Skip to main content
Top
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy 4/2016

08-07-2016

The Added Value of CBT in the Genetic Counseling Process: Concept Development, State of the Art and New Directions

Auteurs: Daniel David, Amfiana Gherman, Ioana Podina, Cristina Mogoaşe, Mădălina Sucală, Bogdan Voinescu

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 4/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The definition published by the National Society of Genetic Counselors’ Task Force states that genetic counseling is the process of facilitating people’s understanding and adaptation to the medical, psychological, and familial collateral consequences of genetic diseases. Although the definition of genetic counseling practice goes beyond giving medical information, the great majority of studies, which tested the efficacy of a genetic counseling intervention, focused mainly on providing medical information and seemed to have given less attention to more specific psychological interventions, which could have addressed emotional distress and significant behavioral change relevant to the medical outcomes. Although most genetic counseling theorists recognize the complex emotional, behavioral, and family contexts in which the counselees find themselves during this process, very few studies have investigated the role of specific psychological interventions in the genetic counseling package. Cognitive-behavioral therapy (CBT) is the counseling framework with the most empirical support for a wide range of psychological problems. Consequently, we propose an evidence-based system of psychological interventions CBT that could be added to the genetic counseling paradigm in helping clients deal with specific difficult life situations and the emotional distress associated with them.
Voetnoten
1
DNA methylation alters the typical functioning of a genetic marker, usually suppressing or slowing down its expression.
 
Literatuur
go back to reference Alonso, P., Orbegozo, A., Pujol, J., López-Solà, C., Fullana, M. À., Segalàs, C., et al. (2013). Neural correlates of obsessive–compulsive related dysfunctional beliefs. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 47, 25–32. doi:10.1016/j.pnpbp.2013.07.016.CrossRefPubMed Alonso, P., Orbegozo, A., Pujol, J., López-Solà, C., Fullana, M. À., Segalàs, C., et al. (2013). Neural correlates of obsessive–compulsive related dysfunctional beliefs. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 47, 25–32. doi:10.​1016/​j.​pnpbp.​2013.​07.​016.CrossRefPubMed
go back to reference Bandura, A. (1997). Self-efficacy: The exercise of control (1st ed.). New York: Worth Publishers. Bandura, A. (1997). Self-efficacy: The exercise of control (1st ed.). New York: Worth Publishers.
go back to reference Bartels, D. M., LeRoy, B. S., McCarthy, P., & Caplan, A. L. (1997). Nondirectiveness in genetic counseling: a survey of practitioners. American Journal of Medical Genetics, 72(2), 172–179.CrossRefPubMed Bartels, D. M., LeRoy, B. S., McCarthy, P., & Caplan, A. L. (1997). Nondirectiveness in genetic counseling: a survey of practitioners. American Journal of Medical Genetics, 72(2), 172–179.CrossRefPubMed
go back to reference Beck, A. T. (1979). Cognitive therapy and the emotional disorders. New York: Plume. Beck, A. T. (1979). Cognitive therapy and the emotional disorders. New York: Plume.
go back to reference Belsky, J. (2005). Differential susceptibility to rearing influences: An evolutionary hypothesis and some evidence. In B. Ellis & D. Bjorklund (Eds.), Origins of the social mind: Evolutionary psychology and child development (pp. 139–163). New York: Guildford. Belsky, J. (2005). Differential susceptibility to rearing influences: An evolutionary hypothesis and some evidence. In B. Ellis & D. Bjorklund (Eds.), Origins of the social mind: Evolutionary psychology and child development (pp. 139–163). New York: Guildford.
