Jain Shobhit, Kuppili Pooja Patnaik, Pattanayak Raman Deep, Sagar Rajesh
Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Indian J Psychol Med. 2017 Sep-Oct;39(5):558-565. doi: 10.4103/IJPSYM.IJPSYM_131_17.
Psychiatric research has increased remarkably over recent decades to help in understanding the current trends and better therapeutic options for illness. On the other hand, there is also a trend toward higher rates of retraction of published papers in the recent years. Ethics is required to maintain and increase the overall quality and morality of research. Psychiatric research faces several unique ethical challenges. Ethical guidelines are very important tool of research which safeguards participants; however, there is a dearth of such guidelines in India. The present paper aims to review available ethical issues and guidelines pertaining to psychiatric research. A search was conducted on Pubmed using search terms (e.g., "ethics," "psychiatry," "research"). Relevant studies were selected for the review after manual screening of title/abstract. Additional sources were referred to using cross references and Google Scholar. Psychiatric research has several important ethical issues which are different from other medical disciplines. These issues are related to informed consent, confidentiality, conflict of interest, therapeutic misconception, placebo related, vulnerability, exploitation, operational challenges, among others. The current paper has made several recommendations to deal with ethical challenges commonly faced in psychiatric research. The ethical guidelines are utmost needed for Indian psychiatric research. Specific guidelines are lacking pertaining to psychiatric research. The issues and recommendations merit a further discussion and consideration.
近几十年来，精神病学研究显著增加，以帮助理解当前的趋势并为疾病找到更好的治疗选择。另一方面，近年来已发表论文的撤稿率也有上升趋势。需要道德规范来维持和提高研究的整体质量与道德水准。精神病学研究面临若干独特的伦理挑战。伦理准则是保护研究参与者的非常重要的研究工具；然而，印度缺乏此类准则。本文旨在综述与精神病学研究相关的现有伦理问题和准则。在PubMed上使用搜索词（如“伦理”“精神病学”“研究”）进行了检索。在手动筛选标题/摘要后，选择相关研究进行综述。还通过交叉引用和谷歌学术搜索参考了其他来源。精神病学研究有几个与其他医学学科不同的重要伦理问题。这些问题涉及知情同意、保密、利益冲突、治疗性误解、安慰剂相关问题、脆弱性、剥削、操作挑战等。本文针对精神病学研究中常见的伦理挑战提出了若干建议。印度的精神病学研究极其需要伦理准则。目前缺乏针对精神病学研究的具体准则。这些问题和建议值得进一步讨论和思考。
