BJPsych open · 2017
Mental capacity to consent to treatment and the association with outcome: a longitudinal study in patients with anorexia nervosa.
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Elzakkers Isis F F M, Danner Unna N, Sternheim Lot C, McNeish Daniel, Hoek Hans W, van Elburg Annemarie A
Аннотация
BACKGROUND: Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown.
AIMS: To examine prognostic relevance of diminished mental capacity in AN.
METHOD: 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.
RESULTS: 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.
CONCLUSIONS: 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.
DECLARATION OF INTEREST: None.
COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.
AIMS: To examine prognostic relevance of diminished mental capacity in AN.
METHOD: 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.
RESULTS: 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.
CONCLUSIONS: 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.
DECLARATION OF INTEREST: None.
COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.