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Predictive testing for HD is available to asymptomatic at\u2010risk individuals. Approximately half of the population undergoing predictive testing for HD consists of young adults (\u226435 years old). Finishing one's education, starting a career, engaging in romantic relationships and becoming a parent are key milestones of young adulthood. We conducted a qualitative study to explore how testing gene\u2010positive for HD influences young adults\u2019 attainment of these milestones, and to identify major challenges that pre\u2010symptomatic young adults face to aid the development of targeted genetic counseling. Results of our study demonstrate that 1) knowing one's gene\u2010positive status results in an urgency to reach milestones and positively changes young adults\u2019 approach to life; 2) testing positive influences young adults\u2019 education and career choices, romantic relationships, and family planning; 3) young adults desire flexible and tailored genetic counseling to address needs and concerns unique to this population. Findings of this study contribute to the understanding of the impact of predictive testing for HD on young adults, and highlight issues unique to this population that call for further research, intervention and advocacy.<\/jats:p>","DOI":"10.1007\/s10897-016-9951-z","type":"journal-article","created":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T22:15:02Z","timestamp":1461276902000},"page":"1188-1197","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Impact of Huntington Disease Gene\u2010Positive Status on Pre\u2010Symptomatic Young Adults and Recommendations for Genetic Counselors"],"prefix":"10.1002","volume":"25","author":[{"given":"Ping","family":"Gong","sequence":"first","affiliation":[{"name":"Department of Genetics Stanford University School of Medicine Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna H.","family":"Fanos","sequence":"additional","affiliation":[{"name":"Children's Hospital Oakland Research Institute, Benioff Children's Hospitals University of California San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Korty","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Genetics, San Diego School of Medicine University of California La Jolla CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly E.","family":"Siskind","sequence":"additional","affiliation":[{"name":"Department of Neurology Stanford Health Care Palo Alto CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea K.","family":"Hanson\u2010Kahn","sequence":"additional","affiliation":[{"name":"Department of Genetics Stanford University School of Medicine Stanford CA USA"},{"name":"Department of Pediatrics, Division of Medical Genetics Stanford University Medical Center Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.5.469"},{"key":"e_1_2_11_3_1","volume-title":"Emerging adulthood: the winding road from the late teens through the twenties","author":"Arnett J. 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