The RECAPACITA PROJECT: comparative study of the clinical, neuropsychological, and functional profile of people with severe mental disorder and partial and total capacity modification.
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| Title: | The RECAPACITA PROJECT: comparative study of the clinical, neuropsychological, and functional profile of people with severe mental disorder and partial and total capacity modification. |
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| Authors: | Marcó-García, Silvia (AUTHOR), Guilera, Georgina (AUTHOR), Ferrer-Quintero, Marta (AUTHOR), Ochoa, Susana (AUTHOR), Escuder-Romeva, Gemma (AUTHOR), Rubio-Abadal, Elena (AUTHOR), Martínez-Mondejar, Arantxa (AUTHOR), del Cacho, Núria (AUTHOR), Montalbán-Roca, Vanessa (AUTHOR), Escanilla-Casal, Ana (AUTHOR), Balsells-Mejía, Sol (AUTHOR), Huerta-Ramos, Elena (AUTHOR) |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Dec2025, Vol. 60 Issue 12, p2897-2911. 15p. |
| Subjects: | Functional status, Neuropsychological tests, Cognition disorders, Medical needs assessment, Decision making, Functional assessment |
| Geographic Terms: | Spain |
| Abstract: | Background: Evaluating the decision-making capacity of individuals with Severe Mental Disorder (SMD) is essential for compliance with the 2006 Convention on the Rights of People with Disabilities. In Spain, capacity was historically determined through judicial procedures, resulting in partial or total capacity modification (CM). The abolition of this procedure in 2021 has left a gap in addressing the needs of this population, creating challenges under the new legal framework. Aim: The RECAPACITA project studied the clinical, neuropsychological, and functional profiles of individuals with SMD and CM, focusing on differences between partial (pCM) and total (tCM) modifications. Methods: A cross-sectional study was conducted with 77 adult patients with SMD and CM (47 tCM, 30 pCM) from the Parc Sanitari Sant Joan de Déu mental health network (Spain). Sociodemographic, clinical, functional, and neuropsychological data were collected, along with an independent assessment of mental capacity. Results: Around 87% of sample had a schizophrenia spectrum disorder; pCM patients presented more substance-related and personality disorders as a secondary diagnosis. While no statistically significant differences were observed between groups, clinically, tCM group presents greater clinical alteration, lower insight, sustained attention, coding capacity, processing speed and resistance to interference compared to pCM group. tCM group had worse social functioning, and lower scores in reasoning and appreciation when assessing mental capacity. Conclusions: Individuals with tCM show greater clinical impairment and higher support needs compared to those with pCM. With the practical and legal abolition of tCM, it is essential to ensure that these individuals' persistent challenges are adequately addressed, as their needs remain significant despite the disappearance of this legal category. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature 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: 189211262 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The RECAPACITA PROJECT: comparative study of the clinical, neuropsychological, and functional profile of people with severe mental disorder and partial and total capacity modification. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Marcó-García%2C+Silvia%22">Marcó-García, Silvia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guilera%2C+Georgina%22">Guilera, Georgina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ferrer-Quintero%2C+Marta%22">Ferrer-Quintero, Marta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ochoa%2C+Susana%22">Ochoa, Susana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Escuder-Romeva%2C+Gemma%22">Escuder-Romeva, Gemma</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rubio-Abadal%2C+Elena%22">Rubio-Abadal, Elena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martínez-Mondejar%2C+Arantxa%22">Martínez-Mondejar, Arantxa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22del+Cacho%2C+Núria%22">del Cacho, Núria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Montalbán-Roca%2C+Vanessa%22">Montalbán-Roca, Vanessa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Escanilla-Casal%2C+Ana%22">Escanilla-Casal, Ana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Balsells-Mejía%2C+Sol%22">Balsells-Mejía, Sol</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huerta-Ramos%2C+Elena%22">Huerta-Ramos, Elena</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Dec2025, Vol. 60 Issue 12, p2897-2911. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Functional+status%22">Functional status</searchLink><br /><searchLink fieldCode="DE" term="%22Neuropsychological+tests%22">Neuropsychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making%22">Decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+assessment%22">Functional assessment</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Spain%22">Spain</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Evaluating the decision-making capacity of individuals with Severe Mental Disorder (SMD) is essential for compliance with the 2006 Convention on the Rights of People with Disabilities. In Spain, capacity was historically determined through judicial procedures, resulting in partial or total capacity modification (CM). The abolition of this procedure in 2021 has left a gap in addressing the needs of this population, creating challenges under the new legal framework. Aim: The RECAPACITA project studied the clinical, neuropsychological, and functional profiles of individuals with SMD and CM, focusing on differences between partial (pCM) and total (tCM) modifications. Methods: A cross-sectional study was conducted with 77 adult patients with SMD and CM (47 tCM, 30 pCM) from the Parc Sanitari Sant Joan de Déu mental health network (Spain). Sociodemographic, clinical, functional, and neuropsychological data were collected, along with an independent assessment of mental capacity. Results: Around 87% of sample had a schizophrenia spectrum disorder; pCM patients presented more substance-related and personality disorders as a secondary diagnosis. While no statistically significant differences were observed between groups, clinically, tCM group presents greater clinical alteration, lower insight, sustained attention, coding capacity, processing speed and resistance to interference compared to pCM group. tCM group had worse social functioning, and lower scores in reasoning and appreciation when assessing mental capacity. Conclusions: Individuals with tCM show greater clinical impairment and higher support needs compared to those with pCM. With the practical and legal abolition of tCM, it is essential to ensure that these individuals' persistent challenges are adequately addressed, as their needs remain significant despite the disappearance of this legal category. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature 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: 10.1007/s00127-025-02907-2 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 2897 Subjects: – SubjectFull: Functional status Type: general – SubjectFull: Neuropsychological tests Type: general – SubjectFull: Cognition disorders Type: general – SubjectFull: Medical needs assessment Type: general – SubjectFull: Decision making Type: general – SubjectFull: Functional assessment Type: general – SubjectFull: Spain Type: general Titles: – TitleFull: The RECAPACITA PROJECT: comparative study of the clinical, neuropsychological, and functional profile of people with severe mental disorder and partial and total capacity modification. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Marcó-García, Silvia – PersonEntity: Name: NameFull: Guilera, Georgina – PersonEntity: Name: NameFull: Ferrer-Quintero, Marta – PersonEntity: Name: NameFull: Ochoa, Susana – PersonEntity: Name: NameFull: Escuder-Romeva, Gemma – PersonEntity: Name: NameFull: Rubio-Abadal, Elena – PersonEntity: Name: NameFull: Martínez-Mondejar, Arantxa – PersonEntity: Name: NameFull: del Cacho, Núria – PersonEntity: Name: NameFull: Montalbán-Roca, Vanessa – PersonEntity: Name: NameFull: Escanilla-Casal, Ana – PersonEntity: Name: NameFull: Balsells-Mejía, Sol – PersonEntity: Name: NameFull: Huerta-Ramos, Elena IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 60 – Type: issue Value: 12 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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