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The frequency of spontaneously reported psychiatric disorders on pre-genetic counseling appointment intake forms and during counseling sessions

Marbach, Rachel
http://rave.ohiolink.edu/etdc/view?acc_num=osu158688292193696

Abstract Details

2020, Master of Science, Ohio State University, Genetic Counseling.
As psychiatric disorders have a complex etiology, genetic counselors are qualified to provide psychiatric genetic counseling, and patients report positive experiences from this. Due to stigma and other barriers, genetic counselors may not ask about psychiatric disorders, leaving patients to be the ones to broach the topic. However, the rate at which genetic counseling patients report psychiatric disorders without prompting is not currently known. Thus, this study aimed to determine the frequency of spontaneously reported psychiatric disorders within genetic counseling services. A retrospective chart review was conducted of patients who received genetic counseling services at The Ohio State University Wexner Medical Center (OSUWMC). An internet-based survey was distributed to the genetic counselors whose patients were included in the study which questioned the counselor’s practices related to patient-reported personal or family history of psychiatric disorders. Descriptive statistics were used for trends in reporting frequencies of psychiatric disorders. Out of the total 299 charts reviewed, 31 (10.4%) probands reported a personal psychiatric disorder on their pre-clinic patient-reported family history forms and 106 (35.5%) reported any (personal or family) history of psychiatric disorders. There was a statistically significant difference in reporting between clinics; 32.4% of probands in the cancer clinic and 48.2% in the medical genetics clinic (p=0.025). Probands with a personal psychiatric disorder reported on average more relatives with psychiatric disorders than probands without personal psychiatric disorders (p=0.008; 95% CI: 0.32 to 1.90). Anxiety disorders (26%; 65/250) and depressive disorders (20.4%; 51/250) made up the most common types of psychiatric disorders reported on pre-clinic patient-reported family history forms. The survey revealed that most genetic counselors (57.1%; 4/7) report they do not ask about psychiatric disorders during their counseling sessions. This data suggests that patients underreport personal histories of psychiatric disorders. Therefore, risk assessment and genetic counseling for psychiatric disorders may not be adequately addressed. If genetic counselors know that patients are less likely to bring up psychiatric disorders in focused settings such as cancer, the responsibility of the counselor to raise the topic becomes even more important.
Dawn Allain, MS (Advisor)
Pamela Brock, MS (Committee Member)
Jehannine Austin, PhD (Committee Member)
55 p.
Genetics; Medicine; Mental Health
genetic counseling; psychiatric genetics; psychiatric disorders; psychiatric reporting

Recommended Citations

Citations

  • Marbach, R. (2020). The frequency of spontaneously reported psychiatric disorders on pre-genetic counseling appointment intake forms and during counseling sessions [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu158688292193696

    APA Style (7th edition)

  • Marbach, Rachel. The frequency of spontaneously reported psychiatric disorders on pre-genetic counseling appointment intake forms and during counseling sessions. 2020. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu158688292193696.

    MLA Style (8th edition)

  • Marbach, Rachel. "The frequency of spontaneously reported psychiatric disorders on pre-genetic counseling appointment intake forms and during counseling sessions." Master's thesis, Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu158688292193696

    Chicago Manual of Style (17th edition)

osu158688292193696
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This open access ETD is published by The Ohio State University and OhioLINK.