{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:26:50Z","timestamp":1785432410218,"version":"3.56.0"},"reference-count":0,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"unspecified","delay-in-days":148,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0924933826122214_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While both evidence-based medicine as well as personalized patient-centered medicine are glorified, clinical practice seems to be only partially influenced by guidelines or by patients\u2019 views. Against this background, shared decision-making (SDM) became a hype but remains an ill-defined concept: it can be considered as an umbrella concept covering therapeutic alliance, physician and patient preferences, information giving, information retrieving, information receiving, patient involvement in goal setting, decision-making, and treatment choice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933826122214_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review based on a literature search in PubMed and PsycINFO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933826122214_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>SDM in depression should move away from an ethical imperative where \u201cone size fits all\u201d toward a personalized approach, tailoring the medical encounter to the physician\u2019s and patient\u2019s expectations (knowledge, need for knowledge, and desire for degree of SDM) and to the patient\u2019s clinical status. SDM cannot be conceived as a \u201csnapshot\u201d since it is a dynamic process where adjustments should be made depending on the growth of the doctor\u2013patient alliance, the changes in expectations, and the changes in clinical status. The clinician should be more aware of barriers to effective implementation of SDM in him or herself, in the patient. The different definitions of SDM and the many reported SDM interventions (having different ingredients) hamper final conclusions on the effect of SDM on outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933826122214_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This narrative review aims to critically examine SDM in depression and proposes to conceptualize it as a dynamic, relational, and personalized process rather than a universal ethical standard.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2026.12221","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T08:16:28Z","timestamp":1780042588000},"source":"Crossref","is-referenced-by-count":0,"title":["Shared decision-making in depression: From a generalized ethical imperative to a personalized approach? A narrative review"],"prefix":"10.1192","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5331-487X","authenticated-orcid":false,"given":"Koen","family":"Demyttenaere","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05f950310","id-type":"ROR","asserted-by":"publisher"}],"name":"Katholieke Universiteit Leuven"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2184-0103","authenticated-orcid":false,"given":"Elke","family":"Heirman","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05f950310","id-type":"ROR","asserted-by":"publisher"}],"name":"Universitair Psychiatrisch Centrum KU Leuven \u2013 Campus Lubbeek: Katholieke Universiteit Leuven"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1784-3915","authenticated-orcid":false,"given":"Stefano","family":"Barlati","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02q2d2610","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Brescia: Universita degli Studi di Brescia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6990-939X","authenticated-orcid":false,"given":"Anthony J.","family":"Cleare","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0220mzb33","id-type":"ROR","asserted-by":"publisher"}],"name":"King\u2019s College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9463-7808","authenticated-orcid":false,"given":"Alessandra","family":"Minelli","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02q2d2610","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Brescia"},{"name":"IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inga","family":"Stonner","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00pd74e08","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Munster: Westfalische Wilhelms-Universitat Munster"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2984-1124","authenticated-orcid":false,"given":"Becci","family":"Strawbridge","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0220mzb33","id-type":"ROR","asserted-by":"publisher"}],"name":"Institute of Psychiatry at the Maudsley: King\u2019s College London Institute of Psychiatry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6548-426X","authenticated-orcid":false,"given":"Bernhard T.","family":"Baune","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00pd74e08","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Munster: Westfalische Wilhelms-Universitat Munster"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,5,29]]},"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933826122214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:06:06Z","timestamp":1782464766000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933826122214\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S0924933826122214"],"URL":"https:\/\/doi.org\/10.1192\/j.eurpsy.2026.12221","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"value":"0924-9338","type":"print"},{"value":"1778-3585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e65"}}