Full access
Brief Reports
Published Online: 1 October 2011

“How to Speak to Your Psychiatrist”: Shared Decision-Making Training for Inpatients With Schizophrenia

Johannes Hamann, M.D., Rosmarie Mendel, Ph.D., Anna Meier, Florim Asani, R.N., Esther Pausch, R.N., Stefan Leucht, M.D., and Werner Kissling, M.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 10
https://doi.org/10.1176/ps.62.10.pss6210_1218
PDF/EPUBformats

Abstract

Objective:

Involving patients with mental illness in shared decision making about their treatment has recently attracted attention, but existing interventions may insufficiently motivate or enable patients with schizophrenia to behave more actively. This study evaluated a new intervention.

Methods:

In a pilot study 61 inpatients with schizophrenia or schizoaffective disorder from a psychiatric hospital in Germany were randomly assigned to receive shared decision-making training (N=32) or cognitive training (N=29, control condition).

Results:

The shared decision-making training yielded higher participation preferences and increased patients' desire to have more responsibility in treatment decisions, which continued to the six-month follow-up. Patients in the intervention group became more skeptical of treatment and were perceived as more “difficult” by their psychiatrists.

Conclusions:

Training in shared decision making was highly accepted by patients and changed attitudes toward participation in decision making. There were some hints that it might generate beneficial long-term effects. (Psychiatric Services 62:1218–1221, 2011)

Formats available

You can view the full content in the following formats:

View PDF/ePubView Full Text

Supplementary Material

File (Hamann_DS.pdf)

Figures and Tables

Table 1 Postintervention ratings by patients and physicians concerning schizophrenia treatment decisions
Table 2 Six-month follow-up ratings by patients and physicians concerning schizophrenia treatment decisions

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Carmel, by John O'Shea, circa 1927. Oil on canvas, 28 × 32¼ inches. Crocker Art Museum, Melza and Ted Barr Collection. 2008.107.
Psychiatric Services
Volume 62 • Number 10 • October 2011
Pages: 1218 - 1221
PubMed: 21969650

History

Published online: 1 October 2011
Published in print: October 2011

Authors

Affiliations

Rosmarie Mendel, Ph.D.
View all articles by this author
The authors are affiliated with the Psychiatric Department, Technische Universität München, Moehlstrasse 26, Munich 81675, Germany (e-mail: [email protected]).

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard
Tips for downloading citations

There are no citations for this item

View Options

View options

PDF/ePub

View PDF/ePub

Full Text

View Full Text

Get Access

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Item saved, go to cart
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share