精神病学多基因风险评分:经验,对实用性的希望,以及儿童和青少年精神病学家的担忧
Amanda R Merner1, Page M Trotter2, Lauren A Ginn3
1Center for Bioethics, Harvard Medical School, Boston, MA 02115, United States.
Psychiatry research
|July 13, 2024
概括
儿童和青少年精神病学家发现多基因风险评分 (PRS) 目前临床使用有限,尚未准备好实施. 担忧包括解释挑战,滥用潜力和精神疾病的耻辱化增加.
科学领域:
- 精神病学遗传学 精神病学遗传学
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 多基因风险评分 (PRS) 估计了对精神疾病的遗传倾向.
- 在儿童和青少年精神病学中应用PRS需要仔细考虑,因为存在潜在的担忧.
研究的目的:
- 检查儿童和青少年精神病学家 (CAP) 对PRS临床使用的态度.
- 确定在儿童和青少年精神卫生保健中实施PRS的障碍和促进因素.
主要方法:
- 半结构面试与29名美国儿童和青少年精神病医生进行,他们具有遗传学专业知识.
- 定性分析探讨了精神病学家对PRS实用性,解释和道德影响的看法.
主要成果:
- 大多数CAP认为PRS目前缺乏临床实用性,并且还没有准备好实施.
- 临床医生指出,在订购,解释和传达PRS结果方面存在挑战.
- 人们担心潜在的滥用,误解和增加的污名化,包括与优生学的联系.
结论:
- 儿童和青少年精神病学家认为,目前PRS的临床实用性存在重大限制.
- 解决伦理问题和提高可解释性对于未来在儿童精神病学中负责任地实施PRS至关重要.
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