کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3814951 1246046 2010 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Conceptualizing couples’ decision making in PGD: Emerging cognitive, emotional, and moral dimensions
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Conceptualizing couples’ decision making in PGD: Emerging cognitive, emotional, and moral dimensions
چکیده انگلیسی

ObjectiveTo illuminate and synthesize what is known about the underlying decision making processes surrounding couples’ preimplantation genetic diagnosis (PGD) use or disuse and to formulate an initial conceptual framework that can guide future research and practice.MethodsThis systematic review targeted empirical studies published in English from 1990 to 2008 that examined the decision making process of couples or individual partners that had used, were eligible for, or had contemplated PGD. Sixteen studies met the eligibility requirements. To provide a more comprehensive review, empirical studies that examined healthcare professionals’ perceptions of couples’ decision making surrounding PGD use and key publications from a variety of disciplines supplemented the analysis.ResultsThe conceptual framework formulated from the review demonstrates that couples’ PGD decision making is composed of three iterative and dynamic dimensions: cognitive appraisals, emotional responses, and moral judgments.ConclusionCouples think critically about uncertain and probabilistic information, grapple with conflicting emotions, and incorporate moral perspectives into their decision making about whether or not to use PGD.Practice implicationsThe quality of care and decisional support for couples who are contemplating PGD use can be improved by incorporating focused questions and discussion from each of the dimensions into counseling sessions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Patient Education and Counseling - Volume 81, Issue 1, October 2010, Pages 53–62
نویسندگان
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