Bridging the Communication Divide: A Role for Health Psychology in the Genomic Era

被引:11
作者
Tercyak, Kenneth P. [1 ]
O'Neill, Suzanne C.
Roter, Debra L. [2 ]
McBride, Colleen M. [3 ]
机构
[1] Georgetown Univ, Med Ctr, Dept Oncol, Div Hlth Outcomes & Hlth Behav,Sch Med, Washington, DC 20007 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
[3] NHGRI, Bethesda, MD 20892 USA
关键词
genetics; genomics; communication; health; behavior; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; PHYSICIAN COMMUNICATION; RANDOMIZED-TRIAL; BRCA2; MUTATIONS; DECISION AID; CANCER; RISK; IMPACT; INFORMATION; PRIORITIES;
D O I
10.1037/a0028971
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
The application of genomics to population health has the potential to revolutionize the practice of medicine. Indeed, discoveries into the genomic basis of cancer and other common chronic diseases have resulted in new and improved predictive tests for identifying individuals at increased risk for these conditions and long before their onset occurs. When used properly, information gained from predictive genomic tests can be combined with other leading indicators (e.g., environmental and behavioral risk factors) to inform medical management decisions, preventive health practices, and risk-reducing strategies. However, genomics remains an emerging science and the translation of genomic discoveries into improved population health management remains elusive. There are divides in the translational science continuum at several junctures, and many of these divides could be narrowed or closed with additional data. For example, we know relatively little about how to effectively communicate with the public about the complex interplay among genomics, behavior, and health. Moreover, there is a need to develop better methods of counseling and educating the public in light of newly emerging knowledge about the genomic basis of health and disease. We assert that the discipline of psychology, and health psychology in particular, is well-poised to continue to make significant contributions to this growing area of science and practice. Through a focus on health-related social and behavioral research, psychology can lead the way in overcoming divides in communication, understanding, and action about genomics for the betterment of both individual and public health practices.
引用
收藏
页码:568 / 575
页数:8
相关论文
共 75 条
[1]   Latent class subtyping of attention-deficit/hyperactivity disorder and comorbid conditions [J].
Acosta, Maria T. ;
Castellanos, F. Xavier ;
Bolton, Kelly L. ;
Balog, Joan Z. ;
Eagen, Patricia ;
Nee, Linda ;
Jones, Janet ;
Palacio, Luis ;
Sarampote, Christopher ;
Russell, Heather F. ;
Berg, Kate ;
Arcos-Burgos, Mauricio ;
Muenke, Maximilian .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2008, 47 (07) :797-807
[2]   Annual Research Review: Impact of advances in genetics in understanding developmental psychopathology [J].
Addington, Anjene M. ;
Rapoport, Judith L. .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2012, 53 (05) :510-518
[3]  
American College of Medicine Genetics Board of Directors, 2004, Genet Med, V6, P60
[4]  
[Anonymous], 2006, GENES BEHAV SOCIAL E, DOI 10.17226/11693
[5]   Stress and genetic testing for disease risk [J].
Baum, A ;
Friedman, AL ;
Zakowski, SG .
HEALTH PSYCHOLOGY, 1997, 16 (01) :8-19
[6]  
Baumann Steven L, 2006, Clin J Oncol Nurs, V10, P377, DOI 10.1188/06.CJON.377-381
[7]   Does indirect speech promote nondirective genetic counseling? Results of a sociolinguistic investigation [J].
Benkendorf, JL ;
Prince, MB ;
Rose, MA ;
De Fina, A ;
Hamilton, HE .
AMERICAN JOURNAL OF MEDICAL GENETICS, 2001, 106 (03) :199-207
[8]   Exome sequencing makes medical genomics a reality [J].
Biesecker, Leslie G. .
NATURE GENETICS, 2010, 42 (01) :13-14
[9]   Effect of Direct-to-Consumer Genomewide Profiling to Assess Disease Risk. [J].
Bloss, Cinnamon S. ;
Schork, Nicholas J. ;
Topol, Eric J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 364 (06) :524-534
[10]   Patient-physician communication assessment instruments: 1986 to 1996 in review [J].
Boon, H ;
Stewart, M .
PATIENT EDUCATION AND COUNSELING, 1998, 35 (03) :161-176