Mental capacity to consent to treatment in anorexia nervosa: explorative study

Isis F. F. M. Elzakkers*, Unna N. Danner, Hans W. Hoek, Annemarie A. van Elburg

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

    10 Citaten (Scopus)
    273 Downloads (Pure)

    Samenvatting

    Background

    Mental capacity to consent to treatment in anorexia nervosa is a neglected area in clinical decision-making.

    Aims

    To examine clinical and neuropsychological parameters associated with diminished mental capacity in anorexia nervosa.

    Method

    An explorative study was conducted in 70 adult female patients with severe anorexia nervosa. Mental capacity to consent to treatment was assessed by experienced psychiatrists. Further measurements included the MacCAT-T (to assess mental capacity status), a range of clinical measures (body mass index (BMI) and comorbidity) and neuropsychological tests assessing decision-making, central coherence and set-shifting capacity.

    Results

    Diminished mental capacity occurs in a third of patients with severe anorexia nervosa and is associated with a low BMI, less appreciation of illness and treatment, previous treatment for anorexia nervosa, low social functioning and poor set shifting.

    Conclusions

    Assessment of diminished mental capacity in anorexia nervosa requires careful evaluation of not only BMI, but also the degree of appreciation of illness and treatment, history and the tendency to have a rigid thinking style.

    Copyright and usage

    (C) The Royal College of Psychiatrists 2016.

    Originele taal-2English
    Pagina's (van-tot)147-153
    Aantal pagina's7
    TijdschriftBJPsych Open
    Volume2
    Nummer van het tijdschrift2
    DOI's
    StatusPublished - mrt-2016

    Citeer dit