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Journal of Health Psychology
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Predictive Genetic Test Decisions for Huntington’s Disease: Elucidating the Test/No-test Dichotomy

Sandra D. Taylor

University of Queensland, Brisbane, Australia, s.taylor{at}social.uq.edu.au

Predictive genetic testing for serious, mature-onset genetic illness represents a unique context in health decision making. This article presents findings from an exploratory qualitative Australian-based study into the decision making of individuals at risk for Huntington’s disease (HD) with regard to predictive genetic testing. Sixteen in-depth interviews were conducted with a range of at-risk individuals. Data analysis revealed four discrete decision-making positions rather than a ‘to test’ or ‘not to test’ dichotomy. A conceptual dimension of (non-)openness and (non-)engagement characterized the various decisions. Processes of decision making and a concept of ‘test readiness’ were identified. Findings from this research, while not generalizable, are discussed in relation to theoretical frameworks and stage models of health decision making, as well as possible clinical implications.

Key Words: decision making • Huntington’s disease • predictive testing • stage theory

Journal of Health Psychology, Vol. 10, No. 4, 597-612 (2005)
DOI: 10.1177/1359105305053442
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