go back to reference Belsky, J., & Pluess, M. (2009). Beyond diathesis stress: differential susceptibility to environmental influences. Psychological Bulletin, 135(6), 885.CrossRefPubMed Belsky, J., & Pluess, M. (2009). Beyond diathesis stress: differential susceptibility to environmental influences. Psychological Bulletin, 135(6), 885.CrossRefPubMed
go back to reference Braithwaite, D., Emery, J., Walter, F., Prevost, A. T., & Sutton, S. (2004). Psychological impact of genetic counseling for familial cancer: A systematic review and meta-analysis. Journal of the National Cancer Institute, 96(2), 122–133. doi:10.1093/jnci/djh017.CrossRefPubMed Braithwaite, D., Emery, J., Walter, F., Prevost, A. T., & Sutton, S. (2004). Psychological impact of genetic counseling for familial cancer: A systematic review and meta-analysis. Journal of the National Cancer Institute, 96(2), 122–133. doi:10.​1093/​jnci/​djh017.CrossRefPubMed
go back to reference Caplan, A. L., LeRoy, B. S., & Bartels, D. M. (Eds.). (1993). Prescribing our future: Ethical challenges in genetic counseling. New York: Aldine Transaction. Caplan, A. L., LeRoy, B. S., & Bartels, D. M. (Eds.). (1993). Prescribing our future: Ethical challenges in genetic counseling. New York: Aldine Transaction.
go back to reference Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Social Science & Medicine (1982), 44(5), 681–692. Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Social Science & Medicine (1982), 44(5), 681–692.
go back to reference Corey, G. (2012). Cengage advantage books: Theory and practice of counseling and psychotherapy (9th ed.). Belmont, CA: Cengage Learning. Corey, G. (2012). Cengage advantage books: Theory and practice of counseling and psychotherapy (9th ed.). Belmont, CA: Cengage Learning.
go back to reference David, D. (2006). Tratat de psihoterapii cognitive si comportamentale. [Textbook of cognitive and behavioral psychotherapies]. Iași: Polirom. David, D. (2006). Tratat de psihoterapii cognitive si comportamentale. [Textbook of cognitive and behavioral psychotherapies]. Iași: Polirom.
go back to reference David, D., Benga, O., & Rusu, A. (2007). Fundamente de psihologie evolutionista si consiliere genetica. Integrari ale psihologiei si biologiei. [Fundaments of evolutionary psychology and genetic counselling. Integration of psychology and biology]. Iași: Polirom. David, D., Benga, O., & Rusu, A. (2007). Fundamente de psihologie evolutionista si consiliere genetica. Integrari ale psihologiei si biologiei. [Fundaments of evolutionary psychology and genetic counselling. Integration of psychology and biology]. Iași: Polirom.
go back to reference David, D., Lynn, S. J., & Ellis, A. (Eds.). (2010). Rational and irrational beliefs: Research, theory, and clinical practice. Oxford: Oxford University Press. David, D., Lynn, S. J., & Ellis, A. (Eds.). (2010). Rational and irrational beliefs: Research, theory, and clinical practice. Oxford: Oxford University Press.
go back to reference Eley, T. C., Hudson, J. L., Creswell, C., Tropeano, M., Lester, K. J., Cooper, P., et al. (2012). Therapygenetics: the 5HTTLPR and response to psychological therapy. Molecular psychiatry, 17(3), 236.CrossRefPubMed Eley, T. C., Hudson, J. L., Creswell, C., Tropeano, M., Lester, K. J., Cooper, P., et al. (2012). Therapygenetics: the 5HTTLPR and response to psychological therapy. Molecular psychiatry, 17(3), 236.CrossRefPubMed
go back to reference Ellis, A. (1962). Reason and emotion in psychotherapy: A new and comprehensive method of treating human disturbances. Secaucus, N.J.: Citadel Press. Ellis, A. (1962). Reason and emotion in psychotherapy: A new and comprehensive method of treating human disturbances. Secaucus, N.J.: Citadel Press.
go back to reference Ellis, A. (1994). Reason and emotion in psychotherapy (Rev Sub edition). Secaucus, NJ: Citadel. Ellis, A. (1994). Reason and emotion in psychotherapy (Rev Sub edition). Secaucus, NJ: Citadel.
go back to reference Fox, E., Ridgewell, A., & Ashwin, C. (2009). Looking on the bright side: biased attention and the human serotonin transporter gene. In Proceedings of the Royal Society of London B: Biological Sciences, rspb-2008. Fox, E., Ridgewell, A., & Ashwin, C. (2009). Looking on the bright side: biased attention and the human serotonin transporter gene. In Proceedings of the Royal Society of London B: Biological Sciences, rspb-2008.
