Genetic feedback for psychiatric conditions: Where are we now and where are we going

Am J Med Genet B Neuropsychiatr Genet. 2020 Oct;183(7):423-432. doi: 10.1002/ajmg.b.32815. Epub 2020 Aug 19.

Abstract

Genome-wide association studies are rapidly advancing our understanding of the genetic architecture of complex disorders, including many psychiatric conditions such as major depression, schizophrenia, and substance use disorders. One common goal of genome-wide association studies is to use findings for enhanced clinical prediction in the future, which can aid in identifying at-risk individuals to enable more effective prevention screening and treatment strategies. In order to achieve this goal, we first need to gain a better understanding of the issues surrounding the return of complex genetic results. In this article, we summarize the current literature on: (a) genetic literacy in the general population, (b) the public's interest in receiving genetic test results for psychiatric conditions, (c) how individuals react to and interpret their genotypic information for specific psychiatric conditions, and (d) gaps in our knowledge that will be critical to address as we move toward returning genotypic information for psychiatric conditions in both research and clinical settings. By reviewing extant studies, we aim to increase awareness of the potential benefits and consequences of returning genotypic information for psychiatric conditions.

Keywords: genetic literacy; genetic testing; personalized feedback; psychiatric disorders; psychiatric genetics.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Attitude to Health
  • Depressive Disorder, Major / genetics
  • Genetic Predisposition to Disease / genetics
  • Genetic Testing / ethics*
  • Genetic Testing / methods
  • Genetic Testing / trends*
  • Genome-Wide Association Study / methods
  • Genotype
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Mental Disorders / diagnosis
  • Mental Disorders / genetics*
  • Mental Health
  • Multifactorial Inheritance / genetics
  • Schizophrenia / genetics
  • Substance-Related Disorders / genetics