Psychiatric genetics: A survey of psychiatrists' knowledge, opinions, and practice patterns
Psychiatric genetics: A survey of psychiatrists' knowledge, opinions, and practice patterns
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DOI：
10.4088/jcp.v66n0703
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发表时间：
2005-07-01
影响因子：
5.3
通讯作者：
Smoller, JW
中科院分区：
文献类型：
--
作者：
Finn, CT;Wilcox, MA;Smoller, JW
目的：关于精神疾病遗传基础的知识正在迅速增长，精神科医生可能会被要求将这些信息纳入临床实践。本研究的目的是评估精神科医生对遗传信息的熟悉程度和态度。方法：我们调查了844名参与者，其中大部分是精神科医生，参加了2002年秋季的继续医学教育课程，并测量了精神病遗传学方面的知识，观点和当前的实践模式。收到了352名精神科医生的回复（占调查人数的54%）。大多数精神科医生正确回答了不到一半的调查项目评估一般和精神病遗传知识。虽然83%的人认为与患者和家属讨论遗传信息是他们的职责，但只有不到25%的人认为准备好或有能力这样做。在回答关于基因检测的假设性问题时，相当一部分精神科医生表示愿意使用这种检测来进行诊断澄清，以及症状前甚至产前风险预测。大多数受访者表示有兴趣在进一步的geneticeducation.Conclusions：我们的研究结果表明，精神科医生认为遗传信息的临床相关。但是在知识上有局限性，这可能影响精神病学遗传学与临床实践的结合。
Objective: Knowledge about the genetic basis of psychiatric illness is growing rapidly, and psychiatrists may be called upon to incorporate this information into clinical practice. The goal of this study was to assess psychiatrists' familiarity with and attitudes toward genetic information.Method: We surveyed 844 participants, the majority of whom were psychiatrists, attending a continuing medical education course in the fall of 2002 and measured knowledge, opinions, and current practice patterns in regard to psychiatric genetics.Results: Responses were received from 352 psychiatrists (54% of those surveyed). Most psychiatrists correctly answered fewer than half of survey items assessing general and psychiatric genetic knowledge. While 83% considered it their role to discuss genetic information with patients and families, fewer than 25% felt prepared or competent to do so. In response to hypothetical questions regarding genetic testing, a substantial proportion of psychiatrists indicated willingness to use such tests for diagnostic clarification, as well as presymptomatic and even prenatal risk prediction. The majority of respondents expressed interest in further genetics education.Conclusions: Our results suggest that psychiatrists view genetic information as clinically relevant. but have limitations in knowledge that may impact the incorporation of psychiatric Genetics into clinical practice.