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Article: Decision-making capacity of inpatients with schizophrenia in Hong Kong

TitleDecision-making capacity of inpatients with schizophrenia in Hong Kong
Authors
KeywordsCognitive assessment
Informed consent
Mental competency
Schizophrenia
Issue Date2005
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jonmd.com
Citation
Journal Of Nervous And Mental Disease, 2005, v. 193 n. 5, p. 316-322 How to Cite?
AbstractThis is a prospective study examining decision-making abilities in Chinese schizophrenia patients in Hong Kong. We interviewed patients before their discharge from hospital after a psychotic relapse, examining their decision regarding whether or not they would take maintenance neuroleptic treatment. Decision-making abilities were assessed by the MacArthur Competence Assessment Tool-Treatment, a semistructured questionnaire. We examined their relationships with demographic, clinical, and cognitive variables, measured by standardized instruments. Eighty-one participants were seen. Weaknesses were noted in a range of relevant decision-making abilities. Positive and negative schizophrenic symptoms, specifically lack of judgment and insight, difficulty in abstract thinking, unusual thought content, and conceptual disorganization, were found to be correlated with performance in decision-making abilities, as were cognitive deficits. Verbal working memory was a moderate predictor of the ability to understand treatment information. Decision-making impairments and negative treatment attitude were related to the decision not to adhere to medication. Copyright © 2005 by Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/81568
ISSN
2015 Impact Factor: 1.836
2015 SCImago Journal Rankings: 0.929
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, JGWSen_HK
dc.contributor.authorCheung, EPTen_HK
dc.contributor.authorChen, EYHen_HK
dc.date.accessioned2010-09-06T08:19:22Z-
dc.date.available2010-09-06T08:19:22Z-
dc.date.issued2005en_HK
dc.identifier.citationJournal Of Nervous And Mental Disease, 2005, v. 193 n. 5, p. 316-322en_HK
dc.identifier.issn0022-3018en_HK
dc.identifier.urihttp://hdl.handle.net/10722/81568-
dc.description.abstractThis is a prospective study examining decision-making abilities in Chinese schizophrenia patients in Hong Kong. We interviewed patients before their discharge from hospital after a psychotic relapse, examining their decision regarding whether or not they would take maintenance neuroleptic treatment. Decision-making abilities were assessed by the MacArthur Competence Assessment Tool-Treatment, a semistructured questionnaire. We examined their relationships with demographic, clinical, and cognitive variables, measured by standardized instruments. Eighty-one participants were seen. Weaknesses were noted in a range of relevant decision-making abilities. Positive and negative schizophrenic symptoms, specifically lack of judgment and insight, difficulty in abstract thinking, unusual thought content, and conceptual disorganization, were found to be correlated with performance in decision-making abilities, as were cognitive deficits. Verbal working memory was a moderate predictor of the ability to understand treatment information. Decision-making impairments and negative treatment attitude were related to the decision not to adhere to medication. Copyright © 2005 by Lippincott Williams & Wilkins.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jonmd.comen_HK
dc.relation.ispartofJournal of Nervous and Mental Diseaseen_HK
dc.rightsJournal of Nervous and Mental Disease. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectCognitive assessmenten_HK
dc.subjectInformed consenten_HK
dc.subjectMental competencyen_HK
dc.subjectSchizophreniaen_HK
dc.titleDecision-making capacity of inpatients with schizophrenia in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3018&volume=193&spage=316&epage=322&date=2005&atitle=Decision-making+Capacity+of+Inpatients+with+Schizophrenia+in+Hong+Kongen_HK
dc.identifier.emailChen, EYH: eyhchen@hku.hken_HK
dc.identifier.authorityChen, EYH=rp00392en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/01.nmd.0000161685.54077.e4en_HK
dc.identifier.pmid15870615-
dc.identifier.scopuseid_2-s2.0-18844437780en_HK
dc.identifier.hkuros104188en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-18844437780&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume193en_HK
dc.identifier.issue5en_HK
dc.identifier.spage316en_HK
dc.identifier.epage322en_HK
dc.identifier.isiWOS:000229197200005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWong, JGWS=7404435750en_HK
dc.identifier.scopusauthoridCheung, EPT=8126979900en_HK
dc.identifier.scopusauthoridChen, EYH=7402315729en_HK

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