“…Currently, there is no single scale that captures all four concept attributes. An extreme focus on self 2,36,43,61 Health symptoms may trigger decisions, as opposed to those healthcare issues that do not produce new or discomforting symptoms Decreased salience given to group or social norms when compared to adults who have not been diagnosed with HFA 3,38,41,42,60,62 If part of a high-risk group for a health concern, the group risk norms of disease occurrence may be given less attention than an adult without the diagnosis of HFA A reduced or nonexistent ability to understand and share others' feelings, often referred to as "mindblindness" 6,7,9 May result in less perception, adaptation, and response to health-related information and education, regardless if others are concerned for the individual Skewed self-cognition in relation to others 3,5,7,42,63 There is a lower ability to understand how personal health and health-based decisions may impact or connect to others including spouse and children…”