Yuan-Yuan Wang1, Shi-Bin Wang1, Gabor S Ungvari2,3, Xin Yu4, Chee H Ng5, Yu-Tao Xiang1. 1. Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macau, SAR, China. 2. University of Notre Dame Australia/Marian Centre, Perth, Australia. 3. School of Psychiatry & Clinical Neurosciences, University of Western Australia, Perth, Australia. 4. Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China. 5. Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.
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.
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.
Authors: Paulo Ruiz-Grosso; Rodrigo Cachay; Adriana de la Flor; Alvaro Schwalb; Cesar Ugarte-Gil Journal: PLoS One Date: 2020-01-10 Impact factor: 3.240