Publication:
Capacity to consent to psychotherapy

cris.customurl 16618
cris.virtual.department Klinische Psychologie und Psychotherapie
cris.virtual.department Klinische Psychologie und Psychotherapie
cris.virtual.department #PLACEHOLDER_PARENT_METADATA_VALUE#
cris.virtual.department #PLACEHOLDER_PARENT_METADATA_VALUE#
cris.virtual.department Klinische Psychologie und Psychotherapie
cris.virtual.departmentbrowse Klinische Psychologie und Psychotherapie
cris.virtual.departmentbrowse Klinische Psychologie und Psychotherapie
cris.virtual.departmentbrowse Klinische Psychologie und Psychotherapie
cris.virtualsource.department 86a40ae5-0730-4406-b2fd-e990a8946101
cris.virtualsource.department b436feef-146e-401d-ba39-5ff221146028
cris.virtualsource.department #PLACEHOLDER_PARENT_METADATA_VALUE#
cris.virtualsource.department #PLACEHOLDER_PARENT_METADATA_VALUE#
cris.virtualsource.department 8838d34d-9abf-4522-ab9c-24fea6d26097
dc.contributor.author Ladwig, Sönke Steffen
dc.contributor.author Pauls, Franz
dc.contributor.author Gerke, Leonie
dc.contributor.author Trachsel, Manuel
dc.contributor.author Nestoriuc, Yvonne
dc.date.issued 2023-11-22
dc.description.abstract Background Patients' capacity to consent to treatment (CCT) is a prerequisite for ethically sound informed consent in psychotherapy. The MacArthur Competence Assessment Tool for Treatment (MacCAT‐T) is a reliable instrument for assessing CCT. A German version was adapted to the psychotherapeutical context (MacCAT‐PT) to investigate its reliability and possible influences of age, education and prior experience with psychotherapy on CCT in a mixed clinical sample. Methods N = 108 patients with indication for psychotherapy were recruited. The MacCAT‐PT was administered by trained psychologists, took 20 min on average and was rated by the administering psychologist and an independent rater. Reliability statistics were investigated and regression analyses were conducted on MacCAT‐PT scores and sociodemographic variables. Results Sufficient to moderate inter‐rater reliability (ICC = 0.80) and internal consistency (α = 0.80) were found for the total sum score of the MacCAT‐PT and its scales, Understanding (ICC = 0.79, α = 0.77), Reasoning (ICC = 0.57, α = 0.65) and Making a Choice (ICC = 0.57). Appreciation featured an unacceptable inter‐rater reliability (ICC = −0.01). Regression analyses indicated no significant effects. Conclusion These findings suggest that the MacCAT‐PT is a reliable tool for assessing patients' overall CCT in psychotherapy. Psychometric properties of three scales were of good quality, while Appreciation needs to be reanalysed in patient samples with lower motivation for psychotherapy or limited CCT. The CCT may be suggested to be independent of age, education and prior experience. Future research should provide analyses focusing on structural and clinical validity in multiple clinical samples.
dc.description.version VoR
dc.identifier.articlenumber e2935
dc.identifier.doi 10.1002/cpp.2935
dc.identifier.issn 1099-0879
dc.identifier.uri https://openhsu.ub.hsu-hh.de/handle/10.24405/16618
dc.language.iso en
dc.relation.ispartof Clinical Psychology & Psychotherapy
dc.relation.journal Clinical Psychology & Psychotherapy
dc.relation.orgunit Klinische Psychologie und Psychotherapie
dc.rights.accessRights metadata only access
dc.title Capacity to consent to psychotherapy
dc.type Forschungsartikel
dspace.entity.type Publication
hsu.peerReviewed
hsu.title.subtitle Reliability of the newly adapted german version of the MacArthur competence assessment tool for treatment for psychotherapy
hsu.uniBibliography
oaire.citation.issue 1
oaire.citation.volume 31
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