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Genetic Testing of Children for Predisposition to Mood Disorders: Anticipating the Clinical Issues

机译:对儿童易患情绪障碍的基因测试:预测临床问题

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摘要

Large-scale sequencing information may provide a basis for genetic tests for predisposition to common disorders. In this study, participants in the Coriell Personalized Medicine Collaborative (N = 53) with a personal and/or family history of Major Depressive Disorder or Bipolar Disorder were interviewed based on the Health Belief Model around hypothetical intention to test one’s children for probability of developing a mood disorder. Most participants (87 %) were interested in a hypothetical test for children that had high (“90 %”) positive predictive value, while 51 % of participants remained interested in a modestly predictive test (“20 %”). Interest was driven by beliefs about effects of test results on parenting behaviors and on discrimination. Most participants favored testing before adolescence (64 %), and were reluctant to share results with asymptomatic children before adulthood. Participants anticipated both positive and negative effects of testing on parental treatment and on children’s self-esteem. Further investigation will determine whether these findings will generalize to other complex disorders for which early intervention is possible but not clearly demonstrated to improve outcomes. More information is also needed about the effects of childhood genetic testing and sharing of results on parent–child relationships, and about the role of the child in the decision-making process.Electronic supplementary materialThe online version of this article (doi:10.1007/s10897-014-9710-y) contains supplementary material, which is available to authorized users.
机译:大规模测序信息可能为遗传测试易感性常见疾病提供基础。在这项研究中,基于健康信念模型,根据假设意图对孩子的发育可能性进行了假设的假设,采访了患有严重抑郁症或双相情感障碍的个人和/或家族史的Coriell个性化医学合作组织(N = 53)的参与者。情绪障碍。大多数参与者(87%)对对阳性预测值高(“ 90%”)的孩子进行的假设测试感兴趣,而51%的参与者对中等预测性测试(“ 20%”)仍然感兴趣。对测试结果对父母行为和歧视产生影响的信念激发了人们的兴趣。大多数参与者赞成在青春期之前进行测试(64%),并且不愿意在成年前与无症状儿童分享结果。参加者预计测试对父母的待遇和孩子的自尊心都有积极和消极的影响。进一步的调查将确定这些发现是否会推广到其他复杂疾病,可以对其进行早期干预,但并未明确证明能改善预后。还需要更多有关儿童基因测试和结果共享对亲子关系的影响以及儿童在决策过程中的作用的信息。电子补充材料本文的在线版本(doi:10.1007 / s10897) -014-9710-y)包含补充材料,授权用户可以使用。

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