Psychiatrists' attitudes, knowledge, and experience regarding genetics: a preliminary study

Hoop, Jinger G.; Roberts, Laura Weiss; Hammond, Katherine A. Green; Cox, Nancy J.

doi:10.1097/gim.0b013e318177014b

Cited by 35 publications

(67 citation statements)

References 39 publications

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“…These developments are anticipated to increase demand for psychiatric genetic counselling (Austin and Honer 2007) and are expected to drive significant changes in the management and treatment of these disorders (Kaufmann et al 1996). Despite several studies reporting a demand for genetic testing from both affected individuals and psychiatric clinicians (DeLisi and Bertisch 2006; Hoop et al 2008a; Hoop et al 2008b; Laegsgaard and Mors 2008), much caution has been expressed from scientists regarding the clinical validity and utility of new genetic discoveries (Braff and Freedman 2008; Burmeister et al 2008). Whilst support for genetic testing has been expressed by symptomatic patients (Turney and Turner 2000), there is less agreement on the benefits of presymptomatic testing (Lawrence and Appelbaum 2011).…”

Section: Introductionmentioning

confidence: 99%

Genetic Counselling for Psychiatric Disorders: Accounts of Psychiatric Health Professionals in the United Kingdom

Jenkins

Arribas-Ayllon

2016

Journal of Genetic Counseling

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Genetic counselling is not routinely offered for psychiatric disorders in the United Kingdom through NHS regional clinical genetics departments. However, recent genomic advances, confirming a genetic contribution to mental illness, are anticipated to increase demand for psychiatric genetic counselling. This is the first study of its kind to employ qualitative methods of research to explore accounts of psychiatric health professionals regarding the prospects for genetic counselling services within clinical psychiatry in the UK. Data were collected from 32 questionnaire participants, and 9 subsequent interviewees. Data analysis revealed that although participants had not encountered patients explicitly demanding psychiatric genetic counselling, psychiatric health professionals believe that such a service would be useful and desirable. Genomic advances may have significant implications for genetic counselling in clinical psychiatry even if these discoveries do not lead to genetic testing. Psychiatric health professionals describe clinical genetics as a skilled profession capable of combining complex risk communication with much needed psychosocial support. However, participants noted barriers to the implementation of psychiatric genetic counselling services including, but not limited to, the complexities of uncertainty in psychiatric diagnoses, patient engagement and ethical concerns regarding limited capacity.

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Section: Introductionmentioning

confidence: 99%

Genetic Counselling for Psychiatric Disorders: Accounts of Psychiatric Health Professionals in the United Kingdom

Jenkins

Arribas-Ayllon

2016

Journal of Genetic Counseling

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“…Similarly, a survey of psychiatrists found that the vast majority (95%) felt that it was their role to discuss genetic information about psychiatric illness with their patients, but only 70% felt competent to do so and only 9% felt competent to actually offer genetic tests and interpret them (57). Interviews of psychiatric genetic researchers who study mood disorders found that researchers share the concerns of patients, families, and clinicians.…”

Section: The Changing Social Contexts Applications and Perceptions mentioning

confidence: 99%

Ethical, Legal, Social, and Policy Implications of Behavioral Genetics

Berryessa

Cho

2013

Annu. Rev. Genom. Hum. Genet.

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The field of behavioral genetics has engendered a host of moral and social concerns virtually since its inception. The policy implications of a genetic basis for behaviors are widespread and extend beyond the clinic to the socially important realms of education, criminal justice, childbearing, and child rearing. The development of new techniques and analytic approaches, including whole-genome sequencing, noninvasive prenatal genetic testing, and optogenetics, has clearly changed the study of behavioral genetics. However, the social context of biomedical research has also changed profoundly over the past few decades, and in ways that are especially relevant to behavioral genetics. The ever-widening scope of behavioral genetics raises ethical, legal, social, and policy issues in the potential new applications to criminal justice, education, the military, and reproduction. These issues are especially critical to address because of their potentially disproportionate effects on vulnerable populations such as children, the unborn, and the incarcerated.

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“…Psychiatrists recognize the need to incorporate genetics into psychiatric practice (Finn et al, 2005;Hoop et al, 2008), but many lack expertise and/or confidence in this area (Finn et al, 2005;Abbate et al, 2014). Given growing evidence indicating that people with psychiatric disorders and their families would like to receive genetic counseling (DeLisi and Bertisch, 2006;Lyus, 2007;Austin and Honer, 2008;Peay et al, 2009), psychiatry is an area of practice that potentially presents an ideal scenario for fruitful interdisciplinary collaboration between physicians and genetic counselors (Thompson et al 2015).…”

Section: Introductionmentioning

confidence: 99%

How do Physicians Decide to Refer Their Patients for Psychiatric Genetic Counseling? A Qualitative Study of Physicians’ Practice

Leach

Morris

White

et al. 2016

Journal of Genetic Counseling

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Psychiatric genetic counseling (PGC) is an emerging specialty discipline within the genetic counseling profession. A specialist PGC service was founded in 2012 in Vancouver, Canada, and though patient benefits have been demonstrated, many physicians do not regularly refer patients to the service despite awareness of its availability. We conducted a qualitative study involving semistructured telephone interviews with Vancouver-based physicians who were aware of the PGC service to explore this phenomenon. Interviews were audio-recorded, transcribed verbatim, coded, and analysed for emergent themes. Consistent with a grounded theory approach, constant comparison was employed throughout data collection and analysis. Analyses of interviews conducted with 12 physicians revealed that referral practices were informed by perceptions about the purpose of PGC and interpretation of patient cues. Physicians perceived PGC as an information-focused intervention, and considered referral when patients explicitly expressed desire for information about recurrence risk or etiology that they feel unable to adequately address themselves. Even when physicians identified psychotherapeutic benefits of PGC, patient needs of this nature were not perceived as cues prompting referral to PGC. These data suggest that further work is necessary to position PGC in physicians' minds as a service that could potentially benefit most individuals with psychiatric disorders and their families, and that encompasses more than information provision. It is important to increase physicians' awareness of the complementary role that genetic counselors can play to that of the physician in providing psychotherapeutically oriented counselling about illness etiology.

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Psychiatrists' attitudes, knowledge, and experience regarding genetics: a preliminary study

Cited by 35 publications

References 39 publications

Genetic Counselling for Psychiatric Disorders: Accounts of Psychiatric Health Professionals in the United Kingdom

Genetic Counselling for Psychiatric Disorders: Accounts of Psychiatric Health Professionals in the United Kingdom

Ethical, Legal, Social, and Policy Implications of Behavioral Genetics

How do Physicians Decide to Refer Their Patients for Psychiatric Genetic Counseling? A Qualitative Study of Physicians’ Practice

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