Competence of depressed patients for consent to research

作者: Thomas Grisso , Ellen Frank , David J. Kupfer , Paul S. Appelbaum , Sandra M. O'Donnell

DOI: 10.1176/AJP.156.9.1380

关键词:

摘要: OBJECTIVE: The capacities of depressed patients to consent research have been questioned by commentators who fear that the cognitive effects a disorder may impair subjects’ abilities protect their interests. This study used new instrument for assessing patients’ and examined performance, including relation between severity depression extent impairment. METHOD: Twenty-six female outpatients with major (assessed Schedule Affective Disorders Schizophrenia—Lifetime Version) enrolled in maintenance psychotherapy were recruited this project. Consent-related measured MacArthur Competence Assessment Tool—Clinical Research (MacCAT-CR) 1 week after intake again 8–10 weeks later. Depressive symptoms Hamilton Depression Rating Scale. RESULTS: Almost all subjects performed quite well on capacity measures maintained level performance over t...

参考文章(17)
Paul S. Appelbaum, Loren H. Roth, Charles W. Lidz, Paul Benson, William Winslade, False Hopes and Best Data: Consent to Research and the Therapeutic Misconception Hastings Center Report. ,vol. 17, pp. 20- 24 ,(1987) , 10.2307/3562038
Carl Elliott, Caring About Risks Archives of General Psychiatry. ,vol. 54, pp. 113- 116 ,(1997) , 10.1001/ARCHPSYC.1997.01830140021003
Paul S. Appelbaum, Thomas Grisso, The MacArthur Treatment Competence Study. I: Mental illness and competence to consent to treatment. Law and Human Behavior. ,vol. 19, pp. 105- 126 ,(1995) , 10.1007/BF01499321
Paul R. Benson, Loren H. Roth, Paul S. Appelbaum, Charles W. Lidz, William J. Winslade, Information Disclosure, Subject Understanding, and Informed Consent in Psychiatric Research* Law and Human Behavior. ,vol. 12, pp. 455- 475 ,(1988) , 10.1007/BF01044628
Richard J. Bonnie, Research With Cognitively Impaired Subjects Archives of General Psychiatry. ,vol. 54, pp. 105- 111 ,(1997) , 10.1001/ARCHPSYC.1997.01830140013002
Paul S. Appelbaum, Rethinking the Conduct of Psychiatric Research Archives of General Psychiatry. ,vol. 54, pp. 117- 120 ,(1997) , 10.1001/ARCHPSYC.1997.01830140025004
Robert L. Spitzer, Research Diagnostic Criteria Archives of General Psychiatry. ,vol. 35, pp. 773- 782 ,(1978) , 10.1001/ARCHPSYC.1978.01770300115013