Shared decision-making in outpatients with mental disorders: Patients´ preferences and associated factors

Journal of Evaluation in Clinical Practice
Inés Morán-SánchezMaría Dolores Pérez-Cárceles

Abstract

Over the last years, traditional paternalistic model is being questioned. Shared Decision-Making (SDM) model has been proposed as a way to improve patient-physician interaction. Little is known to what extent people with severe mental illness want to be involved in decision-making process. This study evaluates their preferences about making clinical decisions and which variables influence these desires. One hundred seven patients with DSM diagnoses of bipolar disorder or schizophrenia and 100 Non Psychiatric Comparison (NPC) subjects recruited from mental health and primary care departments completed a self-reported questionnaire about preferences in decision-making process. Demographic and clinical information was obtained through review of available records and the Brief Psychiatric Rating Scale (BPRS). Patients and NPCs differed as regards their preferences about their participation in medical decisions. NPCs were 18 times more likely to prefer options about their treatment and 2 times more likely to prefer to take medical decisions by their own than psychiatric patients. The best predictors of the preference of a SDM model were a lower BPRS global score and the absence of previous compulsory admissions. Psychiatric patients...Continue Reading

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Citations

Nov 17, 2019·Journal of Evaluation in Clinical Practice·Michael LoughlinK W M Fulford
Jan 25, 2020·Journal of Psychiatric and Mental Health Nursing·Chongmei HuangWendy Cross
Nov 16, 2019·Social Psychiatry and Psychiatric Epidemiology·Inés Morán-SánchezMaria D Pérez-Cárceles
Sep 17, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jens C ThimmWenche Malmedal
Aug 17, 2020·Current Opinion in Psychiatry·Alberte JansinghAnnemarie A van Elburg
Dec 5, 2020·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Julie A Dopheide
Dec 4, 2020·Patient Education and Counseling·Inés Morán-SánchezMaría D Pérez-Cárceles

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