Online ethics: where will the interface of mental health and the internet lead us?

Online ethics: where will the interface of mental health and the internet lead us?
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DOI:
10.1186/s40345-017-0095-3
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发表时间:
2017-12
影响因子:
4
通讯作者:
Suppes T
Suppes T
中科院分区:
医学2区
文献类型:
--
作者:
Cosgrove V;Gliddon E;Berk L;Grimm D;Lauder S;Dodd S;Berk M;Suppes T

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虽然电子保健倡议准备彻底改变精神保健的提供和获得,但在线进行临床研究涉及具体的背景和道德考虑。面对面的心理社会干预有时会带来风险,并产生不良的精神影响,在线心理健康项目也是如此。与互联网社会心理干预相关的风险和特定风险包括与在线通信(如未加密的电子邮件)相关的潜在保密性违反,数据隐私和安全,自我选择和自我诊断的风险以及接受心理教育和治疗的缺点。这些伦理问题需要在网站和研究设计以及治疗实施中得到认识和积极管理。为了使在线干预取得成功,需要认真考虑所有参与者的风险和期望,重点是道德操守。
While e-health initiatives are poised to revolutionize delivery and access to mental health care, conducting clinical research online involves specific contextual and ethical considerations. Face-to-face psychosocial interventions can at times entail risk and have adverse psychoactive effects, something true for online mental health programs too. Risks associated with and specific to internet psychosocial interventions include potential breaches of confidentiality related to online communications (such as unencrypted email), data privacy and security, risks of self-selection and self-diagnosis as well as the shortcomings of receiving psychoeducation and treatment at distance from an impersonal website. Such ethical issues need to be recognized and proactively managed in website and study design as well as treatment implementation. In order for online interventions to succeed, risks and expectations of all involved need to be carefully considered with a focus on ethical integrity.
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