The assessment of decision-making competence in patients with depression using the MacArthur competence assessment tools: A systematic review
Yuan-Yuan Wang, Shi-Bin Wang, Gabor S Ungvari, Xin Yu, Chee H Ng, Yu-Tao Xiang
PERSPECTIVES IN PSYCHIATRIC CARE | WILEY | Published : 2018
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 p..View full abstract
The study was supported by the University of Macau (SRG2014-00019-FHS; MYRG2015-00230-FHS; MYRG2016-00005-FHS). The University of Macau had no role in the study design, generating or interpreting the results and publication of the study.