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Correlation Between Insight and Capacity to Consent to Research in Subjects With Bipolar Disorder Type I and Schizophrenia.
López-Jaramillo, Carlos; Tobler, Chantal Aristizábal; Gómez, Constanza Ovalle; Triana, Jaime Escobar.
Afiliação
  • López-Jaramillo C; Mood Disorders Program, Hospital Universitario San Vicente Fundación, Medellín, Colombia; Research Group in Psychiatry (GIPSI), Department of Psychiatry, Universidad de Antioquia, Medellín, Colombia. Electronic address: carloslopezjaramillo@gmail.com.
  • Tobler CA; Hospital Central de la Policía Nacional, Universidad Nacional de Colombia, and Universidad El Rosario, Bogotá, Colombia.
  • Gómez CO; Department of Bioethics, Universidad El Bosque, Bogotá, Colombia.
  • Triana JE; Department of Bioethics, Universidad El Bosque, Bogotá, Colombia.
Rev Colomb Psiquiatr ; 45(3): 194-200, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27569014
ABSTRACT

INTRODUCTION:

Schizophrenia and bipolar disorder type I (BD-I) can affect patient autonomy and capacity to consent to participate in research. Other variables associated with the autonomy of patients must be explored in order to improve the quality of the currently available tools.

OBJECTIVE:

To evaluate the relationship between insight and the capacity to consent to participate in research in patients with BD-I and schizophrenia.

METHODS:

A cross-sectional and longitudinal study was conducted with 120 subjects (40 subjects with schizophrenia, 40 with BD-I, and 40 healthy controls). The tools used were the Scale Assessment Insight-Expanded (SAI-E) and the MacArthur Competence Assessment Tool-Treatment (MacCAT-CR), which was first adapted culturally, and its validity and reliability assessed. The results obtained on each scale were compared and the association between them were evaluated.

RESULTS:

There is a direct correlation between the capacity to consent to research, measured using the MacCAT-CR tool, and the degree of insight, measured using the SAI-E scale, with an effect size of 1.3 for BD-I and 2.03 for schizophrenia.

CONCLUSIONS:

The results suggest that there is a correlation between the degree of insight and the capacity to consent to research in subjects with schizophrenia and BD-I. Insight should therefore be included as a relevant variable to assess the capacity to consent, and future studies should include it when researching on or designing new tools which aim at a greater respect of patient autonomy.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Psicologia do Esquizofrênico / Transtorno Bipolar / Competência Mental / Compreensão / Consentimento Livre e Esclarecido Tipo de estudo: Estudo de prevalência Limite: Adulto / Feminino / Humanos / Masculino / Meia-Idade Idioma: Inglês Revista: Rev Colomb Psiquiatr Ano de publicação: 2016 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Psicologia do Esquizofrênico / Transtorno Bipolar / Competência Mental / Compreensão / Consentimento Livre e Esclarecido Tipo de estudo: Estudo de prevalência Limite: Adulto / Feminino / Humanos / Masculino / Meia-Idade Idioma: Inglês Revista: Rev Colomb Psiquiatr Ano de publicação: 2016 Tipo de documento: Artigo
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