Observational studyBMC psychiatry2017
Recovery and decision-making involvement in people with severe mental illness from six countries: a prospective observational study.
Observational study in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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.
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Who cites it
17 citing papers in PubMed.
- Simple Mobile technology health management tool for people with severe mental illness: a randomised controlled feasibility trial.BMC psychiatry · 2021Trial
- A Critical Overview of Mental Health Policies for the Treatment of Schizophrenia in Chile.Actas espanolas de psiquiatria · 2025Article
- Combination of Two Long-Acting Antipsychotics in Schizophrenia Spectrum Disorders: A Systematic Review.Brain sciences · 2024Review
- Introducing community-based mental health support in Serbia: A qualitative study on experiences and needs of long-term psychiatric users.Global mental health (Cambridge, England) · 2024Article
- Validation of the Chinese version stage of recovery instrument-30 (STORI-30) for adults with severe mental illness.BMC psychiatry · 2023Article
- Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review.BMJ open · 2022Review
- Emotional blunting in patients with depression. Part IV: differences between patient and physician perceptions.Annals of general psychiatry · 2022Article
- Emotional blunting in patients with depression. Part I: clinical characteristics.Annals of general psychiatry · 2022Article
- Comparisons between suicide in persons with serious mental illness, other mental disorders, or no known mental illness: Results from 37 U.S. states, 2003-2017.Schizophrenia research · 2021Article
- Patient Expectations and Experiences of Antidepressant Therapy for Major Depressive Disorder: A Qualitative Study.Neuropsychiatric disease and treatment · 2021Article
- A day in the life of people with severe mental illness living in supported housing.BMC psychiatry · 2020Article
- Treating Schizophrenia: Open Conversations and Stronger Relationships Through Psychoeducation and Shared Decision-Making.Frontiers in psychiatry · 2020Article
- Associations between provider communication and personal recovery outcomes.BMC psychiatry · 2019Article
- Perceived Coercion Among Patients Admitted in Psychiatric Wards: Italian Results of the EUNOMIA Study.Frontiers in psychiatry · 2019Article
- What is the process by which a decision to administer electroconvulsive therapy (ECT) or not is made? A grounded theory informed study of the multi-disciplinary professionals involved.Social psychiatry and psychiatric epidemiology · 2018Article
- Best practice framework for Patient and Public Involvement (PPI) in collaborative data analysis of qualitative mental health research: methodology development and refinement.BMC psychiatry · 2018Review
- Assessment and Management of Cognitive and Psychosocial Dysfunctions in Patients With Major Depressive Disorder: A Clinical Review.Frontiers in psychiatry · 2018Review
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinical decision-making is the vehicle of health care provision, and level of involvement predicts implementation and satisfaction. The aim of this study was to investigate the impact of decision-making experience on recovery.
methodsData derived from an observational cohort study "Clinical decision making and outcome in routine care for people with severe mental illness" (CEDAR). Adults (aged 18-60) meeting standardised criteria for severe mental illness were recruited from caseloads of outpatient and community mental health services in six European countries. After consenting, they were assessed using standardised measures of decision-making, clinical outcome and stage of recovery at baseline and 1 year later. Latent class analysis was used to identify course of recovery, and proportional odds models to investigate predictors of recovery stage and change.
resultsParticipants (n = 581) clustered into three stages of recovery at baseline: Moratorium (N = 115; 19.8%), Awareness/Preparation (N = 145; 25.0%) and Rebuilding/Growth (N = 321; 55.2%). Higher stage was cross-sectionally associated with being male, married, living alone or with parents, and having better patient-rated therapeutic alliance and fewer symptoms. The model accounted for 40% of the variance in stage of recovery. An increased chance of worse outcome (change over 1 year to lower stage of recovery) was found for patients with active involvement compared with either shared (OR = 1.84, 95% CI 1.15-2.94) or passive (OR = 1.71, 95% CI = 1.00-2.95) involvement. Overall, both process (therapeutic relationship) and outcome (symptomatology) are cross-sectionally associated with stage of recovery.
conclusionsPatient-rated decision-making involvement and change in stage of recovery are associated. Joint consideration of decision practise within the recovery process between patient and clinician is supposed to be a useful strategy to improve clinical practice (ISRCTN registry: ISRCTN75841675. Retrospectively registered 15 September 2010).
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