THE MACARTHUR TREATMENT COMPETENCE STUDY .2. MEASURES OF ABILITIES RELATED TO COMPETENCE TO CONSENT TO TREATMENT

被引:198
作者
GRISSO, T [1 ]
APPELBAUM, PS [1 ]
MULVEY, EP [1 ]
FLETCHER, K [1 ]
机构
[1] UNIV PITTSBURGH,WESTERN PSYCHIAT INST & CLIN,PITTSBURGH,PA
关键词
D O I
10.1007/BF01499322
中图分类号
D9 [法律]; DF [法律];
学科分类号
0301 ;
摘要
This article reports the development and psychometric properties of three standardized and objectively scored measures, the MacArthur Treatment Competence Research Instruments. They were designed to assess abilities related conceptually to four legal standards for competence to consent to treatment: understanding, appreciation, rational manipulation (reasoning), and expressing a choice. Scoring reliability, internal consistency, intertest correlations, and test-retest correlations were examined with data from samples of hospitalized patients with schizophrenia, major depression, and ischemic heart disease, as well as matched non-ill community samples. The results indicate very good interscorer reliability and provide guidance for the use of the instruments and interpretation of their results in future research on patients' decisional abilities in treatment contexts.
引用
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页码:127 / 148
页数:22
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