Mental capacity to consent to treatment and the association with outcome: A longitudinal study in patients with anorexia nervosa

Isis F. F. M. Elzakkers*, Unna N. Danner, Lot C. Sternheim, Daniel McNeish, Hans W. Hoek, Annemarie A. van Elburg

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

    5 Citaten (Scopus)
    205 Downloads (Pure)



    Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown.


    To examine prognostic relevance of diminished mental capacity in AN.


    A longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated.


    People with AN with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently. Their appreciation of illness remained hampered. Decision-making did not improve, in contrast to people with full mental capacity.


    People with AN with diminished mental capacity seem to do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement. (C) The Royal College of Psychiatrists 2017.

    Originele taal-2English
    Pagina's (van-tot)147-153
    Aantal pagina's7
    TijdschriftBJPsych Open
    Nummer van het tijdschrift3
    StatusPublished - mei-2017

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