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Session recordings were transcribed and qualitative content analysis performed. One week after disclosure, distress levels were assessed through the intrusion subscale of the Impact of Event Scale-Revised (IES-R) and five items from the Impact of Genetic Testing in AD scale (IGT-AD) for 7\/11 homozygotes, compared with participants with 0 (n\u2009=\u200961) or 1 (n\u2009=\u200947) \u03b54 alleles who also learned their\n                      <jats:italic toggle=\"yes\">APOE<\/jats:italic>\n                      genotypes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine homozygotes were women; seven had an AD family history; age averaged 51 years. Participants with an AD family history or memory worries felt their concerns were validated; others were often surprised. Only one participant showed signs of elevated psychological distress. Responses on the IES-R intrusion subscale and IGT-AD items differed significantly from those of IDEAL participants who learned they had 0 or 1 \u03b54 alleles, but distress levels were low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Among most Latinos in northern Manhattan who learned they had an\n                      <jats:italic toggle=\"yes\">APOE<\/jats:italic>\n                      \u03b54\/\u03b54 genotype, disclosure did not provoke elevated levels of distress.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261435633","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T08:03:31Z","timestamp":1774857811000},"page":"734-745","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring immediate responses to\n                    <i>APOE<\/i>\n                    <b>\u03b5<\/b>\n                    4\/\u03b54 genotype and Alzheimer's disease risk disclosure in Latinos"],"prefix":"10.1177","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2795-4704","authenticated-orcid":false,"given":"Daniela","family":"Diaz Caro","sequence":"first","affiliation":[{"name":"Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4243-438X","authenticated-orcid":false,"given":"Wendy R.","family":"Uhlmann","sequence":"additional","affiliation":[{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4429-0279","authenticated-orcid":false,"given":"Jill S.","family":"Goldman","sequence":"additional","affiliation":[{"name":"Columbia University"},{"name":"Department of Neurology, Vagelos College of Physicians &amp; Surgeons, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7898-5817","authenticated-orcid":false,"given":"Sarah","family":"McCain","sequence":"additional","affiliation":[{"name":"University of Michigan School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5523-1004","authenticated-orcid":false,"given":"John B.","family":"Wetmore","sequence":"additional","affiliation":[{"name":"Columbia University"},{"name":"Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9151-989X","authenticated-orcid":false,"given":"Mar\u00eda","family":"Cab\u00e1n","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3438-5685","authenticated-orcid":false,"given":"Wendy K.","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1083-8299","authenticated-orcid":false,"given":"J. 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