ArticleBJPsych open2017
The recovery of factors associated with decision-making capacity in individuals with psychosis.
Article in BJPsych open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Involuntary Clozapine Treatment: A Systematic Review.Acta psychiatrica Scandinavica · 2026Pooled it
- Capacity to Consent in Healthcare: A Systematic Review and Meta-Analysis Comparing Patients with Bipolar Disorders and Schizophrenia Spectrum Disorders.Medicina (Kaunas, Lithuania) · 2024Pooled it
- The Effect of Reducing the "Jumping to Conclusions" Bias on Treatment Decision-Making Capacity in Psychosis: A Randomized Controlled Trial With Mediation Analysis.Schizophrenia bulletin · 2019Trial
- Factors associated with decision-making capacity in persons with mental illnesses: Baseline findings of a prospective study.Indian journal of psychiatry · 2026Article
- Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Neuroethics and treatment without consent.CNS spectrums · 2025Article
- Mental capacity, insight, and severity of illness in psychiatric in-patients: A prospective study.Indian journal of psychiatry · 2025Article
- Capacity to Consent for Treatment in Patients with Psychotic Disorder: A Cross-Sectional Study from North Karnataka.Indian journal of psychological medicine · 2022Article
- A tool to evaluate proportionality and necessity in the use of restrictive practices in forensic mental health settings: the DRILL tool (Dundrum restriction, intrusion and liberty ladders).BMC psychiatry · 2020Observational
- The capacity of schizophrenia and bipolar disorder individuals to make autonomous decisions about pharmacological treatments for their illness in real life: A scoping review.Health science reports · 2020Article
- Moral cognition, the missing link between psychotic symptoms and acts of violence: a cross-sectional national forensic cohort study.BMC psychiatry · 2019Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is limited data on the recovery of factors associated with decisional capacity in patients with psychosis.
aimsTo study the relationship between changes in mental capacity, symptoms and global functioning using structured measures during treatment for psychosis.
methodFifty-six patients with psychosis were assessed for capacity to consent to treatment on admission and at 6 and 12 weeks following treatment. The MacArthur Competence Assessment Tool - Treatment, the Positive and Negative Symptom Scale and the Global Assessment of Functioning Scale were used to measure mental capacities, symptom severity and global functioning respectively. Treating consultants rated capacity to consent, masked to these measures.
resultsGreater impairments on all measures were found in patients assessed as lacking capacity. These improved with treatment over 12 weeks with significant effect sizes (0.5 to 0.6). Stronger correlations between mental capacities, positive symptoms (-0.47) and global functioning (0.56) were noted in the first 6 weeks.
conclusionsImpairments in capacity in acute stages of psychosis are related to symptom severity and functional impairment. They improve during treatment, particularly in the first 6 weeks. 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.
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Registered trials
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