go back to reference Freud, S., & Gay, P. (1989). The Future of an Illusion. (J. Strachey, Ed.) (The Standard Edition edition). New York: W. W. Norton & Company. Freud, S., & Gay, P. (1989). The Future of an Illusion. (J. Strachey, Ed.) (The Standard Edition edition). New York: W. W. Norton & Company.
go back to reference Glanz, K., Volpicelli, K., Kanetsky, P. A., Ming, M. E., Schuchter, L. M., Jepson, C., et al. (2013). Melanoma genetic testing, counseling, and adherence to skin cancer prevention and detection behaviors. Cancer Epidemiology Biomarkers and Prevention, 22(4), 607–614. doi:10.1158/1055-9965.EPI-12-1174.CrossRef Glanz, K., Volpicelli, K., Kanetsky, P. A., Ming, M. E., Schuchter, L. M., Jepson, C., et al. (2013). Melanoma genetic testing, counseling, and adherence to skin cancer prevention and detection behaviors. Cancer Epidemiology Biomarkers and Prevention, 22(4), 607–614. doi:10.​1158/​1055-9965.​EPI-12-1174.CrossRef
go back to reference Grant, R. W., O’Brien, K. E., Waxler, J. L., Vassy, J. L., Delahanty, L. M., Bissett, L. G., et al. (2013). Personalized genetic risk counseling to motivate diabetes prevention: A randomized trial. Diabetes Care, 36(1), 13–19. doi:10.2337/dc12-0884.CrossRefPubMed Grant, R. W., O’Brien, K. E., Waxler, J. L., Vassy, J. L., Delahanty, L. M., Bissett, L. G., et al. (2013). Personalized genetic risk counseling to motivate diabetes prevention: A randomized trial. Diabetes Care, 36(1), 13–19. doi:10.​2337/​dc12-0884.CrossRefPubMed
go back to reference Hunter, A., Cappelli, M., Humphreys, L., Allanson, J., Chiu, T., Peeters, C., et al. (2005). A randomized trial comparing alternative approaches to prenatal diagnosis counseling in advanced maternal age patients: Comparison of PND counseling approaches. Clinical Genetics, 67(4), 303–313. doi:10.1111/j.1399-0004.2004.00405.x.CrossRefPubMed Hunter, A., Cappelli, M., Humphreys, L., Allanson, J., Chiu, T., Peeters, C., et al. (2005). A randomized trial comparing alternative approaches to prenatal diagnosis counseling in advanced maternal age patients: Comparison of PND counseling approaches. Clinical Genetics, 67(4), 303–313. doi:10.​1111/​j.​1399-0004.​2004.​00405.​x.CrossRefPubMed
go back to reference Institute of Medicine (U.S.). (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press. Institute of Medicine (U.S.). (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press.
go back to reference Kessler, S. (1979). Genetic counseling: Psychological dimensions/edited by Seymour Kessler; with a foreword by Charles J. Epstein. New York: Academic Press. Kessler, S. (1979). Genetic counseling: Psychological dimensions/edited by Seymour Kessler; with a foreword by Charles J. Epstein. New York: Academic Press.
go back to reference Landro, N. I. (2014). Towards personalized treatment of depression: a candidate gene approach. Scand J Psychol, 55(3), 219–224.CrossRefPubMed Landro, N. I. (2014). Towards personalized treatment of depression: a candidate gene approach. Scand J Psychol, 55(3), 219–224.CrossRefPubMed
go back to reference Lester, K. J., & Eley, T. C. (2013). Therapygenetics: Using genetic markers to predict response to psychological treatment for mood and anxiety disorders. Biology of Mood and Anxiety Disorders, 3(1), 4.CrossRefPubMedPubMedCentral Lester, K. J., & Eley, T. C. (2013). Therapygenetics: Using genetic markers to predict response to psychological treatment for mood and anxiety disorders. Biology of Mood and Anxiety Disorders, 3(1), 4.CrossRefPubMedPubMedCentral
go back to reference Levant, R. F. (2005). Report of the 2005 Presidential Task Force on Evidence-Based Practice. American Psychological Association. Levant, R. F. (2005). Report of the 2005 Presidential Task Force on Evidence-Based Practice. American Psychological Association.
