On measuring incapacity

Current Opinion in Psychiatry

Volumn 20, Issue 5, 2007, Pages 501-506

  Calcedo Barba, Alfredo ^a   García Solano, Fernando ^a   Fraguas, David ^a   Chapela, Esther ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

Commitment of mentally ill; Competency to consent to psychiatric hospitalization; Informed consent; Mental competency

Indexed keywords

CONSTRUCT VALIDITY; DEMENTIA; HEALTH PRACTITIONER; HUMAN; MENTAL DEFICIENCY; MENTAL HEALTH; MENTAL PATIENT; NEUROPSYCHOLOGY; OUTCOME VARIABLE; REVIEW;

COGNITION DISORDERS; HUMANS; MENTAL COMPETENCY; NEUROPSYCHOLOGICAL TESTS; POLITICS;

EID: 34548454961     PISSN: 09517367     EISSN: None     Source Type: Journal    
DOI: 10.1097/YCO.0b013e32827851fc     Document Type: Review

References (20)

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2. Grisso T, Appelbaum PS. Assessing competence to consent to treatment: a guide for physicians and other health professionals. New York: Oxford University Press; 1998.
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14. Moser DJ, Reese RL, Hey CT, et al. Using a brief intervention to improve decisional capacity in schizophrenia research. Schizophr Bull 2006; 32:116-120. A very interesting study which proves how the decision-making abilities can be improved with a brief intervention.
15. Karlawish JH, Casarett DJ, James BD, et al. The ability of persons with Alzheimer disease (AD) to make a decision about taking an AD treatment. Neurology 2005; 64:1514-1519.
16. McQuillen MP, Tariot P. Who can say yes (or no) to a physician: and how does the physician know they can? Neurology 2005; 64:1494-1495.
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18. Palmer BW, Jeste DV. Relationship of individual cognitive abilities to specific components of decisional capacity among middle-aged and older patients with schizophrenia. Schizophr Bull 2006; 32:98-106. A sample of middle-aged and elderly schizophrenic patients is studied to assess decision-making abilities and neuropsychological performance. The authors found that patients with cognitive deficits and negative symptoms had poorer abilities.
19. Dunn LB, Palmer BW, Appelbaum PS, et al. Prevalence and correlates of adequate performance on a measure of abilities related to decisional capacity: differences among three standards for the MacCAT-CR in patients with schizophrenia. Schizophr Res 2007; 89:110-118. Studies the relationship of the three subscales of the MacCAT-CR and tries to develop an algorithm. The lack of covariance of the three subscales and the short rank of the appreciation and reasoning subscales, however, make it difficult to integrate the three elements.
20. Moye J, Karel MJ, Gurrera RJ, et al. Neuropsychological predictors of decision-making capacity over 9 months in mild-to-moderate dementia. J Gen Intern Med 2006; 21:78-83. A prospective study with 53 mildly demented patients. The sample is followed up for 9months and a group of patientswhowere initiallycompetent were found to have lost their abilities. Several cognitive predictors of loss of capacity were identified.