Fig. 2: Hypotheses on the effect of agreement between clinicians and counselees on distress at T1 and T2, and factors susceptible to influence this effect.

The thick arrows represent the effect being tested. T1 = within 1 month after the initial genetic consultation; T2 = within 3 months after the genetic test disclosure consultation. The theoretical model presumes that a “sample” would influence “agreement” at T1 and “distress” at T1 and T2; b that the effect of “agreement” at T1 on distress at T2 would depend on time elapsed between T1 and T2; c the influence of distress at T1 on distress at T2 was not considered because distress at T1 is part of the link between “agreement” at T1 and distress at T2; d genetic test result at T2 is independent from “agreement” and distress at T1; the influence of this factor on distress at T2 is tested independently.