MacArthur Competence Assessment Tool for Treatment--Greek Version

Monitoring of the decision making competence and adherence of patients with schizophrenia and schizoaffective disorder on lai treatment

“…Repeated relapses have been associated with cognitive deficits. 2 When comparing our results with the study conducted by Bilanakis et al 437 where he evaluated the Greek version of the MacCAT-T, some differences can be detected. It should be mentioned that the patients sample differed 39 inpatients all acutely ill and time of assessment was 72hours after admission whereas in this thesis patients sample consisted of 64 stabilized outpatients and time of assessment was at their last visit.…”

“…Previous studies on hospitalized medical patients have reported rates of treatment decision making incapacity ranging from 9-52% [390][391] It is important to note that the MacCAT-T has no cutoff score for incapacity, and this can be problematic when using its scores for statistical analysis. 437 None of the ratings on MacCAT-T were significantly correlated with demographic characteristics. Psychiatric patients are often not capable of making treatment decisions, and lack of capacity is associated with clinical and legal variables, such as psychotic disorders, illness severity, and involuntary admissions rather than with sociodemographic variables.…”

“…Our finding is consistent with the original MacCAT-T study where on appreciation more than 70% of patients had ratings of 3 or above. 437 Regarding correlations of psychopathology, as measured with the BPRS scale and performance on the MacCAT-T, BPRS scores were negatively correlated with patients' scores in the -Understanding‖ subscale and in the -appreciation‖ subscale.…”

“…In this thesis evaluation of patients on LAI treatment capacity of making treatment decisions was measured with the use of the MacCAT-T standardized scale, one of the most widely used scales. 437 The MacCAT-T is a semi-structured interview that provides relevant information disclosures to patients about their illness and the nature of treatment options.…”

“…Psychiatric patients are often not capable of making treatment decisions, and lack of capacity is associated with clinical and legal variables, such as psychotic disorders, illness severity, and involuntary admissions rather than with sociodemographic variables. 437 Several issues involving patient sample, study design and measures may explain inconsistencies in reported frequencies of incapacity. Furthermore, the evaluation of the MacCAT-T in Greek has only recently been conducted, thus experience with the tool is scarce.…”