PMID: 11925282Apr 2, 2002Paper

Treatment-related decision-making capacity in middle-aged and older patients with psychosis: a preliminary study using the MacCAT-T and HCAT

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Barton W PalmerDilip V Jeste

Abstract

The authors conducted a preliminary examination of treatment-related decision-making capacity (DMC) in middle-aged and older psychosis patients. The MacArthur Competency Assessment Tool for Treatment (MacCAT-T) was administered to measure DMC among 16 patients with psychotic disorders and without dementia (mean age: 54.6 [SD 7.2] years). The impact of repeated learning trials on patients' understanding was assessed with the Hopkins Competency Assessment Test (HCAT). Subjects were also assessed with the Positive And Negative Syndrome Scale and Mattis' Dementia Rating Scale. There was a wide range of performance on the MacCAT-T; the levels and range of MacCAT-T scores were similar to those previously reported among younger acutely hospitalized patients in the MacCAT-T validation study. Patients' understanding of disclosed material on the HCAT improved significantly over repeated presentations. Although there were no statistically significant correlations observed between DMC and demographic characteristics, severity of symptoms, or global cognitive deficits, the sample size provided limited power to detect such associations. Results point to the importance of assessing DMC and to the potential modifiability of initial difficultie...Continue Reading

References

Jan 1, 1987·Schizophrenia Bulletin·S R KayL A Opler
Nov 13, 1998·The American Journal of Psychiatry·D A WirshingJ Mintz
Jun 6, 2000·Archives of General Psychiatry·W T CarpenterP S Appelbaum

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Citations

May 9, 2015·The Psychiatric Quarterly·Inés Morán-SánchezMaria D Pérez-Cárceles
Dec 22, 2010·Neurologic Clinics·Teresa Lim, Deborah B Marin
Apr 25, 2009·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Victor W C LuiPaul S Appelbaum
Mar 4, 2003·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Mohit P ChopraDavid W Oslin
Oct 2, 2008·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Erica L O'NealStephen J Bartels
Jul 17, 2013·Asia-Pacific Psychiatry : Official Journal of the Pacific Rim College of Psychiatrists·Rahime Aydin ErAhmet Tamer Aker
Apr 5, 2014·General Hospital Psychiatry·Elissa KolvaChristopher Comfort
Jan 7, 2005·Journal of Traumatic Stress·Donald L Rosenstein
Apr 12, 2005·Genetic, Social, and General Psychology Monographs·Lindsay S Schenkel, Steven M Silverstein
Jan 25, 2006·Community Mental Health Journal·Paul S Appelbaum, Allison Redlich
Dec 3, 2008·American Journal of Alzheimer's Disease and Other Dementias·Kirsten M WilkinsWilliam R Yates
Mar 17, 2004·Journal of Geriatric Psychiatry and Neurology·Maria I LapidPaul S Appelbaum
Sep 9, 2017·The British Journal of Psychiatry : the Journal of Mental Science·Amanda Larkin, Paul Hutton
Oct 2, 2007·The British Journal of Psychiatry : the Journal of Mental Science·David OkaiMatthew Hotopf
Jun 7, 2003·The Journal of ECT·Maria I LapidPaul S Appelbaum

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