The ethics of polygenic scores in psychiatry: minefield or opportunity for patient-centered psychiatry?

Journal: Psychiatric genetics

Volume: 34

Issue: 2

Year of Publication: 2024

Affiliated Institutions:  Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands. GGNet Mental Health, Warnsveld, The Netherlands. Department of Clinical Genetics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. Department of Human Genetics, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands. Department of Psychiatry, University Medical Center Utrecht, Utrecht University, Brain Center, Utrecht, The Netherlands.

Abstract summary 

Recent advancements in psychiatric genetics have sparked a lively debate on the opportunities and pitfalls of incorporating polygenic scores into clinical practice. Yet, several ethical concerns have been raised, casting doubt on whether further development and implementation of polygenic scores would be compatible with providing ethically responsible care. While these ethical issues warrant thoughtful consideration, it is equally important to recognize the unresolved need for guidance on heritability among patients and their families. Increasing the availability of genetic counseling services in psychiatry should be regarded as a first step toward meeting these needs. As a next step, future integration of novel genetic tools such as polygenic scores into genetic counseling may be a promising way to improve psychiatric counseling practice. By embedding the exploration of polygenic psychiatry into the supporting environment of genetic counseling, some of the previously identified ethical pitfalls may be prevented, and opportunities to bolster patient empowerment can be seized upon. To ensure an ethically responsible approach to psychiatric genetics, active collaboration with patients and their relatives is essential, accompanied by educational efforts to facilitate informed discussions between psychiatrists and patients.

Authors & Co-authors:  Wouters van der Horst Aalfs Bralten Luykx Zinkstok

Study Outcome 

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Statistics
Citations :  Appelbaum PS (2017). Who’s afraid of psychiatric genomics? Am J Bioeth 17:15–17.
Authors :  6
Identifiers
Doi : 10.1097/YPG.0000000000000363
SSN : 1473-5873
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
England