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Psychiatric genomics, mental health equity, and intersectionality: A framework for research and practice
Julia E H Brown1, Jennifer L Young2, Nicole Martinez-Martin3
1School of Nursing, University of California, San Francisco, San Francisco, CA, United States.
Psychiatric genomics research needs to integrate social factors alongside genetic predictors for mental illness. An intersectional framework is proposed to address social distress and promote equitable mental healthcare.
Area of Science:
- Psychiatry and Genomics
- Social Determinants of Health
Background:
- Psychiatric illness causes are complex, not easily quantified for diagnosis and treatment.
- Genome-wide association studies (GWAS) offer potential for genetic predictors and precision medicine.
- Overemphasis on genetics may overshadow crucial social factors and structural injustices in mental healthcare.
Purpose of the Study:
- To advocate for a comprehensive approach to mental illness that integrates biological and social factors.
- To propose an intersectional framework for psychiatric genomics.
- To guide professionals in incorporating social context, diversity, and ethics into psychiatric genomics.
Main Methods:
- Literature review and theoretical framework development.
- Analysis of the limitations of current psychiatric genomics approaches.
- Proposal of an intersectional model for research and clinical application.
Main Results:
- Current psychiatric genomics approaches may neglect social determinants of mental health.
- An intersectional framework is essential for a holistic understanding of mental illness.
- Integrating social context, diversity, and ethics is crucial for equitable mental healthcare.
Conclusions:
- Psychiatric genomics must adopt an intersectional dimension to complement social approaches.
- This framework aims to alleviate social distress and reduce mental health inequities.
- Professionals in psychiatric genomics need guidance on incorporating social and ethical considerations.
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