Abstract
Background Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown. Aims To examine prognostic relevance of diminished mental capacity in AN. Method A longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated. Results People with AN with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently. Their appreciation of illness remained hampered. Decision-making did not improve, in contrast to people with full mental capacity. Conclusions People with AN with diminished mental capacity seem to do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 147-153 |
| Number of pages | 7 |
| Journal | BJPsych Open |
| Volume | 3 |
| Issue number | 3 |
| DOIs | |
| State | Published - May 1 2017 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Psychiatry and Mental health
Cite this
Mental capacity to consent to treatment and the association with outcome : A longitudinal study in patients with anorexia nervosa. / Elzakkers, Isis F.F.M.; Danner, Unna N.; Sternheim, Lot C.; McNeish, Daniel; Hoek, Hans W.; Van Elburg, Annemarie A.
In: BJPsych Open, Vol. 3, No. 3, 01.05.2017, p. 147-153.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Mental capacity to consent to treatment and the association with outcome
T2 - A longitudinal study in patients with anorexia nervosa
AU - Elzakkers, Isis F.F.M.
AU - Danner, Unna N.
AU - Sternheim, Lot C.
AU - McNeish, Daniel
AU - Hoek, Hans W.
AU - Van Elburg, Annemarie A.
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Background Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown. Aims To examine prognostic relevance of diminished mental capacity in AN. Method A longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated. Results People with AN with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently. Their appreciation of illness remained hampered. Decision-making did not improve, in contrast to people with full mental capacity. Conclusions People with AN with diminished mental capacity seem to do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement.
AB - Background Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown. Aims To examine prognostic relevance of diminished mental capacity in AN. Method A longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated. Results People with AN with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently. Their appreciation of illness remained hampered. Decision-making did not improve, in contrast to people with full mental capacity. Conclusions People with AN with diminished mental capacity seem to do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement.
UR - http://www.scopus.com/inward/record.url?scp=85057902366&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85057902366&partnerID=8YFLogxK
U2 - 10.1192/bjpo.bp.116.003905
DO - 10.1192/bjpo.bp.116.003905
M3 - Article
AN - SCOPUS:85057902366
VL - 3
SP - 147
EP - 153
JO - BJPsych Open
JF - BJPsych Open
SN - 2056-4724
IS - 3
ER -