A Qualitative Exploration of Clinician Views and Experiences of Treatment Decision-Making in Bipolar II Disorder.

Alana Fisher, Vijaya Manicavasagar, Louise Sharpe, Rebekah Laidsaar-Powell, Ilona Juraskova

Abstract read

In one paragraph

Article in Community mental health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it

0cells of the map it votes in

8citing papers in PubMed

1.8field-weighted citation impact, top 16% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

Improving treatment decision-making in bipolar II disorder: a phase II randomised controlled trial of an online patient decision-aid.BMC psychiatry · 2020
Trial
Shared decision-making in the treatment of bipolar disorder: findings from a nationwide naturalistic cohort study in everyday clinical practice.Social psychiatry and psychiatric epidemiology · 2025
Observational
Provider Perspectives on Implementing Shared Decision Making for PTSD Treatment in VA Primary Care.Administration and policy in mental health · 2021
Article
Comparison of the effect of postdischarge education with multimedia and group discussion methods on family caregiving for patients with bipolar disorder in Shiraz Psychiatric Hospitals.Journal of family medicine and primary care · 2019
Article
Phase II Randomised Controlled Trial of a patient decision-aid website to improve treatment decision-making for young adults with bipolar II disorder: A feasibility study protocol.Contemporary clinical trials communications · 2018
Article
The perspectives of patients with lithium-induced end-stage renal disease.International journal of bipolar disorders · 2018
Article
Pathways and cost-effectiveness of routine lung cancer inpatient care in rural Anhui, China: a retrospective cohort study protocol.BMJ open · 2018
Article
Development and pilot of a decision-aid for patients with bipolar II disorder and their families making decisions about treatment options to prevent relapse.PloS one · 2018
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Alana FisherSchool of Psychology, University of Sydney, Brennan MacCallum (A18), Camperdown, NSW, 2006, Australia. a.fisher@sydney.edu.au.

Vijaya ManicavasagarSchool of Psychiatry, University of New South Wales, Sydney, NSW, 2031, Australia.

Louise SharpeSchool of Psychology, University of Sydney, Brennan MacCallum (A18), Camperdown, NSW, 2006, Australia.

Rebekah Laidsaar-PowellSchool of Psychology, University of Sydney, Brennan MacCallum (A18), Camperdown, NSW, 2006, Australia.

Ilona JuraskovaSchool of Psychology, University of Sydney, Brennan MacCallum (A18), Camperdown, NSW, 2006, Australia.

University of Sydney · AUBlack Dog Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study qualitatively explored clinicians' views and experiences of treatment decision-making in BPII. Semi-structured interviews were conducted with 20 practising clinicians (n = 10 clinical psychologists, n = 6 GPs, n = 4 psychiatrists) with experience in treating adult outpatients with BPII. Interviews were audiotaped, transcribed verbatim and thematically analysed using framework methods. Professional experience, and preferences for patient involvement in decision-making were also assessed. Qualitative analyses yielded four inter-related themes: (1) (non-)acceptance of diagnosis and treatment; (2) types of decisions; (3) treatment uncertainty and balancing act; and (4) decision-making in consultations. Clinician preferences for treatment, professional experience, and self-reported preferences for patient/family involvement seemed to influence decision-making. This study is the first to explore clinician views and experiences of treatment decision-making in BPII. Findings demonstrate how clinician-related factors may shape treatment decision-making, and suggest potential problems such as patient perceptions of lower-than-preferred involvement.

Indexed as

Attitude of Health PersonnelDecision MakingPhysician-Patient RelationsProfessional-Family RelationsAdultAgedBipolar DisorderCommunicationFamilyFemaleHumansInterviews as TopicMaleMiddle AgedPatient ParticipationQualitative ResearchBipolar II disorderClinician attitudesFamily involvementPatient involvementQualitativeTreatment decision-making

Identifiers

PMID28102459

DOI10.1007/s10597-016-0077-4

OpenAlexW2573010057

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.