Minding the Genes: a Multidisciplinary Approach towards Genetic Assessment of Cardiovascular Disease |
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| Authors: | Ashley Rhodes Lindsey Rosman John Cahill Jodie Ingles Brittney Murray Crystal Tichnell Cynthia A James Samuel F Sears |
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| Institution: | 1.Department of Psychology,East Carolina University,Greenville,USA;2.Department of Cardiovascular Sciences,East Carolina University,Greenville,USA;3.Agnes Ginges Centre for Molecular Cardiology,Centenary Institute,Newtown,Australia;4.Sydney Medical School,University of Sydney,Camperdown,Australia;5.Division of Cardiology, Department of Medicine,Johns Hopkins University,Baltimore,USA |
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| Abstract: | Genetic assessment for inherited cardiovascular disease (CVD) is increasingly available, due in part to rapid innovations in genetic sequencing technologies. While genetic testing is aimed at reducing uncertainty, it also produces awareness of potential medical conditions and can leave patients feeling uncertain about their risk, especially if there are ambiguous results. This uncertainty can produce psychological distress for patients and their families undergoing the assessment process. Additionally, patients may experience psychological distress related to living with inherited CVD. In order to more effectively manage the psychosocial challenges related to genetic assessment for CVD, a multidisciplinary model expanded to include psychologists and other allied health professionals is outlined. A case study is provided to illustrate how psychological distress can manifest in a patient living with inherited CVD, as well as proposed psychological management of this patient. Finally, a guide for genetic counselors is provided to aid in identifying and managing common psychological reactions to genetic assessment for CVD. |
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