go back to reference Lobb, E. A., Butow, P., Barratt, A., Meiser, B., & Tucker, K. (2005). Differences in individual approaches: communication in the familial breast cancer consultation and the effect on patient outcomes. Journal of Genetic Counseling, 14(1), 43–53. doi:10.1007/s10897-005-1499-2.CrossRefPubMed Lobb, E. A., Butow, P., Barratt, A., Meiser, B., & Tucker, K. (2005). Differences in individual approaches: communication in the familial breast cancer consultation and the effect on patient outcomes. Journal of Genetic Counseling, 14(1), 43–53. doi:10.​1007/​s10897-005-1499-2.CrossRefPubMed
go back to reference Lonsdorf, T. B., Rück, C., Bergström, J., Andersson, G., Ohman, A., Lindefors, N., & Schalling, M. (2010). The COMTval158met polymorphism is associated with symptom relief during exposure-based cognitive-behavioral treatment in panic disorder. BMC Psychiatry, 10, 99. doi:10.1186/1471-244X-10-99.CrossRefPubMedPubMedCentral Lonsdorf, T. B., Rück, C., Bergström, J., Andersson, G., Ohman, A., Lindefors, N., & Schalling, M. (2010). The COMTval158met polymorphism is associated with symptom relief during exposure-based cognitive-behavioral treatment in panic disorder. BMC Psychiatry, 10, 99. doi:10.​1186/​1471-244X-10-99.CrossRefPubMedPubMedCentral
go back to reference Miller, S. M., Roussi, P., Daly, M. B., Buzaglo, J. S., Sherman, K., Godwin, A. K., et al. (2005). Enhanced counseling for women undergoing BRCA1/2 testing: Impact on subsequent decision making about risk reduction behaviors. Health Education and Behavior, 32(5), 654–667. doi:10.1177/1090198105278758.CrossRefPubMed Miller, S. M., Roussi, P., Daly, M. B., Buzaglo, J. S., Sherman, K., Godwin, A. K., et al. (2005). Enhanced counseling for women undergoing BRCA1/2 testing: Impact on subsequent decision making about risk reduction behaviors. Health Education and Behavior, 32(5), 654–667. doi:10.​1177/​1090198105278758​.CrossRefPubMed
go back to reference National Society of Genetic Counselors’ Definition Task Force, Resta, R., Biesecker, B. B., Bennett, R. L., Blum, S., Hahn, S. E., & Williams, J. L. (2006). A new definition of genetic counseling: National Society of Genetic Counselors’ Task Force report. Journal of Genetic Counseling, 15(2), 77–83. doi:10.1007/s10897-005-9014-3.CrossRef National Society of Genetic Counselors’ Definition Task Force, Resta, R., Biesecker, B. B., Bennett, R. L., Blum, S., Hahn, S. E., & Williams, J. L. (2006). A new definition of genetic counseling: National Society of Genetic Counselors’ Task Force report. Journal of Genetic Counseling, 15(2), 77–83. doi:10.​1007/​s10897-005-9014-3.CrossRef
go back to reference Nishigaki, M., Tokunaga-Nakawatase, Y., Nishida, J., & Kazuma, K. (2014). The effect of genetic counseling for adult offspring of patients with type 2 diabetes on attitudes toward diabetes and its heredity: A randomized controlled trial. Journal of Genetic Counseling, 23(5), 762–769. doi:10.1007/s10897-013-9680-5.CrossRefPubMed Nishigaki, M., Tokunaga-Nakawatase, Y., Nishida, J., & Kazuma, K. (2014). The effect of genetic counseling for adult offspring of patients with type 2 diabetes on attitudes toward diabetes and its heredity: A randomized controlled trial. Journal of Genetic Counseling, 23(5), 762–769. doi:10.​1007/​s10897-013-9680-5.CrossRefPubMed
go back to reference Pieterse, A. H., Ausems, M. G. E. M., Spreeuwenberg, P., & van Dulmen, S. (2011). Longer-term influence of breast cancer genetic counseling on cognitions and distress: Smaller benefits for affected versus unaffected women. Patient Education and Counseling, 85(3), 425–431. doi:10.1016/j.pec.2011.01.017.CrossRefPubMed Pieterse, A. H., Ausems, M. G. E. M., Spreeuwenberg, P., & van Dulmen, S. (2011). Longer-term influence of breast cancer genetic counseling on cognitions and distress: Smaller benefits for affected versus unaffected women. Patient Education and Counseling, 85(3), 425–431. doi:10.​1016/​j.​pec.​2011.​01.​017.CrossRefPubMed
go back to reference Reed, S. (1963). Counseling in medical genetics (2nd ed.). Philadelphia: Suanders. Reed, S. (1963). Counseling in medical genetics (2nd ed.). Philadelphia: Suanders.
