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OtherSPECIAL ARTICLE

Capacity of Forensic Patients to Consent to Research: The Use of the MacCAT-CR

Barbara E. McDermott, Joan B. Gerbasi, Cameron Quanbeck and Charles L. Scott
Journal of the American Academy of Psychiatry and the Law Online September 2005, 33 (3) 299-307;
Barbara E. McDermott
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Joan B. Gerbasi
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Cameron Quanbeck
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Charles L. Scott
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    Table 1

    Diagnosis by Consent Category

    RefusedConsentedWithdrew/AmbivalentIncapableTotal
    Total5 (5)65 (61)30 (28)6 (6)106
    Schizophrenia2 (4)34 (74)8 (17)2 (4)46 (44)
    Schizoaffective0 (0)20 (57)11 (31)4 (11)35 (34)
    Other disorders3 (13)9 (39)11 (48)0 (0)23 (22)
    • Data are the number in each category, with the percentage of the total in parentheses.

    • View popup
    Table 2

    Mean MacCAT-CR Scores by Consent

    RefusedConsentedWithdrew/AmbivalentIncapableTotal
    Understanding19.80 (2.86)18.40 (4.05)18.97 (3.78)6.00 (3.74)17.89 (4.91)
    Appreciation3.80 (1.48)3.82 (1.31)4.30 (0.92)1.67 (1.03)3.83 (1.32)
    Reasoning3.00*4.55 (1.31)4.28 (1.41)1.33 (1.51)4.27 (1.54)
    Expressing choice1.80 (0.45)1.97 (0.17)1.67 (0.48)1.67 (0.52)1.86 (0.35)
    • Data are expressed as the mean (±SD).

    • * n = 1.

    • View popup
    Table 3

    Subscale Means and Correlations for Completed MacCAT-CRs

    UnderstandingAppreciationReasoningChoice
    Understanding17.740.45*0.42*0.18
    Appreciation3.810.36*0.01
    Reasoning4.320.34*
    Choice1.86
    • n = 95.

    • * p < 0.001.

    • View popup
    Table 4

    Mean MacCAT-CR Subscale Scores by Diagnostic Group

    Understanding 
 (0–26)*Appreciation 
 (0–6)Reasoning 
 (0–8)Choice 
 (0–2)
    Schizophrenia17.1 (2–25)3.87 (1–6)4.18 (0–7)1.83 (0–2)
    Schizoaffective17.47 (3–25)3.57 (0–6)4.17 (0–8)1.77 (0–2)
    Other disorders19.9 (13–26)4.1 (1–5)4.5 (2–8)1.83 (1–2)
    • Data are the mean scores (range).

    • * Full range of scores in each category.

    • View popup
    Table 5

    Correlations of MacCAT-CR Subscale Scores with Symptom Ratings

    UnderstandingAppreciationReasoningChoice
    BPRS positive symptoms−0.31*−0.03−0.08−0.16
    BPRS negative symptoms−0.10−0.12−0.29*0.03
    • n = 54.

    • * p < 0.05.

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Journal of the American Academy of Psychiatry and the Law Online: 33 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 33, Issue 3
1 Sep 2005
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Capacity of Forensic Patients to Consent to Research: The Use of the MacCAT-CR
Barbara E. McDermott, Joan B. Gerbasi, Cameron Quanbeck, Charles L. Scott
Journal of the American Academy of Psychiatry and the Law Online Sep 2005, 33 (3) 299-307;

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Capacity of Forensic Patients to Consent to Research: The Use of the MacCAT-CR
Barbara E. McDermott, Joan B. Gerbasi, Cameron Quanbeck, Charles L. Scott
Journal of the American Academy of Psychiatry and the Law Online Sep 2005, 33 (3) 299-307;
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