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

IF 15.1 1区 医学 Q1 PSYCHIATRY
Aaron D Besterman, Mohamed A Alnor, Mauricio Castaño, Lynn E DeLisi, Dorothy E Grice, Falk W Lohoff, Christel M Middeldorp, Daniel J Müller, Diego Quattrone, John Nurnberger, Erika L Nurmi, David A Ross, Takahiro Soda, Thomas G Schulze, Brett Trost, Elisabet Vilella, Chloe X Yap, Gwyneth Zai, Daniel Moreno-De-Luca
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Abstract

Objective: The authors provide recommendations on incorporating recent advances in psychiatric genetics into clinical practice for mental health clinicians.

Method: 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.

Results: 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.

Conclusion: 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.

临床实践中的精神病学遗传学:精神卫生专业人员的基本知识。
摘要作者就如何将精神科遗传学的最新进展融入临床实践为精神科临床医生提供建议:方法:国际精神病学遗传学协会教育委员会每月召开一次会议,就精神病学遗传学的重点课题达成共识。然后将主题分配给由亚专科专家组成的小组,由其总结当前的知识基础并创建一个说明性临床案例。主题包括家族聚集、常见和罕见基因变异、表观遗传学、基因与环境的相互作用、药物基因组学、遗传咨询以及伦理和社会影响。每一部分都经过委员会所有成员的审查和修改,然后由委员会主席最后定稿:主要研究结果强调了了解精神疾病遗传结构的重要性,遗传信息在风险评估、诊断、治疗选择和患者教育中的潜在应用,以及围绕遗传数据使用的伦理和社会因素。委员会强调,需要采取一种细致入微的方法,将遗传因素与环境和经历因素结合起来,形成一种整体护理模式:随着精神疾病遗传学的快速发展,心理健康临床医生必须随时了解最新研究成果及其临床意义。持续的教育、与遗传学专业人士的合作以及有效的沟通策略对于利用遗传学的力量,同时避免遗传决定论和污名化等潜在隐患至关重要。委员会建议采取一种平衡的观点,承认遗传和非遗传因素在影响心理健康结果方面的复杂相互作用。
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来源期刊
American Journal of Psychiatry
American Journal of Psychiatry 医学-精神病学
CiteScore
22.30
自引率
2.80%
发文量
157
审稿时长
4-8 weeks
期刊介绍: The American Journal of Psychiatry, dedicated to keeping psychiatry vibrant and relevant, publishes the latest advances in the diagnosis and treatment of mental illness. The journal covers the full spectrum of issues related to mental health diagnoses and treatment, presenting original articles on new developments in diagnosis, treatment, neuroscience, and patient populations.
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