© 2003 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
What Is Ethically Important in Clinical Research? A Preliminary Study of Attitudes of 73 Psychiatric Faculty and Residents
Professor and Chair, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin Milwaukee, WI
Research Assistant Professor, Department of Psychiatry, University of New Mexico School of Medicine; and Interim Co-Director, University of New Mexico Health Sciences Center Institute for Ethics
Associate Scientist and Clinical Director, Center for Family and Adolescent Research, Oregon Research Institute
Credit Risk Analyst, Household Credit Services Las Vegas, NV
President, EthicsRx, LLC Wauwatosa, WI
Send reprint requests to Laura Roberts, M.D., Professor and Chair, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 8701 Watertown Plank Rd., Milwaukee, WI 53226; e-mail: aodya{at}mcw.edu
The ethical caliber of psychiatric research ultimately rests upon the shoulders of psychiatric clinicians and investigators who perform protocols and are directly responsible for the welfare of study volunteers. Little is known, however, about ethically relevant attitudes of psychiatrists toward human research. Working as part of a larger study, we surveyed all psychiatry faculty and residents at one institution in 1999 regarding the relative importance of 12 elements in the ethical conduct of human research. Responses of 73 participants were analyzed, and three factors emerged: Safeguards and Scientific Merit, Investigator Integrity and Relationship, and Patient Benefit. Safeguards and Scientific Merit, as a set, were the most salient considerations for both psychiatry faculty and residents. We found that residents placed greater importance on all factors and nearly every element than did faculty. Future research is needed to clarify the understanding of the perspectives and priorities of different stake-holders involved in human studies.
Keywords: Clinical research / ethics / psychiatry / scientific integrity / schizophrenia
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