variability was also observed in the judgement of the (dis)advantages of such a test. Only a minority of the students would like to have a predictive test themselves. Important arguments against a predictive test concerned the absence of a treatment for Alzheimer's disease and the emotional burden of a positive test result. Arguments in favour dealt with the ability to make plans for the future and to prepare oneself for the disease. The divergence in attitudes and opinions reflects the complexity of predictive testing for Alzheimer's disease. Stepwise regression revealed that knowledge about Alzheimer's disease and, to a lesser extent, risk perception are significant predictors of attitudes toward predictive testing. However, they only explain a small part of the variance in attitudes. Moreover, why attitudes are less positive when knowledge and perceived susceptibility increase is not clear.

摘要

对一组医学和心理学专业的学生调查了他们对阿尔茨海默病预测性检测的态度以及对该疾病的了解情况。总体而言,他们的知识水平较差,并且大多认为自己患阿尔茨海默病的几率很小。约一半的学生认为开发阿尔茨海默病预测性检测很重要,而另一半则持相反观点。在对这种检测的(不)优点的判断上也观察到了相当大的差异。只有少数学生自己愿意接受预测性检测。反对预测性检测的重要理由包括缺乏针对阿尔茨海默病的治疗方法以及检测结果呈阳性带来的情感负担。支持的理由则涉及能够为未来制定计划并为疾病做好准备。态度和观点的差异反映了阿尔茨海默病预测性检测的复杂性。逐步回归分析显示,对阿尔茨海默病的了解以及在较小程度上的风险认知是对预测性检测态度的重要预测因素。然而,它们仅解释了态度差异的一小部分。此外,当知识和感知易感性增加时态度为何不那么积极尚不清楚。

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