{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:07:13Z","timestamp":1787314033908,"version":"build-2736575974"},"reference-count":60,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale, aims, and objectives<\/jats:title>\n                    <jats:p>People worldwide are affected by psychiatric disorders that lack a \u201cbest\u201d treatment option. The role of shared decision\u2010making (SDM) in psychiatric care seems evident, yet remains limited. Research on SDM in specialized mental health is scarce, concentrating on patients with depressive disorder or psychiatric disorders in general and less on patients with anxiety and obsessive\u2010compulsive disorder (OCD). Furthermore, recent research concentrates on the evaluation of interventions to promote and measure SDM rather than on the feasibility of SDM in routine practice. This study investigated patients' and clinicians' perspectives on SDM to treat depression, anxiety disorders, and OCD as to better understand SDM in specialized psychiatric care and its challenges in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Transcripts of eight focus groups with 17 outpatients and 33 clinicians were coded, and SDM\u2010related codes were analysed using thematic analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Motivators, responsibilities, and preconditions regarding SDM were defined. Patients thought SDM should be common practice given the autonomy they have over their own bodies and felt responsible for their treatments. Clinicians value SDM for obtaining patients' consent, promoting treatment adherence, and establishing a good patient\u2010clinician relationship. Patients and clinicians thought clinicians assumed the most responsibility regarding the initiation and achievement of SDM in clinical practice. According to clinicians, preconditions were often not met, were influenced by illness severity, and formed important barriers (eg, patient's decision\u2010making capacity, treatment availability, and clinicians' preferences), leading to paternalistic decision\u2010making. Patients recognized these difficulties, but felt none of these preclude the implementation of SDM. Personalized information and more consultation time could facilitate SDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients and clinicians in specialized psychiatric care value SDM, but adapting it to daily practice remains challenging. Clinicians are vital to the implementation of SDM and should become versed in how to involve patients in the decision\u2010making process, even when this is difficult.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.13285","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T21:29:56Z","timestamp":1571088596000},"page":"645-658","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Patients' and clinicians' perspectives on shared decision\u2010making regarding treatment decisions for depression, anxiety disorders, and obsessive\u2010compulsive disorder in specialized psychiatric care"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8633-6108","authenticated-orcid":false,"given":"Sumayah","family":"Rodenburg\u2010Vandenbussche","sequence":"first","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Centre  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Carlier","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Centre  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"van Vliet","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Centre  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"van Hemert","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Centre  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Stiggelbout","sequence":"additional","affiliation":[{"name":"Department of Medical Decision Making Leiden University Medical Centre  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans","family":"Zitman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Centre  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1121189X00001421"},{"issue":"3","key":"e_1_2_8_3_1","first-page":"168","article-title":"Lifetime prevalence and age\u2010of\u2010onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative","volume":"6","author":"Kessler RC","year":"2007","journal-title":"World Psychiatry"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30381-6"},{"key":"e_1_2_8_5_1","first-page":"e04","article-title":"Major depressive disorder treatment guidelines in America and Europe","volume":"71","author":"Davidson JRT","year":"2010","journal-title":"J Clin Psychiatry"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/M15-1813"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.05.004"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e256"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.3.716"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2014.06.002"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.21977"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2003.00130.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2007.03.023"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2006.05.007"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e32830eb6b4"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000126073"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S73029"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.2165\/11592180-000000000-00000"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20412"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.06.022"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2017.05.016"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20418"},{"key":"e_1_2_8_24_1","unstructured":"Wet op de geneeskundige behandelingsovereenkomst (WGBO) (wettekst).In: Cli\u00ebnt En Medezeggenschap in de Zorg.;2011.https:\/\/doi.org\/10.1007\/978\u201090\u2010313\u20108646\u20108_39"},{"key":"e_1_2_8_25_1","unstructured":"Nice.Depression in adults (CG90). 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