Ludovic Samalin1,2, Jean-Baptiste Genty3, Laurent Boyer4, Jorge Lopez-Castroman5,6, Mocrane Abbar5, Pierre-Michel Llorca3. 1. CHU Clermont-Ferrand, Department of Psychiatry, University of Auvergne, EA7280, Clermont-Ferrand, France. lsamalin@chu-clermontferrand.fr. 2. Service de Psychiatrie B, Centre Hospitalier Universitaire, 58 rue Montalembert, 63000, Clermont-Ferrand, France. lsamalin@chu-clermontferrand.fr. 3. CHU Clermont-Ferrand, Department of Psychiatry, University of Auvergne, EA7280, Clermont-Ferrand, France. 4. Public Health, Chronic Diseases and Quality of Life Research Unit, Aix-Marseille University, EA3279, Marseille, France. 5. CHU Nimes, Nimes, France. 6. INSERM Unit 1061, University of Montpellier, Montpellier, France.
Abstract
PURPOSE OF REVIEW: This study aims to provide a review of the randomized controlled studies evaluating the effects of shared decision-making (SDM) intervention in comparison to care as usual in patients with mood disorders. RECENT FINDINGS: Of the 14 randomized controlled studies identified, only three 6-month studies evaluated the interest of SDM interventions using decision aids in depressed patients. All of them showed that the intervention effectively improved patient satisfaction and engagement in the decision-making process. Only one study in patients with bipolar disorder (BD) showed improvement of depressive symptoms, functioning, and quality of life. Other included studies were collaborative care interventions using a SDM approach in patients with depression in specific populations depending on age, gender, income, and physical comorbidities. All of them showed significant improvement in depression outcomes or medication adherence. SDM interventions using decision aids and collaborative care showed evidence of improvements in the management of depression. Stronger evidence of SDM interest in BD is needed.
PURPOSE OF REVIEW: This study aims to provide a review of the randomized controlled studies evaluating the effects of shared decision-making (SDM) intervention in comparison to care as usual in patients with mood disorders. RECENT FINDINGS: Of the 14 randomized controlled studies identified, only three 6-month studies evaluated the interest of SDM interventions using decision aids in depressedpatients. All of them showed that the intervention effectively improved patient satisfaction and engagement in the decision-making process. Only one study in patients with bipolar disorder (BD) showed improvement of depressive symptoms, functioning, and quality of life. Other included studies were collaborative care interventions using a SDM approach in patients with depression in specific populations depending on age, gender, income, and physical comorbidities. All of them showed significant improvement in depression outcomes or medication adherence. SDM interventions using decision aids and collaborative care showed evidence of improvements in the management of depression. Stronger evidence of SDM interest in BD is needed.
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