| Capacity to make medical treatment decisions in multiple sclerosis: A potentially remediable deficit. | |
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MedLine Citation:
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PMID: 20446143 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Ability to make decisions about medical treatment is compromised in significant numbers of people with neurological and psychiatric illness, and this incapacity frequently corresponds with compromised neuropsychological function. Although cognitive deficits occur often in people with multiple sclerosis (MS), no research has studied decisional capacity in that disease. The present investigation examined ability to understand treatment disclosures, which is a core component of decisional capacity, in 36 people with MS and 16 normal controls. MS patients with diminished neuropsychological function showed poor understanding of treatment disclosures compared to the control group, and diminished new learning and executive function correlated with poorer understanding. Nonetheless, with sufficient cuing, the MS patients with diminished neuropsychological function were able to display understanding that was equivalent to that of the control group. Implications of these results for clinical practice and medical research involving people with MS are discussed. |
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Authors:
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Michael R Basso; Philip J Candilis; Jay Johnson; Courtney Ghormley; Dennis R Combs; Taeh Ward |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of clinical and experimental neuropsychology Volume: 32 ISSN: 1744-411X ISO Abbreviation: J Clin Exp Neuropsychol Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8502170 Medline TA: J Clin Exp Neuropsychol Country: England |
Other Details:
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Languages: eng Pagination: 1050-61 Citation Subset: IM |
Affiliation:
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University of Tulsa, Tulsa, OK, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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