Despite the high demand for psychiatric genetic counseling among people with psychiatric conditions (>90%), surveys show that genetic counselors rarely receive primary referrals for psychiatric cases. The purpose of this study was to further investigate potential barriers to the provision of psychiatric genetic counseling services, focusing specifically on the prevalence and impact of psychiatric stigmatization among genetic counselors. Board-certified, practicing genetic counselors were invited to participate in an anonymous survey via the National Society of Genetic Counselors. Survey measures included a validated psychiatric stigmatization scale (OMS-HC) and questions assaying genetic counselors' experiences with and opinions of psychiatric genetic counseling. Associations between psychiatric stigmatization and attitudes toward and practice related to psychiatric genetic counseling were computed using Pearson's correlation. The majority of respondents believed that psychiatric genetic counseling is of value to families (94%) and that it is indicated if there is a relevant personal or family history (90.3%), but only 44.6% reported providing this service. On average, respondents scored neutrally on psychiatric stigma scales; however, higher stigma levels were associated with less frequent psychiatric discussions (p = .05), less counselor comfort and perceived qualification (p = .003) and perceptions of having insufficient psychiatric genetic data (p < .02), resources (p < .02) and time (p < .03). This study suggests that the limits of psychiatric genetics research and unavailability of genetic testing lead many genetic counselors to doubt the utility of psychiatric genetic counseling. Should this mindset persist, without the intervention of psychiatric education and training, the field of genetic counseling risks continuing to inadequately serve a historically underserved population.

中文翻译：

---

遗传咨询师对精神遗传咨询的态度和实践。

尽管患有精神病的人对精神病遗传咨询的需求很高（> 90％），但调查显示，遗传咨询师很少会收到针对精神病病例的主要推荐。这项研究的目的是进一步调查在提供精神病学遗传咨询服务方面的潜在障碍，特别关注遗传学咨询师中精神病耻辱化的发生率和影响。受董事会认证的，实践中的遗传咨询师受邀通过美国国家遗传咨询师协会参加匿名调查。调查措施包括经过验证的精神病学耻辱量表（OMS-HC）以及用以检验遗传咨询师的经验和对精神病遗传咨询意见的问题。使用皮尔森相关性计算精神病耻辱感与对精神病遗传咨询的态度和实践之间的关联。大多数受访者认为，精神病遗传咨询对家庭有价值（94％），并且指出是否有相关的个人或家族病史（90.3％），但只有44.6％的人报告提供了这项服务。平均而言，受访者在精神病耻辱量表上的得分为中性；然而，较高的耻辱感与较少的精神病学讨论（p = .05），较少的心理咨询师的舒适度和感知的资格（p = .003）以及对精神病学遗传数据不足（p <.02），资源（p < .02）和时间（p <.03）。这项研究表明，精神病遗传学研究的局限性和无法进行基因检测导致许多遗传咨询师对精神病遗传咨询的实用性产生怀疑。如果这种心态持续下去，而没有进行精神病学教育和培训，那么遗传咨询领域的风险将继续为历史上服务不足的人群提供足够的服务。