A, Distress measured by the impact of events score across the 4 arms. B, anxiety as measured by the Generalized Anxiety Disorder, 7-item (GAD-7) score, which did not differ significantly between arms. C, depression as measured by the Patient Health Questionnaire, 9 (PHQ-9) score, which was also similar between arms. D, Completion rates defined by receiving test results were noninferior in the study arms and were highest in the 2 arms without required pretest counseling. Arm A had no mandatory pretest or posttest counseling, arm B mandated posttest counseling only, arm C was the control group, and arm D mandated pretest counseling only. In panels A, B, and C, the boxes correspond to the first and third quartiles (25th and 75th percentiles of the data), while the bar across represents the median (50th percentile). The lines extending up and down reflect the third quartile plus 1.5 times the IQR and the first quartile minus 1.5 times the IQR. Any points outside this range are plotted individually.