Ethics in Psychiatric Research: A Review of 25 Years of NIH-funded Empirical Research Projects.

Ethics in Psychiatric Research: A Review of 25 Years of NIH-funded Empirical Research Projects.
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精神病学研究伦理:NIH 资助的 25 年实证研究项目回顾。

DOI:
10.1080/21507716.2011.631514
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发表时间:
2011
期刊:
AJOB primary research
影响因子:
--
通讯作者:
Hadley,WhitneyB
Hadley,WhitneyB
中科院分区:
--
文献类型:
--
作者:
Dubois,James;Bante,Holly;Hadley,WhitneyB

文献摘要

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背景:本文回顾了过去 25 年由美国国立卫生研究院 (NIH) 资助的有关精神病学研究伦理问题的实证研究。方法:使用 NIH RePORTER 和 Medline 数据库,我们确定了 43 项资助和 77 篇出版物,涉及涉及心理健康服务用户的研究中的伦理问题的实证研究。结果:这些文章提供了有关重要主题的原创且有用的信息,尤其是同意的能力和同意的自愿性。例如,共享诊断的参与者在与决策能力相关的认知障碍水平上存在很大差异,并且可以使用迭代同意过程轻松增强同意能力。很少有文章讨论研究中的正义或利益问题,特别是从参与者的角度来看。没有文章涉及隐私、保密或研究人员专业精神问题。结论:尽管迄今为止进行的研究数据很有用,但当前关于精神病学研究伦理的研究并没有充分解决最近出版物中表达的服务使用者的担忧。
Background:This paper reviews the past 25 years of empirical research funded by the National Institutes of Health (NIH) on matters of ethics in psychiatric research.Methods: Using the NIH RePORTER and Medline databases, we identified 43 grants and 77 publications that involved the empirical study of a matter of ethics in research involving mental health service users.Results: These articles provide original and useful information on important topics, most especially the capacity to consent and the voluntariness of consent. For example, participants who share a diagnosis vary widely in levels of cognitive impairment that correlate with decisional capacity, and capacity to consent can be enhanced easily using iterative consent processes. Few articles address matters of justice or benefits in research, particularly from the perspectives of participants. No articles address matters of privacy, confidentiality, or researcher professionalism.Conclusions:Despite the usefulness of data from the studies conducted to date, current research on research ethics in psychiatry does not adequately address the concerns of service users as expressed in recent publications.