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| http://dx.doi.org/10.1016/j.psym.2014.09.009 | DOI Listing |
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Dementia Diagnosis Unawareness and Caregiver Burden in a Multi-ethnic Cohort.
J Gen Intern Med
January 2025
Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.
Background: Previous reports suggest patient and caregiver lack of awareness of dementia. Little is known about how this varies by ethnicity and how informal (family) caregiver burden is associated with knowing a dementia diagnosis.
Objective: To investigate whether participants with probable dementia were aware of a diagnosis provided by a physician and how this differed among Mexican American and non-Hispanic White participants; whether having a primary care physician was associated with dementia diagnosis unawareness; and the association of dementia diagnosis unawareness with caregiver burden.
Decision-making capacity in rehabilitation psychology practice: Historical, contemporary, and future perspectives.
Rehabil Psychol
January 2025
Independent Practice.
Purpose: This article will review the historical underpinnings of informed consent and decisional capacity, current practices, and potential evolving future modifications or elaborations of decision-making practices in clinical settings.
Method: Ethical and legal foundations for informed consent for health care are reviewed. Contemporary issues with decision making, clinical capacity, and proxy decision making in rehabilitation psychology practice are discussed with a specific focus on health care decision making.
Decisional capacity to consent to treatment in children and adolescents: A systematic review.
Psychiatry Res
February 2025
Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy. Electronic address:
Obtaining informed consent in vulnerable populations like children and adolescents, is a relevant issue and raises ethical concerns. Minors are considered unable to consent to treatment, and permission from guardians is required for them. Nevertheless, several studies have been carried out on the competence of pediatric patients, with mixed results.
View Article and Find Full Text PDFCapacity to consent to treatment in severe eating disorders.
Int Rev Psychiatry
November 2024
Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy.
Article Synopsis
- Eating disorders are severe conditions that require weight restoration and psychotherapy, but many patients often refuse treatment, raising concerns about their ability to make decisions regarding their care.
- A study involving 45 women at a psychiatric unit in Rome assessed various psychiatric symptoms and decision-making capacity, revealing that 67% of participants exhibited low decision-making capacity, with even higher rates among those with Anorexia Nervosa and Bulimia Nervosa.
- Specific psychological symptoms can either impair or enhance a patient's ability to make informed decisions, indicating that clinicians should carefully evaluate their patients' decision-making capacity to provide appropriate support.
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