The assessment of decision-making competence in patients with depression using the MacArthur competence assessment tools: A systematic review

Y.-Y. Wang, S.-B. Wang, G.S. Ungvari, X. Yu, C.H. Ng, Y.T. Xiang

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Purpose: This is a systematic review of the usefulness of the MacArthur Competence Assessment Tools (MacCAT) in assessing the decision-making competence in patients with depression. Design and Methods: A systematic literature search was performed. Findings: Eleven studies met the search criteria. The decision-making capacity was impaired in 9–31% of the patients with depression. There was inconsistency regarding the differences of MacCAT scores between patients with depression and controls, while relatively large effect sizes were found on the Appreciation and Reasoning MacCAT subscales. Practice Implications: The MacCAT appears to be a useful tool for measuring decision-making capacity in patients with depression, but the association between depression and competence is not consistent. The mechanisms mediating such association are likely to be complex and multifactorial.

    Original languageEnglish
    Pages (from-to)206-211
    Number of pages6
    JournalPerspectives in Psychiatric Care
    Volume54
    Issue number2
    DOIs
    Publication statusPublished - 1 Apr 2018

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