Shared Decision-Making: a Systematic Review Focusing on Mood Disorders.

Area of Science:

• Psychiatry and Mental Health
• Health Services Research

Background:

• Mood disorders significantly impact patient well-being and treatment adherence.
• Shared decision-making (SDM) is increasingly recognized as a patient-centered approach.
• Evidence for SDM in mood disorders requires comprehensive review.

Purpose of the Study:

• To review randomized controlled trials (RCTs) assessing SDM interventions versus usual care in patients with mood disorders.
• To evaluate the impact of SDM on patient outcomes, satisfaction, and engagement.

Main Methods:

• Systematic review of 14 randomized controlled studies.
• Analysis focused on SDM interventions, including decision aids and collaborative care models.
• Studies included patients with depression and bipolar disorder (BD).

Main Results:

• Three studies on SDM with decision aids in depression showed improved patient satisfaction and engagement.
• One study in bipolar disorder demonstrated improvements in depressive symptoms, functioning, and quality of life.
• Collaborative care interventions using SDM in depression improved outcomes and medication adherence across diverse populations.

Conclusions:

• SDM interventions, including decision aids and collaborative care, show promise in managing depression.
• Enhanced evidence is required to establish the benefits of SDM for bipolar disorder.
• SDM positively influences patient engagement and satisfaction in mood disorder management.