go back to reference Rief, W., Conradt, M., Dierk, J.-M., Rauh, E., Schlumberger, P., Hinney, A., & Hebebrand, J. (2007). Is Information on genetic determinants of obesity helpful or harmful for obese people?—a randomized clinical trial. Journal of General Internal Medicine, 22(11), 1553–1559. doi:10.1007/s11606-007-0353-7.CrossRefPubMedPubMedCentral Rief, W., Conradt, M., Dierk, J.-M., Rauh, E., Schlumberger, P., Hinney, A., & Hebebrand, J. (2007). Is Information on genetic determinants of obesity helpful or harmful for obese people?—a randomized clinical trial. Journal of General Internal Medicine, 22(11), 1553–1559. doi:10.​1007/​s11606-007-0353-7.CrossRefPubMedPubMedCentral
go back to reference Roberts, S., Lester, K. J., Hudson, J. L., Rapee, R. M., Creswell, C., Cooper, P. J., & Eley, T. C. (2014). Serotonin tranporter methylation and response to cognitive behaviour therapy in children with anxiety disorders. Translational Psychiatry, 4(9), e444.CrossRefPubMedPubMedCentral Roberts, S., Lester, K. J., Hudson, J. L., Rapee, R. M., Creswell, C., Cooper, P. J., & Eley, T. C. (2014). Serotonin tranporter methylation and response to cognitive behaviour therapy in children with anxiety disorders. Translational Psychiatry, 4(9), e444.CrossRefPubMedPubMedCentral
go back to reference Rogers, C. (1995). On becoming a person: A therapist’s view of psychotherapy (1st ed.). Milwaukee, Wisconsin: Mariner Books. Rogers, C. (1995). On becoming a person: A therapist’s view of psychotherapy (1st ed.). Milwaukee, Wisconsin: Mariner Books.
go back to reference Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183.CrossRefPubMed Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183.CrossRefPubMed
go back to reference Roshanai, A. H., Rosenquist, R., Lampic, C., & Nordin, K. (2009). Does enhanced information at cancer genetic counseling improve counselees’ knowledge, risk perception, satisfaction and negotiation of information to at-risk relatives?—A randomized study. Acta Oncologica, 48(7), 999–1009. doi:10.1080/02841860903104137.CrossRefPubMed Roshanai, A. H., Rosenquist, R., Lampic, C., & Nordin, K. (2009). Does enhanced information at cancer genetic counseling improve counselees’ knowledge, risk perception, satisfaction and negotiation of information to at-risk relatives?—A randomized study. Acta Oncologica, 48(7), 999–1009. doi:10.​1080/​0284186090310413​7.CrossRefPubMed
go back to reference Rotter, J. B. (1972). Applications of a social learning theory of personality. New York: Holt, Rinehart and Winston. Rotter, J. B. (1972). Applications of a social learning theory of personality. New York: Holt, Rinehart and Winston.
go back to reference Seidel, M. C., Powell, R. O., Zgibor, J. C., Siminerio, L. M., & Piatt, G. A. (2008). Translating the Diabetes Prevention Program into an urban medically underserved community: a nonrandomized prospective intervention study. Diabetes Care, 31(4), 684–689. doi:10.2337/dc07-1869.CrossRefPubMed Seidel, M. C., Powell, R. O., Zgibor, J. C., Siminerio, L. M., & Piatt, G. A. (2008). Translating the Diabetes Prevention Program into an urban medically underserved community: a nonrandomized prospective intervention study. Diabetes Care, 31(4), 684–689. doi:10.​2337/​dc07-1869.CrossRefPubMed
go back to reference Skinner, B. F. (1965). Science and human behavior (New impression edition). New York, NY: Free Press. Skinner, B. F. (1965). Science and human behavior (New impression edition). New York, NY: Free Press.
