ArticleIndian journal of psychological medicine2025
Mental Capacity and Advance Directive of Persons with Mental Illness: A Descriptive Cross-sectional Study from India.
Article in Indian journal of psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: For persons with mental illnesses (PWMI), mental capacity (MC) refers to their ability to perceive, choose, and articulate their treatment options. An advance directive (AD) is a declaration stating a person's wishes for care if their mental condition renders them handicapped. It also permits them to designate a nominated representative (NR) to assist them in making treatment-related decisions. The study aimed to ascertain the MC for treatment decisions, including admission of Indian PWMI, and analyze their AD. Methods: This was a descriptive, exploratory, cross-sectional study involving 74 PWMI. The Clinical Global Impression-Severity (CGI-S) scale, "Capacity Assessment for Treatment Decisions Including Admission," the Bengaluru Advanced Directive Interview (BADI), and the Insight and Treatment Attitudes Questionnaire (ITAQ) were used to assess the severity of illness, MC, AD, and insight, respectively. Results: The majority of PWMI ( Conclusions: The majority of the Indian PWMI had MC and provided AD. The MC was significantly related to insight. According to current regulations, when providing care for PWMI, MC, and AD should be routinely assessed and documented.
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