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The assessment of decision‐making competence in patients with depression using the MacArthur competence assessment tools: A systematic review
Author(s) -
Wang YuanYuan,
Wang ShiBin,
Ungvari Gabor S.,
Yu Xin,
Ng Chee H.,
Xiang YuTao
Publication year - 2018
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12224
Subject(s) - competence (human resources) , clinical psychology , psychology , medicine , social psychology
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.