go back to reference Veach, P. M., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: A practice manual (2003rd ed.). New York: Springer. Veach, P. M., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: A practice manual (2003rd ed.). New York: Springer.
go back to reference Wang, C., Gonzalez, R., & Merajver, S. D. S. D. (2004). Assessment of genetic testing and related counseling services: current research and future directions. Social Science & Medicine (1982), 58(7), 1427–1442. Doi:10.1016/S0277-9536(03)00337-X Wang, C., Gonzalez, R., & Merajver, S. D. S. D. (2004). Assessment of genetic testing and related counseling services: current research and future directions. Social Science & Medicine (1982), 58(7), 1427–1442. Doi:10.​1016/​S0277-9536(03)00337-X
go back to reference Weil, J. (2000). Psychosocial genetic counseling (1st ed.). New York: Oxford University Press. Weil, J. (2000). Psychosocial genetic counseling (1st ed.). New York: Oxford University Press.
go back to reference Wevers, M. R., Ausems, M. G. E. M., Verhoef, S., Bleiker, E. M. A., Hahn, D. E. E., Brouwer, T., et al. (2015). Does rapid genetic counseling and testing in newly diagnosed breast cancer patients cause additional psychosocial distress? results from a randomized clinical trial. Genetics in Medicine Official Journal of the American College of Medical Genetics,. doi:10.1038/gim.2015.50.PubMed Wevers, M. R., Ausems, M. G. E. M., Verhoef, S., Bleiker, E. M. A., Hahn, D. E. E., Brouwer, T., et al. (2015). Does rapid genetic counseling and testing in newly diagnosed breast cancer patients cause additional psychosocial distress? results from a randomized clinical trial. Genetics in Medicine Official Journal of the American College of Medical Genetics,. doi:10.​1038/​gim.​2015.​50.PubMed
go back to reference Wevers, M. R., Hahn, D. E. E., Verhoef, S., Bolhaar, M. D. K., Ausems, M. G. E. M., Aaronson, N. K., et al. (2012). Breast cancer genetic counseling after diagnosis but before treatment: A pilot study on treatment consequences and psychological impact. Patient Education and Counseling, 89(1), 89–95. doi:10.1016/j.pec.2012.03.019.CrossRefPubMed Wevers, M. R., Hahn, D. E. E., Verhoef, S., Bolhaar, M. D. K., Ausems, M. G. E. M., Aaronson, N. K., et al. (2012). Breast cancer genetic counseling after diagnosis but before treatment: A pilot study on treatment consequences and psychological impact. Patient Education and Counseling, 89(1), 89–95. doi:10.​1016/​j.​pec.​2012.​03.​019.CrossRefPubMed
go back to reference Whisman, M. A., Richardson, E. D., & Smolen, A. (2011). Behavioral inhibition and triallelic genotyping of the serotonin transporter promoter (5-HTTLPR) polymorphism. Journal of Research in Personality, 45(6), 706–709. doi:10.1016/j.jrp.2011.08.009.CrossRef Whisman, M. A., Richardson, E. D., & Smolen, A. (2011). Behavioral inhibition and triallelic genotyping of the serotonin transporter promoter (5-HTTLPR) polymorphism. Journal of Research in Personality, 45(6), 706–709. doi:10.​1016/​j.​jrp.​2011.​08.​009.CrossRef
go back to reference Wolpe, J. (1982). Practice of behaviour therapy (3rd ed.). New York: Pergamon Press. Wolpe, J. (1982). Practice of behaviour therapy (3rd ed.). New York: Pergamon Press.
Metagegevens
Titel
The Added Value of CBT in the Genetic Counseling Process: Concept Development, State of the Art and New Directions
Auteurs
Daniel David
Amfiana Gherman
Ioana Podina
Cristina Mogoaşe
Mădălina Sucală
Bogdan Voinescu
Publicatiedatum
08-07-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 4/2016
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI
https://doi.org/10.1007/s10942-016-0245-z

Andere artikelen Uitgave 4/2016

Journal of Rational-Emotive & Cognitive-Behavior Therapy 4/2016 Naar de uitgave