文章基本信息

标题：“Am I carrier?” The patient's lived experience of thrombophilia genetic screening and its outcome
本地全文：下载
作者：Guendalina Graffigna ; Daniela Leone ; Elena Vegni 等
期刊名称：Health Psychology and Behavioral Medicine: An Open Access Journal
电子版ISSN：2164-2850
出版年度：2014
卷号：2
期号：1
页码：696-712
DOI：10.1080/21642850.2014.918512
出版社：Taylor and Francis Ltd
摘要：How do patients with thrombophilia experience a physician's request to undergo a genetic test? How do they experience the test outcome? To answer these questions, we conducted an interpretative phenomenological analysis study, based on 10 in-depth interviews with patients who underwent genetic testing for thrombophilia in Italy, half with positive and half with negative results. The experience of undergoing genetic screening for thrombophilia plays an important role in reconfiguring patients' signification of their illness experience. A positive outcome becomes a cue to reorganize in a more adaptive way the illness meaning at the cognitive and emotive levels, whereas a negative outcome appears more distressing and confusing. As a clinical implication of the study, clinicians should consider communicating carefully with the patients regardless from the positive/negative test results and they should explore the patient's specific reaction and understanding of test result.
关键词：genetics ; testing outcomes ; hereditary diseases ; interpretative phenomenological analysis (IPA) ; thrombophilia ; illness perception