CHU Clermont-Ferrand, Department of Psychiatry, University of Auvergne, EA7280, Clermont-Ferrand, France.
Service de Psychiatrie B, Centre Hospitalier Universitaire, 58 rue Montalembert, 63000, Clermont-Ferrand, France.
Curr Psychiatry Rep. 2018 Mar 27;20(4):23. doi: 10.1007/s11920-018-0892-0.
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.
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.
本研究旨在综述评价比较常规护理与共享决策（SDM）干预对心境障碍患者影响的随机对照研究。
在确定的 14 项随机对照研究中，仅有 3 项 6 个月的研究评估了使用决策辅助工具对抑郁患者实施 SDM 干预的效果。所有研究均表明，该干预有效提高了患者对决策过程的满意度和参与度。仅有一项双相障碍（BD）患者的研究显示抑郁症状、功能和生活质量有所改善。其他纳入的研究是针对特定人群（如年龄、性别、收入和躯体共病）的抑郁患者，采用 SDM 方法的协作式护理干预。所有研究均显示抑郁结局或药物依从性显著改善。使用决策辅助工具和协作式护理的 SDM 干预在改善抑郁管理方面显示出了一定的效果。需要进一步证实 SDM 对 BD 的干预效果。
