Every screening program engages in a battle to maximize benefits and minimize harms.1 While concerns about harms from screening often focus on physical ones such as unnecessary testing or treatment, psychological harms can be equally damaging and lasting, living on with the patient long after the screening process has ended.2 It is the potential for identification of heterozygotes (ie, carriers) through newborn screening to cause psychological harm that Farrell and colleagues3 examine in their study published in this issue of the Archives of Pediatrics & Adolescent Medicine.
Tarini BA. Communicating With Parents About Newborn ScreeningThe Skill of Eliciting Unspoken Emotions. Arch Pediatr Adolesc Med. 2012;166(1):95-96. doi:10.1001/archpediatrics.2011.767