Evidence map›Paper›PMID 32667102›Full record

ArticleDepression and anxiety2020

Attitudes on pharmacogenetic testing in psychiatric patients with treatment-resistant depression.

Michael J McCarthy, Yucui Chen, Anna Demodena, Eileen Fisher, Shahrokh Golshan, Trisha Suppes, John R Kelsoe

Open access · greenAbstract read
In one paragraph

Article in Depression and anxiety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Michael J McCarthyMental Health Service, VA San Diego Healthcare System, San Diego, California.ORCID 0000-0001-6219-4945
Yucui ChenMental Health Service, VA San Diego Healthcare System, San Diego, California.
Anna DemodenaMental Health Service, VA San Diego Healthcare System, San Diego, California.
Eileen FisherBipolar and Depression Research Program, VA Palo Alto Healthcare System, Palo Alto, California.
Shahrokh GolshanMental Health Service, VA San Diego Healthcare System, San Diego, California.
Trisha SuppesBipolar and Depression Research Program, VA Palo Alto Healthcare System, Palo Alto, California.ORCID 0000-0003-4560-6180
John R KelsoeMental Health Service, VA San Diego Healthcare System, San Diego, California.ORCID 0000-0002-3013-2333
University of California San Diego · USVA Palo Alto Health Care System · USVA San Diego Healthcare System · US

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
SAN DIEGO CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTEUL1RR031980 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2010 to 2011
$14.0M
NCATS NIH HHS UL1 TR001442NCRR NIH HHS UL1 RR031980Pathway genomics
6 · The paper itself

Abstract

backgroundNovel technologies make it possible to incorporate pharmacogenetic testing into the medical management of depression. However, previous studies indicate that there may be a subset of subjects who have concerns about genetic testing and may be psychologically vulnerable. If so, pharmacogenetic testing in depressed subjects could negatively impact their mental health and undermine treatment goals.

methodsIn this study, we developed a standardized instrument to assess motivations and attitudes around pharmacogenetic testing in a cohort of 170 depressed Veterans participating in a multi-center clinic trial.

resultsTesting reveals that subjects were largely positive about the use of genetic testing to guide pharmacological treatment and help plan their future. Most subjects showed only modest concerns about the impact on family, inability to cope with the results, and fear of discrimination. The severity of depression did not predict the concern expressed about negative outcomes. However, non-Caucasian subjects were more likely on average to endorse concerns about poor coping and fear of discrimination.

conclusionsThese data indicate that while the overall risk is modest, some patients with depression may face psychosocial challenges in the context of pharmacogenetic testing. Future work should identify factors that predict distress and aim to tailor test results to different populations.

Indexed as

Depressive Disorder, Treatment-ResistantPharmacogenomic TestingAttitudeDepressionGenetic TestingHumansMotivationattitudedepressiongenetic testingmotivationpharmacogenomic testingriskVeterans

Identifiers

PMID32667102
PMCPMC7484047
OpenAlexW3042781735

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.