Participation in biobanks for research by incapacitated adults: Review and discussion of current guidelines

Elena Togni, Kris Dierickx, Corinna Porteri

Research output: Contribution to journalArticlepeer-review

Abstract

ObjectiveBiobanks for research and genetic research are important opportunities to create new understanding of complex disorders, such as psychiatric disorders and dementia. The management of biobanks for subjects with psychiatric disorders or dementia raises additional challenges because of the ethical issues regarding the potentially impaired decision-making capacities of the subjects. The aim of this paper is to study (i) how guidelines address the matter and (ii) how they can be implemented in real research situations with patients suffering from psychiatric disorders and dementia. MethodWe collected and analysed all the relevant guidelines and position papers from national and international organizations dealing with research on biological materials and selected documents mentioning the participation of incapacitated adults in genetic research and biobanks. ResultsEighteen of the 30 analysed documents contain explicit references to adults who are unable to give consent. The main topics addressed by the guidelines are the following: (i) informed consent; (ii) principles of non-therapeutic research; and (iii) ethics committee review. ConclusionsIn biomedical research, guidelines are an important instrument for facilitating research while promoting subjects' rights and well-being. Compared with legally binding documents, guidelines are more flexible and can be more easily revised according to evolving research situations and for adaptation to real persons and research settings. We suggest measures to implement the analysed guidelines taking into consideration the case for the participation of patients with neuropsychiatric disorders, who can have impairment of decision-making capacities without being obviously incompetent, in genetic research and biobanks.

Original languageEnglish
Pages (from-to)670-681
Number of pages12
JournalInternational Journal of Geriatric Psychiatry
Volume29
Issue number7
DOIs
Publication statusPublished - 2014

Keywords

  • biobanks
  • bioethics
  • guidelines
  • incapacitated adults
  • neuropsychiatric patients

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Medicine(all)

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