International comparison of physicians’ attitudes toward refusal of treatment by patients with anorexia nervosa: a case-based vignette study

被引：0
作者：
Yoshiyuki Takimoto
机构：
[1] The University of Tokyo,Department of Biomedical Ethics, Faculty of Medicine
[2] The University of Tokyo,Department of Psychosomatic Medicine and Stress Science, Faculty of Medicine
来源：
Journal of Eating Disorders | / 10卷
关键词：
Anorexia nervosa; Treatment refusal; Compulsory treatment; Clinical ethics; Mental capacity; Decision-making;
D O I：
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摘要：
This study aimed to investigate the attitudes of physicians in Japan, the UK, and the US toward refusal of treatment for anorexia nervosa. Physicians in all three countries received an anonymous questionnaire comprising four fictitious cases for which they had to respond whether they would choose compulsory inpatient treatment or not. The study revealed that in all three countries, compulsory treatment tended to be the prevalent choice in cases of life-threatening malnutrition, regardless of the patient's age or duration of illness. Moreover, in all the three countries, treatment tended to be forced if a family member requested treatment, and this trend was particularly strong in Japan. The influence of family request was stronger for acute AN in the U.K. and the U.S., and for SE-AN in Japan.
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