Journal of Genetic Counseling

, Volume 14, Issue 2, pp 141–150

Emotional Responses to APO E Genotype Disclosure for Alzheimer Disease

  • Linda J. Romero
  • Philip J. Garry
  • Mark Schuyler
  • David A. Bennahum
  • Clifford Qualls
  • Lori Ballinger
  • Velma Kelly
  • Cheryl Schmitt
  • Betty Skipper
  • Irene E. Ortiz
  • Robert L. Rhyne
Original Research

DOI: 10.1007/s10897-005-4063-1

Cite this article as:
Romero, L.J., Garry, P.J., Schuyler, M. et al. J Genet Counsel (2005) 14: 141. doi:10.1007/s10897-005-4063-1

Abstract

The purpose of our study is to assess the emotional responses to disclosing APO E genotype to asymptomatic older adults at increased risk for Alzheimer disease (AD). This is a longitudinal cohort study of volunteer subjects who were aged 50 years or over, asymptomatic for (AD), had a family history of AD, passed a psychological assessment, and participated in pre- and post-test genetic counseling and three follow-up visits over 10 months. We analyzed responses by three emotional constructs: depressed, worried, and relieved. Three hundred and twenty-eight subjects were screened, 76 received their APO E genotype. When emotional responses occurred it was immediate, between baseline and the 1 month follow-up. Emotional reactions did not change significantly past 1 month. Our results suggest that for emotionally stable persons, disclosing results of their APO E genotype, high risk subjects did not report more depression or worry and low risk subjects felt relieved by knowing the results. Future studies should evaluate the risks of disclosure to family members involved in the diagnostic work-up of a relative and include subjects from a broader range of emotional stability and socioeconomic background.

Key words

apolipoprotein E APO E Alzheimer disease genetic disclosure emotional responses 

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Linda J. Romero
    • 1
    • 7
  • Philip J. Garry
    • 2
  • Mark Schuyler
    • 3
  • David A. Bennahum
    • 3
  • Clifford Qualls
    • 4
  • Lori Ballinger
    • 5
  • Velma Kelly
    • 1
  • Cheryl Schmitt
    • 1
  • Betty Skipper
    • 1
  • Irene E. Ortiz
    • 6
  • Robert L. Rhyne
    • 1
  1. 1.Department of Family MedicineUniversity of New Mexico Health Sciences CenterAlbuquerque
  2. 2.Clinical Nutrition LaboratoryUniversity of New Mexico Health Sciences CenterAlbuquerque
  3. 3.Department of Internal MedicineUniversity of New Mexico Health Sciences CenterAlbuquerque
  4. 4.General Clinical Research CenterUniversity of New Mexico Health Sciences CenterAlbuquerque
  5. 5.Cancer Research CenterUniversity of New Mexico Health Sciences CenterAlbuquerque
  6. 6.Department of PsychiatryUniversity of New Mexico Health Sciences CenterAlbuquerque
  7. 7.Department of Family MedicineAlbuquerque

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