Rubanovich Caryn Kseniya, Zhang Wendy, Bloss Cinnamon S
San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, United States.
Center for Empathy and Technology, T Denny Sanford Institute for Empathy and Compassion, University of California San Diego, La Jolla, CA, United States.
JMIR Ment Health. 2020 Nov 26;7(11):e23596. doi: 10.2196/23596.
Despite the fact that direct-to-consumer (DTC) genetic ancestry testing (GAT) has been available for two decades, there is a lack of evidence-based guidance for clinicians who may work with patients who raise the topic of DTC-GAT. Although DTC-GAT accounts for the majority of the DTC genetic testing marketplace, it has received less attention than health-related testing from scientific and clinical communities. Importantly, however, from our personal experience, patients have been raising the topic of DTC-GAT in clinical encounters, including psychotherapy sessions. In this viewpoint, we present two cases of patients seen by two of the authors to raise awareness of this issue. We describe the implications of DTC-GAT for patients and clinicians, offer recommendations, and suggest future directions.
尽管直接面向消费者（DTC）的基因谱系检测（GAT）已经存在了二十年，但对于可能会遇到患者提及DTC-GAT这一话题的临床医生而言，却缺乏基于证据的指导。虽然DTC-GAT在DTC基因检测市场中占据了大部分份额，但相较于健康相关检测，它受到科学和临床界的关注较少。然而，重要的是，根据我们的个人经验，患者在临床诊疗过程中，包括心理治疗环节，一直在提及DTC-GAT这一话题。在这一观点文章中，我们展示了两位作者所接诊的两例患者，以提高对这一问题的认识。我们描述了DTC-GAT对患者和临床医生的影响，提供了建议，并提出了未来的方向。
