NAGIOS: RODERIC FUNCIONANDO

A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare.

Repositori DSpace/Manakin

IMPORTANT: Aquest repositori està en una versió antiga des del 3/12/2023. La nova instal.lació está en https://roderic.uv.es/

A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare.

dc.contributor.author	Calcedo Barba, A.
dc.contributor.author	Fructuoso, A.
dc.contributor.author	Martínez Raga, José
dc.contributor.author	Paz, S.
dc.contributor.author	Sánchez de Carmona, M.
dc.contributor.author	Vicens, E.
dc.date.accessioned	2020-11-10T09:10:33Z
dc.date.available	2020-11-10T09:10:33Z
dc.date.issued	2020
dc.identifier.citation	Calcedo Barba, A. Fructuoso, A. Martínez Raga, José Paz, S. Sánchez de Carmona, M. Vicens, E. 2020 A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare. Bmc Psychiatry 20 1 339
dc.identifier.uri	https://hdl.handle.net/10550/76299
dc.description.abstract	Background: Determining the mental capacity of psychiatric patients for making healthcare related decisions is crucial in clinical practice. This meta-review of review articles comprehensively examines the current evidence on the capacity of patients with a mental illness to make medical care decisions. Methods: Systematic review of review articles following PRISMA recommendations. PubMed, Scopus, CINAHL and PsycInfo were electronically searched up to 31 January 2020. Free text searches and medical subject headings were combined to identify literature reviews and meta-analyses published in English, and summarising studies on the capacity of patients with serious mental illnesses to make healthcare and treatment related decisions, conducted in any clinical setting and with a quantitative synthesis of results. Publications were selected as per inclusion and exclusion criteria. The AMSTAR II tool was used to assess the quality of reviews. Results: Eleven publications were reviewed. Variability on methods across studies makes it difficult to precisely estimate the prevalence of decision-making capacity in patients with mental disorders. Nonetheless, up to three-quarters of psychiatric patients, including individuals with serious illnesses such as schizophrenia or bipolar disorder may have capacity to make medical decisions in the context of their illness. Most evidence comes from studies conducted in the hospital setting; much less information exists on the healthcare decision making capacity of mental disorder patients while in the community. Stable psychiatric and non-psychiatric patients may have a similar capacity to make healthcare related decisions. Patients with a mental illness have capacity to judge risk-reward situations and to adequately decide about the important treatment outcomes. Different symptoms may impair different domains of the decisional capacity of psychotic patients. Decisional capacity impairments in psychotic patients are temporal, identifiable, and responsive to interventions directed towards simplifying information, encouraging training and shared decision making. The publications complied satisfactorily with the AMSTAR II critical domains. Conclusions: Whilst impairments in decision-making capacity may exist, most patients with a severe mental disorder, such as schizophrenia or bipolar disorder are able to make rational decisions about their healthcare. Best practice strategies should incorporate interventions to help mentally ill patients grow into the voluntary and safe use of medications.
dc.language.iso	eng
dc.relation.ispartof	Bmc Psychiatry, 2020, vol. 20, num. 1, p. 339
dc.title	A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare.
dc.type	journal article	es_ES
dc.date.updated	2020-11-10T09:10:33Z
dc.identifier.doi	10.1186/s12888-020-02756-0
dc.identifier.idgrec	141201
dc.rights.accessRights	open access	es_ES