title: Cognitive insight as an indicator of competence to consent to treatment in schizophrenia.
abstract: The processes underlying the ability to make decisions about recommended treatments remain poorly understood in schizophrenia. The aim of this study was to explore the relationships between capacity to consent to medication and cognitive biases in 60 schizophrenia patients. Main measures included the MacArthur Competence Assessment tool for Treatment (MacCAT-T) and the Beck Cognitive Insight Scale (BCIS). After Bonferroni's correction for multiple correlations, the Self-Reflectiveness dimension of the BCIS was significantly associated with the dimension "Reasoning" of the MacCAT-T. Cognitive therapy, by enhancing patients' Self-Reflectiveness and considering alternative explanations, could lead to better capacity to consent to treatment in schizophrenia.
authors: Laboratory Epsylon, EA 4556, Montpellier, France; University Department of Adult Psychiatry, CHRU Montpellier, Montpellier, France. s-raffard@chu-montpellier.fr
authors: Stéphane
authors: S
authors: Raffard
authors: Guillaume
authors: G
authors: Fond
authors: Marie
authors: M
authors: Brittner
authors: Catherine
authors: C
authors: Bortolon
authors: Alexandra
authors: A
authors: Macgregor
authors: Jean-Phillipe
authors: JP
authors: Boulenger
authors: Marie-Christine
authors: MC
authors: Gely-Nargeot
authors: Delphine
authors: D
authors: Capdevielle
mesh_terms: D000328:Adult; D001364:Awareness / Q000502:physiology*; D003657:Decision Making / Q000502:physiology; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000523:psychology*; D008297:Male; D016743:Mental Competency / Q000523:psychology*; D008875:Middle Aged; D010358:Patient Participation / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D012649:Self Concept