Based on the present results, clinicians should preferably have knowledge of patients' psychological distress and their perceived quality of life before approaching them for genetic counseling in order to provide adequate support if needed.
See related commentary by Marini, Over the last 15 to 20 years, large gains in our knowledge of acute respiratory distress syndrome (ARDS) and its management have been made [ 1- 4].
Knowledge of caregiver characteristics and distress determinants among home care recipients with neurological conditions might help alleviate their situation through development of appropriate formal care interventions.
Psychosocial outcomes include: perceived risk for ipsilateral and contralateral breast cancer and for ovarian cancer, cancer-related worry and distress; knowledge of genetic aspects of breast cancer; decisional satisfaction; and HRQL.
Another participant told how, despite knowledge of her husband's distress and a nagging awareness of the possibility of suicide, she could not bring herself to believe that he would do such a thing.
He writes about the hippies who claimed to know India and concludes that "they break just at that point where the Hindu begins: the knowledge of the abyss, the acceptance of distress as the condition of men".
However, knowledge and awareness of patients' level of distress is an important issue in clinical care, and the use of the HADS screening instrument can be helpful in identifying comorbid patients.
Mauritius is not India; there is no longer that knowledge of fate, karma, in which distress is absorbed.' Naipaul never travels to have his prejudices confirmed, nor his own distress absorbed.
Although the reported prevalence of physical, social, and emotional distress does not provide knowledge about the significance of the aspects of distress, the results illustrates that there are several aspects of emotional distress likely to be of concern for the patients.
In the last years, there has been an enormous research effort into the knowledge of physiopathology of acute respiratory distress syndrome (ARDS) which, together with the advances in critical care, has led to a reduction in mortality.
