Journal article

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

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 p..

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University of Melbourne Researchers