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精神药理学中的 PGx:药物基因组学检测背景下患者的知识、兴趣和不确定性管理偏好。

PGx in psychiatry: Patients' knowledge, interest, and uncertainty management preferences in the context of pharmacogenomic testing.

机构信息

College of Journalism and Communications, University of Florida, Gainesville, United States.

College of Journalism and Communications, University of Florida, Gainesville, United States.

出版信息

Patient Educ Couns. 2021 Apr;104(4):732-738. doi: 10.1016/j.pec.2020.12.021. Epub 2020 Dec 25.

Abstract

OBJECTIVE

Pharmacogenomic testing (PGx) is expanding into psychiatric care. PGx could potentially offer a unique benefit to psychiatric patients, providing information about patients' reaction to medications that could reduce the time and financial burdens of drug optimization. The aims of this study were to: (1) examine psychiatry patients' familiarity and interest in PGx, and (2) explore how Uncertainty Management Theory relates to PGx testing in psychiatry.

METHOD

We surveyed psychiatric patients, measuring their PGx familiarity and interest, attitudes toward PGx testing, and preference for managing illness uncertainty.

RESULTS

We analyzed data from 598 patients. Patients' familiarity of PGx was low, but interest was high. Thirty percent of patients were familiar with the test from communication with their healthcare provider or their own online health information seeking. A preference for seeking information was a significant positive predictor of testing interest (p < .001).

CONCLUSION

Psychiatric patients were interested in PGx testing, regardless of their uncertainty management preferences.

PRACTICE IMPLICATIONS

This study is one of the first to examine psychiatric patients' perspectives on PGx testing in mental health care. Our findings show that psychiatric patients are interested in the test and are familiar enough with PGx to be included in future research on the topic.

摘要

目的

药物基因组学检测(PGx)正在扩展到精神科护理领域。PGx 有可能为精神科患者提供独特的益处,提供有关患者对药物反应的信息,从而减少药物优化的时间和经济负担。本研究的目的是:(1)检查精神科患者对 PGx 的熟悉程度和兴趣;(2)探讨不确定性管理理论与精神科 PGx 检测的关系。

方法

我们对精神科患者进行了调查,测量了他们对 PGx 的熟悉程度和兴趣、对 PGx 检测的态度以及对管理疾病不确定性的偏好。

结果

我们分析了 598 名患者的数据。患者对 PGx 的熟悉程度较低,但兴趣较高。30%的患者通过与医疗保健提供者的沟通或自己的在线健康信息搜索了解该测试。对信息的寻求偏好是测试兴趣的显著正预测因素(p<0.001)。

结论

无论不确定性管理偏好如何,精神科患者都对 PGx 检测感兴趣。

实践意义

本研究是首批检查精神科患者对精神卫生保健中 PGx 检测看法的研究之一。我们的研究结果表明,精神科患者对该测试感兴趣,并且对 PGx 有足够的了解,可以纳入该主题的未来研究。

相似文献

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Patients' Perspectives on Psychiatric Pharmacogenetic Testing.患者对精神科药物遗传学检测的看法。
Pharmacopsychiatry. 2020 Nov;53(6):256-261. doi: 10.1055/a-1183-5029. Epub 2020 Jun 24.

引用本文的文献

本文引用的文献

1
Pharmacogenetics in Psychiatry: An Update on Clinical Usability.精神病学中的药物遗传学:临床实用性的最新进展
Front Pharmacol. 2020 Sep 11;11:575540. doi: 10.3389/fphar.2020.575540. eCollection 2020.
2
Patients' Perspectives on Psychiatric Pharmacogenetic Testing.患者对精神科药物遗传学检测的看法。
Pharmacopsychiatry. 2020 Nov;53(6):256-261. doi: 10.1055/a-1183-5029. Epub 2020 Jun 24.

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