Consent to treatment in adolescents with anorexia nervosa

Objective: This study examined the ability of adolescents with anorexia nervosa (AN) to make treatment decisions. Method: The MacArthur Competence Assessment Tool‐Treatment (MacCAT‐T) was used to compare the decision making abilities of 35 adolescents with AN who were receiving inpatient treatment w...

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Bibliographic Details
Published in:The International journal of eating disorders 2011-12, Vol.44 (8), p.703-707
Main Authors: Turrell, Sheri L., Peterson-Badali, Michele, Katzman, Debra K.
Format: Article
Language:English
Subjects:
Adolescent
adolescents
Adult and adolescent clinical studies
Anorexia
Anorexia nervosa
Anorexia Nervosa - psychology
Anorexia Nervosa - therapy
Biological and medical sciences
Body Mass Index
Case-Control Studies
Childrens health
consent to treatment
Decision Making
decisionmaking
Eating behavior disorders
Eating disorders
Female
Humans
Informed consent
Informed Consent By Minors - psychology
Medical sciences
Medical treatment
Mental Competency - psychology
Psychological Tests
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Surveys and Questionnaires
Wechsler Scales
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Summary:Objective: This study examined the ability of adolescents with anorexia nervosa (AN) to make treatment decisions. Method: The MacArthur Competence Assessment Tool‐Treatment (MacCAT‐T) was used to compare the decision making abilities of 35 adolescents with AN who were receiving inpatient treatment with that of 40 healthy, community‐based adolescents. Vignettes of both a medical and psychiatric illness were provided, requiring participants to work through the process of making a hypothetical treatment decision. The MacCAT‐T was also administered to participants with AN to examine decision‐making about their own illness, which allowed for comparison of competencies across contexts. Results: Group differences were found, with the community group showing superior reasoning skills to the adolescents with AN. Discussion: The results provide evidence to suggest that adolescents with AN tend toward a thinking disposition that is concrete and lacking in reasoning and reflection, which may negatively affect their ability to reason about treatment options. © 2010 by Wiley Periodicals, Inc. Int J Eat Disord 2010
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.20870