{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T13:01:31Z","timestamp":1789650091672,"version":"4.0.0"},"reference-count":53,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":246,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine prognostic relevance of diminished mental capacity in AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>People with AN with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently. Their appreciation of illness remained hampered. Decision-making did not improve, in contrast to people with full mental capacity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>People with AN with diminished mental capacity seem to do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjpo.bp.116.003905","type":"journal-article","created":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T00:10:18Z","timestamp":1495843818000},"page":"147-153","source":"Crossref","is-referenced-by-count":16,"title":["Mental capacity to consent to treatment and the association with outcome: A longitudinal study in patients with anorexia nervosa"],"prefix":"10.1192","volume":"3","author":[{"given":"Isis F.F.M.","family":"Elzakkers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Unna N.","family":"Danner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lot C.","family":"Sternheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"McNeish","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans W.","family":"Hoek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemarie A.","family":"van Elburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S2056472400002167_ref52","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-111"},{"key":"S2056472400002167_ref47","doi-asserted-by":"publisher","DOI":"10.1891\/0889-8391.28.1.48"},{"key":"S2056472400002167_ref45","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710000036"},{"key":"S2056472400002167_ref41","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"S2056472400002167_ref39","unstructured":"Muthen B . 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