Psychiatric Genetics in Clinical Practice: Essential Knowledge for Mental Health Professionals

精神遗传学 精神科 心理健康 卫生专业人员 心理学 医学 精神分裂症(面向对象编程) 医疗保健 经济增长 经济
作者
Aaron D. Besterman,M.A. Alnor,Oscar M. Ramirez,Lynn E. DeLisi,Dorothy E. Grice,Falk W. Lohoff,Christel M. Middeldorp,Daniel J. Müller,Diego Quattrone,John I. Nürnberger,Erika L. Nurmi,David A. Ross,Takahiro Soda,Thomas G. Schulze,Brett Trost,Elisabet Vilella,Chloe X. Yap,Gwyneth Zai,Daniel Moreno‐De‐Luca
出处
期刊:American Journal of Psychiatry [American Psychiatric Association]
标识
DOI:10.1176/appi.ajp.20240295
摘要

The authors provide recommendations on incorporating recent advances in psychiatric genetics into clinical practice for mental health clinicians. The International Society for Psychiatric Genetics Education Committee met monthly to come to a consensus on priority topics in psychiatric genetics. Topics were then assigned to small teams of subspecialty experts to summarize the current knowledge base and create an illustrative clinical case. Topics included, familial aggregation, common and rare genetic variants, epigenetics, gene-environment interactions, pharmacogenomics, genetic counseling, and ethical and social implications. Each section was reviewed and revised by all committee members and then finalized by the Committee Chair. Key findings highlight the importance of understanding the genetic architecture of psychiatric disorders, the potential applications of genetic information in risk assessment, diagnosis, treatment selection, and patient education, as well as the ethical and social considerations surrounding the use of genetic data. The committee emphasizes the need for a nuanced approach that integrates genetic factors with environmental and experiential factors in a holistic model of care. As psychiatric genetics continues to evolve rapidly, mental health clinicians must stay informed about the latest findings and their clinical implications. Ongoing education, collaboration with genetics professionals, and effective communication strategies are crucial to harness the power of genetics while avoiding potential pitfalls such as genetic determinism and stigma. The committee recommends a balanced perspective that recognizes the complex interplay of genetic and non-genetic factors in shaping mental health outcomes.

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