Disclosing genetic risk for Alzheimer's dementia to individuals with mild cognitive impairment.

Alzheimer's disease anxiety apolipoprotein E4 cognitive dysfunction dementia depression emotions genetic testing health behavior humans random allocation risk risk assessment

Journal

Alzheimer's & dementia (New York, N. Y.)
ISSN: 2352-8737
Titre abrégé: Alzheimers Dement (N Y)
Pays: United States
ID NLM: 101650118

Informations de publication

Date de publication:
2020
Historique:
received: 05 11 2019
accepted: 26 12 2019
entrez: 27 3 2020
pubmed: 27 3 2020
medline: 27 3 2020
Statut: epublish

Résumé

The safety of predicting conversion from mild cognitive impairment (MCI) to Alzheimer's disease (AD) dementia using apolipoprotein E ( We randomized 114 individuals with MCI to receive estimates of 3-year risk of conversion to AD dementia informed by Upper confidence limits for randomization arm differences were 2.3 on the State Trait Anxiety Index and 0.5 on the Geriatric Depression Scale, below non-inferiority margins of 3.3 and 1.0. Moreover, mean scores were lower in the disclosure arm than non-disclosure arm for test-related positive impact (difference: -1.9, indicating more positive feelings) and AD concern (difference: -0.3). Providing genetic information to individuals with MCI about imminent risk for AD does not increase risks of anxiety or depression and may provide psychological benefits.

Identifiants

pubmed: 32211507
doi: 10.1002/trc2.12002
pii: TRC212002
pmc: PMC7087414
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12002

Subventions

Organisme : NIA NIH HHS
ID : P30 AG053760
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG047866
Pays : United States
Organisme : NCRR NIH HHS
ID : M01 RR000533
Pays : United States
Organisme : NHGRI NIH HHS
ID : K01 HG009173
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG010483
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001102
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG024904
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL125232
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG013846
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001409
Pays : United States
Organisme : NHGRI NIH HHS
ID : R01 HG002213
Pays : United States
Organisme : NCRR NIH HHS
ID : M01 RR010284
Pays : United States

Informations de copyright

© 2020 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association.

Déclaration de conflit d'intérêts

Robert Green receives compensation for advising AIA, Applied Therapeutics, Biggs Institute, Helix, Humanity, Verily, and Veritas, and is a cofounder with equity in Genome Medical.

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Auteurs

Kurt D Christensen (KD)

Department of Population Medicine Harvard Pilgrim Health Care Institute and Harvard Medical School Boston Massachusetts USA.
Broad Institute of Harvard and MIT Cambridge Massachusetts USA.

Jason Karlawish (J)

Department of Medicine Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.

J Scott Roberts (JS)

Department of Health Behavior and Health Education University of Michigan School of Public Health Ann Arbor Michigan USA.

Wendy R Uhlmann (WR)

Departments of Internal Medicine and Human Genetics University of Michigan Ann Arbor Michigan USA.

Kristin Harkins (K)

Department of Medicine Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.

Elisabeth M Wood (EM)

Department of Medicine Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.

Thomas O Obisesan (TO)

Department of Medicine Howard University College of Medicine Washington, DC USA.

Lan Q Le (LQ)

Department of Health Behavior and Health Education University of Michigan School of Public Health Ann Arbor Michigan USA.

L Adrienne Cupples (LA)

Departments of Biostatistics and Epidemiology Boston University School of Public Health Boston Massachusetts USA.

Emilie S Zoltick (ES)

Division of Genetics, Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA.

Megan S Johnson (MS)

Department of Medicine Howard University College of Medicine Washington, DC USA.

Margaret K Bradbury (MK)

Department of Research Hemophilia Federation of America Washington DC USA.

Leo B Waterston (LB)

Center for Outcomes Research & Evaluation (CORE) Maine Medical Center Research Institute Portland Maine USA.

Clara A Chen (CA)

Biostatistics and Epidemiology Data Analytics Center Boston University School of Public Health Boston Massachusetts USA.

Sara Feldman (S)

Department of Health Behavior and Health Education University of Michigan School of Public Health Ann Arbor Michigan USA.

Denise L Perry (DL)

Division of Genetics, Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA.

Robert C Green (RC)

Broad Institute of Harvard and MIT Cambridge Massachusetts USA.
Division of Genetics, Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Department of Medicine Harvard Medical School Boston Massachusetts USA.
Partners Personalized Medicine Boston Massachusetts USA.

Classifications MeSH