The Greek version of the MacArthur competence assessment tool for treatment: Reliability and validity. Evaluation of capacity for treatment decisions in Greek psychiatric patients
Open accessAbstract
BACKGROUND: Patients' informed consent prior to treatment initiation is an essential component of contemporary clinical practice, but sometimes, patients lack decision-making capacity for treatment. Such capacity can be reliably assessed with standardized tools used, and the MacArthur competence assessment tool for treatment (MacCAT-T) is one of the most widely used instruments. METHODS: The objective of this study was to translate the MacCAT-T into Greek and evaluate the Greek version's reliability and validity in psychiatric patients. Thirty-nine psychiatric inpatients were examined with the MacCAT-T, and results showed an excellent inter-rater reliability. RESULTS: Intraclass correlations ranged from 0.93 to 1 for the individual items of the tool. Severity of psychopathology was negatively correlated with reasoning, appreciation, and expressing a choice (Pearson's r 0.36, 0.539, and 0.338, respectively), but there were no associations with demographic characteristics of the patients. Of the five factors derived from the brief psychiatric rating scale, anergia was significantly correlated with appreciation, reasoning, and expressing a choice (Pearson's r 0.46, 0.45, and 0.37, respectively). CONCLUSIONS: The Greek version of the MacCAT-T is a reliable and valid instrument that can provide a standardized measure for assessing treatment decision capacity in Greek psychiatric patients and can be used for evaluation in the clinical practice.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Six studies analyzed the relationship between psychopathological and cognitive variables with the different subscales of the MacCAT.
“Six studies analyzed the relationship between psychopathological and cognitive variables with the different subscales of the MacCAT (Bilanakis et al., 2013;Kennedy et al., 2009;Mandarelli et al., 2014Mandarelli et al., , 2018b;;Rutledge et al., 2008;Seo et al., 2011).”
From Decision making capacity for treatment in psychiatric inpatients: a systematic review and meta-analysis (2024) · cites this paper as Bilanakis et al., 2013
The Results (page unavailable) report correlations between psychopathology measured by the BPRS and several MacCAT-T subscales, including a correlation between disorientation and understanding. The paper does not report a separate assessment of cognitive variables, so it supports the psychopathology part of the attribution but not that fuller characterization of this study. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 16 · Cited by 12
Research works printed but not linked: 1
- Bilanakis N Psychiatric patients’ decision capacity: conceptual framework and clinical implications Proceedings of the Psychiatric Association for Eastern Europe and the Balkans: Honorary Volume for Prof George Christodoulou: December 20, 2011; Athens 2011 Athens: Beta Publications 1172 1180
- Authors
- Bilanakis, N., Vratsista, A., Kalampokis, G., Papamichael, G., & Peritogiannis, V.
- Corresponding author
- Peritogiannis, Vaios
- ORCID
- Peritogiannis, Vaios
- Venue
- Annals of General Psychiatry
- Published
- 2013-04-09
- Volume
- 12
- Issue
- 1
- Pages
- 10-10
- ISSN
- 1744-859X (ISSN-L)
- PMC
- PMC3648422
- OpenAlex
- W2133097318
- Cited by
- 12
- References
- 16
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Annals of General Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Keywords
- decision-making capacity, informed consent, psychiatric patients, Greek translation, psychometric validation, inter-rater reliability, psychopathology severity, anergia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
