Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis.
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| Title: | Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis. |
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| Authors: | Larkin, Amanda, Hutton, Paul |
| Source: | British Journal of Psychiatry. Oct2017, Vol. 211 Issue 4, p205-215. 11p. |
| Subjects: | Psychiatric treatment, Psychoses, Medical decision making, Meta-analysis, Metacognitive therapy, Mental depression, Systematic reviews, Psychological factors |
| Abstract: | BackgroundThe evidence on factors that may influence treatment decisional capacity ('capacity') in psychosis has yet to be comprehensively synthesised, which limits the development of effective strategies to improve or support it.AimsTo determine the direction, magnitude and reliability of the relationship between capacity in psychosis and a range of clinical, demographic and treatment-related factors, thus providing a thorough synthesis of current knowledge.MethodWe conducted a systematic review, meta-analytical and narrative synthesis of factors that help or hinder treatment decision-making capacity in psychosis, assessing the direction, magnitude, significance and reliability of reported associations.ResultsWe identified 23 relevant studies (n = l823). Psychotic symptoms had small, moderate and strong associations with appreciation, understanding and reasoning respectively. Both verbal cognitive functioning and duration of education had small to moderate correlations with understanding and reasoning. Better capacity was also associated with better insight, better metacognitive ability, higher anxiety and lower perceived coercion. No linear relationship with depression was observed. Interventions linked to improved capacity over time were in-patient care, information simplification, shared decision-making and metacognitive training.ConclusionsAlthough much is known about the role of symptoms and other clinical variables, effective and acceptable psychological interventions to support capacity in this group are lacking. [ABSTRACT FROM AUTHOR] |
| Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 126300411 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Larkin%2C+Amanda%22">Larkin, Amanda</searchLink><br /><searchLink fieldCode="AR" term="%22Hutton%2C+Paul%22">Hutton, Paul</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Psychiatry%22">British Journal of Psychiatry</searchLink>. Oct2017, Vol. 211 Issue 4, p205-215. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Psychiatric+treatment%22">Psychiatric treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+decision+making%22">Medical decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Metacognitive+therapy%22">Metacognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+factors%22">Psychological factors</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: BackgroundThe evidence on factors that may influence treatment decisional capacity ('capacity') in psychosis has yet to be comprehensively synthesised, which limits the development of effective strategies to improve or support it.AimsTo determine the direction, magnitude and reliability of the relationship between capacity in psychosis and a range of clinical, demographic and treatment-related factors, thus providing a thorough synthesis of current knowledge.MethodWe conducted a systematic review, meta-analytical and narrative synthesis of factors that help or hinder treatment decision-making capacity in psychosis, assessing the direction, magnitude, significance and reliability of reported associations.ResultsWe identified 23 relevant studies (n = l823). Psychotic symptoms had small, moderate and strong associations with appreciation, understanding and reasoning respectively. Both verbal cognitive functioning and duration of education had small to moderate correlations with understanding and reasoning. Better capacity was also associated with better insight, better metacognitive ability, higher anxiety and lower perceived coercion. No linear relationship with depression was observed. Interventions linked to improved capacity over time were in-patient care, information simplification, shared decision-making and metacognitive training.ConclusionsAlthough much is known about the role of symptoms and other clinical variables, effective and acceptable psychological interventions to support capacity in this group are lacking. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1192/bjp.bp.116.193458 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 205 Subjects: – SubjectFull: Psychiatric treatment Type: general – SubjectFull: Psychoses Type: general – SubjectFull: Medical decision making Type: general – SubjectFull: Meta-analysis Type: general – SubjectFull: Metacognitive therapy Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: Psychological factors Type: general Titles: – TitleFull: Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Larkin, Amanda – PersonEntity: Name: NameFull: Hutton, Paul IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2017 Type: published Y: 2017 Identifiers: – Type: issn-print Value: 00071250 Numbering: – Type: volume Value: 211 – Type: issue Value: 4 Titles: – TitleFull: British Journal of Psychiatry Type: main |
| ResultId | 1 |
