Table 3.
Genetic Psychosocial Risk Instrument factor solutions and factor loadings
| Factor loadings | Communalities | Item-total | Item mean | |
|---|---|---|---|---|
| ▸ My worries about the disease affect my daily mood | 0.759 | 0.652 | 0.582 | 2.22 |
| ▸ I worry often about my risk of getting the disease | 0.742 | 0.551 | 0.529 | 2.67 |
| ▸ I am concerned about my risk of getting the disease | 0.656 | 0.484 | 0.472 | 3.28 |
| ▸ I have generally felt nervous and anxious in the past month | 0.652 | 0.538 | 0.600 | 2.54 |
| ▸ I have generally felt sad in the past month | 0.627 | 0.524 | 0.572 | 2.58 |
| ▸ If I learn that I have a genetic mutation, | ||||
| … I will have more problems in my life | 0.617 | 0.406 | 0.399 | 2.79 |
| …I will have difficulties with my family relationships | 0.513 | 0.324 | 0.424 | 1.62 |
| … I will change plans for my career | 0.451 | 0.228 | 0.262 | 2.08 |
| ▸ The disease is currently causing a significant disruption in my family life | 0.568 | 0.408 | 0.463 | 2.42 |
| ▸ I am worried that my test result will impact on my relationship with my significant other | 0.546 | 0.308 | 0.383 | 2.54 |
| ▸ I am worried about talking to my children about the heritable nature of the disease for which I am being tested | 0.522 | 0.326 | 0.453 | 2.04 |
| ▸ I feel guilty that I might pass on the disease risk to my children | 0.508 | 0.276 | 0.414 | 3.11 |
| Factor 1: Anticipated or experienced impact of having a disease risk or genetic mutation: 12 statements, Cronbach's α=0.85, interitem correlation=0.32, variance explained=22% | ||||
| ▸ I have had emotional problems in the past | 0.796 | 0.655 | 0.423 | 2.66 |
| ▸ I have been diagnosed with a depressive or anxiety disorder in the past | 0.769 | 0.596 | 0.349 | 2.01 |
| ▸ I have had counselling with a mental health professional in the past | 0.762 | 0.593 | 0.433 | 2.85 |
| ▸ I have had emotional problems that led me to thoughts about suicide | 0.623 | 0.389 | 0.262 | 1.45 |
| ▸ I am now seeing a counsellor for one or more of these emotional concerns | 0.509 | 0.272 | 0.274 | 1.35 |
| Factor 2: Personal history or vulnerability to mental health issues or symptoms: 5 items, Cronbach's α=0.76, interitem correlation=0.39, variance explained=14% | ||||
| ▸ I have taken care of a very ill parent or another close family member | 0.687 | 0.493 | 0.116 | 2.36 |
| ▸ I lost a close family member (eg, parent/sibling) to the disease for which I am receiving counselling/testing | 0.667 | 0.445 | –0.002 | 2.87 |
| ▸ I have/had a personal diagnosis of the disease for which I am receiving counselling/testing | –0.642 | 0.413 | –0.073 | 3.47 |
| Factor 3: Personal or family history of the genetic disease being tested in the clinic: 3 items, Cronbach's α=0.08, interitem correlation=0.03, variance explained=8% | ||||