Assessing the ethical costs and benefits of trauma-focused research
Assessing the ethical costs and benefits of trauma-focused research
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DOI：
10.1016/s0163-8343(99)00011-0
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发表时间：
1999-05-01
影响因子：
7
通讯作者：
Gefland, A
中科院分区：
文献类型：
--
作者：
Newman, E;Walker, EA;Gefland, A
尽管科学家和机构审查委员会的成员必须平衡研究者和研究参与者的需求，但实际上没有证据可以为这一决策提供信息。本研究考察了HMO中1174名完成了以创伤为重点的健康调查的妇女和252名随后完成了以创伤为重点的研究访谈的妇女中不良反应的频率和相关性以及知情同意的充分性。尽管内容敏感，但大多数女性参与者认为参与访谈和问卷研究是一种积极的体验。虽然少数妇女，特别是那些有虐待史的妇女，低估了她们随后会经历的不安程度，但大多数人仍然不后悔参加，这表明知情同意程序是充分的，很大一部分人报告立即感觉到个人利益。最后，成本效益比在面试后48小时保持稳定，有轻微波动。总的来说，这些结果表明，参与研究的女性对儿童受害的研究是可以容忍的。虽然少数妇女可能会受到这些调查的影响，但总的来说，不良反应似乎比以前预期的要少。(C) 1999 Elsevier Science Inc.；
Although scientists and members of Institutional Review Boards must balance the needs of investigators and participants in research, virtually no evidence is available to inform this decision making. This study examines the frequency and correlates of adverse reactions and adequacy of informed consent among 1174 women in an HMO who completed a trauma-focused health survey, and a subset of 252 women who later completed a trauma-focused research interview. Despite the sensitive content, the majority of women participants found participation in the interview and the questionnaire study to be a positive experience. Although a small number of women, particularly those with a history of maltreatment, underestimated the level of upset they would subsequently experience, the majority still did not regret participating, indicating that informed consent procedures were adequate, with a large proportion reporting immediate perceptions of personal gain. Finally, the cost-benefit ratio appears stable 48 hours post-interview, with some minor fluctuations. Overall, these results suggest that research on childhood victimization is well tolerated by women who participate. Though a small number of women may be disturbed by these investigations, in general, adverse reactions appear less common than previously anticipated. (C) 1999 Elsevier Science Inc.