ArticleBJPsych open2016
Mental capacity to consent to treatment in anorexia nervosa: explorative study.
Article in BJPsych open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Altered value-based decision-making in anorexia nervosa: A systematic review.Neuroscience and biobehavioral reviews · 2024Pooled it
- Assisted death in eating disorders: a systematic review of cases and clinical rationales.Frontiers in psychiatry · 2024Pooled it
- Is set-shifting and central coherence in anorexia nervosa influenced by body mass index, anxiety or depression? A systematic review.BMC psychiatry · 2021Pooled it
- Ethical issues related to restrictive practices for anorexia nervosa in young people.Journal of eating disorders · 2026Review
- From disavowal to dialogue: forging collaborative ethical, clinical, and medical approaches to severe and enduring anorexia nervosa.Journal of eating disorders · 2025Article
- The capacity to consent to treatment is altered in suicidal patients.Annals of general psychiatry · 2023Article
- Emergency room presentations of people with anorexia nervosa.Journal of eating disorders · 2023Review
- First, do no harm: the proposed definition of "terminal anorexia" is fraught with danger for vulnerable individuals.Journal of eating disorders · 2022Article
- Mental Capacity, Decision-Making and Emotion Dysregulation in Severe Enduring Anorexia Nervosa.Frontiers in psychiatry · 2021Article
- Developments in the psychological treatment of anorexia nervosa and their implications for daily practice.Current opinion in psychiatry · 2020Review
- Perspectives on Involuntary Treatment of Anorexia Nervosa.Frontiers in psychiatry · 2020Article
- Mental capacity to consent to treatment and the association with outcome: a longitudinal study in patients with anorexia nervosa.BJPsych open · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental capacity to consent to treatment in anorexia nervosa is a neglected area in clinical decision-making.
aimsTo examine clinical and neuropsychological parameters associated with diminished mental capacity in anorexia nervosa.
methodAn 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.
resultsDiminished 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.
conclusionsAssessment 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. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
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Registered trials
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