Can involuntarily admitted patients give informed consent to participation in research?

Staden, C.W. Van

doi:10.4102/sajpsychiatry.v13i1.5

Cited by 6 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All participants gave written informed consent after they had been clinically assessed as being capable of doing so [28,29]. Patients who were not capable of consenting were excluded from the study.…”

Section: Methodsmentioning

confidence: 99%

Severity of psychotic episodes in predicting concurrent depressive and anxiety features in acute phase schizophrenia

2014

View full text Add to dashboard Cite

BackgroundConsidering that depressive and anxiety symptoms are common in schizophrenia, this study investigated whether the severity of a psychotic episode in an acute phase schizophrenia cohort is predictive of concurrent depressive and anxiety features.MethodFifty one recently hospitalised patients suffering from acute phase schizophrenia participated prospectively in a cross-sectional study. The severity of the psychotic episode, the depressive features and the anxiety features were measured by the Structured Clinical Interview for Positive and Negative Syndrome Scale (SCI-PANSS), the Calgary Depression Scale for Schizophrenia (CDSS), the Hamilton Anxiety Rating Scale (HAM-A) and the Staden Schizophrenia Anxiety Rating Scale (S-SARS). The total SCI-PANSS-scores were adjusted to exclude appropriately the depression or anxiety items contained therein. To examine akathisia as potential confounder, the Barnes Akathisia Scale was also applied. The relationships were examined using linear regressions and paired t-tests were performed between lower and higher scores on the SCI-PANSS.ResultsA higher adjusted total SCI-PANSS-score predicted statistically significantly higher scores for depressive features on the CDSS (p < 0.0001) and for anxiety features on the HAM-A (p = 0.05) and the S-SARS (p < 0.0001). The group that scored more or equal to the median (=99) of the adjusted total SCI-PANSS, scored significantly higher (p < 0.0001) on the CDSS, the HAM-A and the S-SARS than the group scoring below it. Akathisia measured distinctly different (p < 0.0001) from both the anxiety measures.ConclusionThe study suggests that the severity of a psychotic episode in acute phase schizophrenia predicts the severity of concurrent depressive and anxiety features respectively.

show abstract

Section: Methodsmentioning

confidence: 99%

Severity of psychotic episodes in predicting concurrent depressive and anxiety features in acute phase schizophrenia

2014

View full text Add to dashboard Cite

show abstract

“…Recent research suggests that a functional approach to consent is ethically better than a categorical approach (Kallert et al 2008;Van Staden 2007). Recent research suggests that a functional approach to consent is ethically better than a categorical approach (Kallert et al 2008;Van Staden 2007).…”

Section: Ethical Concernsmentioning

confidence: 99%

“…The decisional capacity of people with severe mental illness has been the focus of much debate. Recent research suggests that a functional approach to consent is ethically better than a categorical approach (Kallert et al 2008;Van Staden 2007). In a functional approach, a patient's capacity to give informed consent is not assumed on the basis of their inclusion in a legal category, but on three criteria: (i) understanding the research proposal; (ii) choosing decisively for or against participation; and (iii) communicating their choice (Van Staden 2007).…”

Section: Ethical Concernsmentioning

confidence: 99%

Therapeutic relationships and involuntary treatment orders: Service users' interactions with health‐care professionals on the ward

Wyder

Bland

Blythe

et al. 2015

Int J Mental Health Nurs

101

View full text Add to dashboard Cite

There is increasing evidence that an involuntary hospital admission and treatment can undermine the therapeutic relationship. While good relationships with staff are important factors influencing long-term recovery, there is little information on how people experience their relationships with staff while under an involuntary treatment order (ITO). Twenty-five involuntary inpatients were interviewed about their experiences of an ITO. The interviews were analysed by a general inductive approach. Participants described the following themes: (i) the ITO admission was a daunting and frightening experience; (ii) staff behaviours and attitudes shaped their experiences in hospital; (iii) importance of staff listening to their concerns; (iv) importance of having a space to make sense of their experiences; (v) importance of staff ability to look beyond their illness and diagnosis; and (vi) importance of staff working in partnership. These findings highlight that when using recovery principles, such as an empathic engagement with the patients' lived experience, forging partnerships with patients in treatment decision-making to enhance agency, an involuntary treatment order does not have to limit the ability to establish positive relationships.

show abstract

“…Only research which relates to their mental illness (so-called 'therapeutic' research) is permitted, unless the permission of the Minister of Health is obtained. In each instance the capacity of the mentally ill child or adolescent to give informed consent must be clinically assessed and evaluated on a case-by-case-basis, which supports van Staden's view of a 'functional' approach [27] to consent.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

“…In each case, it must be clinically assessed whether the child or adolescent has the capacity: (i) to understand to what he or she is consenting; (ii) to ARTICLE choose decisively for or against participation in research; (iii) to communicate his or her choice; and (iv) to accept the need for an intervention. [27,28] Mentally ill children and adolescents may have difficulties in relation to each of the above. For example, any of the developmental disorders -such as attention deficit hyperactivity disorder (ADHD), autism spectrum disorders or intellectual disability -may impair cognitive and decision-making skills.…”

Section: Subsection 71(2)mentioning

confidence: 99%

Consent to research by mentally ill children and adolescents: The implications of Chapter 9 of the National Health Act

Nienaber¹

2013

S Afr J Psych

View full text Add to dashboard Cite

Can involuntarily admitted patients give informed consent to participation in research?

Abstract: Researchers in psychiatry, sponsors of psychiatric research and research ethics committees are confronted with an ethical question, viz. whether patients admitted involuntarily to a psychiatric hospital can give informed consent to participate in research.

Cited by 6 publications

References 8 publications

Severity of psychotic episodes in predicting concurrent depressive and anxiety features in acute phase schizophrenia

Severity of psychotic episodes in predicting concurrent depressive and anxiety features in acute phase schizophrenia

Therapeutic relationships and involuntary treatment orders: Service users' interactions with health‐care professionals on the ward

Consent to research by mentally ill children and adolescents: The implications of Chapter 9 of the National Health Act

Contact Info

Product

Resources

About