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Data were obtained as part of a larger experimental study of 48 genetic amniocentesis patients, ages 21 to 40. Information about genetic counseling was obtained through the demographic data questionnaire. State anxiety was measured before the procedure. Pre-event anxiety scores of women who had received genetic counseling before the day of the procedure were compared with those who had not received counseling before their appointment day. T-test for independent means revealed that those women who had counseling before the day of the procedure reported significantly less anxiety before the procedure than those who had no previous counseling. Prior counseling offers needed time for information integration and truly informed choice. The results are discussed in the context of the theoretical relationship between high anxiety levels before a threatening event and disruptions in emotion and coping during and after the procedure.
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Jo Ann B. Ruiz-Bueno, Ph.D., C.N.M., R.N., A. Marilyn Sime, Ph.D., R.N., and Marjorie H. Kitchell, M.S.C., J.D.
Jo Ann B. Ruiz-Bueno, Ph.D., C.N.M., R.N. is Staff, Nurse-Midwifery Service, Hutzel Hospital, Detroit Medical Center, Detroit, Michigan 48201. A. Marilyn Sime, Ph.D., R.N. is Director of Graduate Studies and Professor at the University of Minnesota. Marjorie H. Kitchell, M.S.C., J.D., is an Associate with Jones, Day, Reavis & Pogue, Cleveland, Ohio. She was formerly Genetics Counselor at Children's Medical Center of Akron, Ohio. We wish to acknowledge Justin P. Lavin, Jr., M.D. for his interest and cooperation, and Phyllis Dexter for her editorial assistance. This study was partially funded by a grant from Academic Computing Services and Systems.
Address correspondence to Dr. Jo Ann Ruiz-Bueno, 36130 Ridge Rd., Willoughby, OH 44094.