ArticleSocial psychiatry and psychiatric epidemiology2018
Decisional conflict in mental health care: a cross-sectional study.
Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The trial behind it
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Shared decision-making in mental health care using routine outcome monitoring: results of a cluster randomised-controlled trial.Social psychiatry and psychiatric epidemiology · 2019Trial
- Trial
- The LIFE-ACE Framework of Building Therapeutic Relationships that Support Recovery in Japanese Community Mental Health: A Qualitative Study.Community mental health journal · 2026Article
- Exploring the Mediating Role of Decisional Conflict in the Relationship Between Shared Decision Making, the Use of Routine Outcome Monitoring, Treatment Outcomes and Patient Satisfaction: An Observational Longitudinal Study in Dutch Mental Health Care.Community mental health journal · 2026Observational
- Assessing decisional conflict and challenges in decision-making among perinatal women using or considering using antidepressants during pregnancy-a mixed-methods study.Archives of women's mental health · 2023Article
- Peer-Facilitated Decision Making in Mental Health: Promises, Pitfalls, and Recommendations for Research and Practice.Psychiatric services (Washington, D.C.) · 2023Article
- Community treatment orders and care planning: How is engagement and decision-making enacted?Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Surgery decision conflict and its related factors among newly diagnosed early breast cancer patients in China: A cross-sectional study.Nursing open · 2021Article
- Effectiveness of patient decision aids in women considering psychotropic medication use during pregnancy: a literature review.Archives of women's mental health · 2021Review
- Compulsory admissions and preferences in decision-making in patients with psychotic and bipolar disorders.Social psychiatry and psychiatric epidemiology · 2020Article
- Quality of life, recovery and decision-making: a mixed methods study of mental health recovery in social care.Social psychiatry and psychiatric epidemiology · 2019Article
- Understanding environmental decision making: The association between stages of decision making and decisional conflict.The journal of climate change and healthArticle
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
Abstract
purposeDecisional conflict refers to the degree to which patients are engaged in and feel comfortable about important clinical decisions. Until now, the concept has received little attention in mental health care. We investigate the level of decisional conflict in mental health care and whether this is influenced by socio-demographics, treatment setting, diagnoses, and locus of control.
methodsCross-sectional study among 186 patients in Dutch specialist mental health care using the Decisional Conflict Scale, which measures five dimensions of decisional conflict: information, support, clarification of values, certainty, and decisional quality. Descriptive statistics and forward stepwise linear regression analyses were used.
resultsPatients report relatively high levels of decisional conflict, especially those with more external locus of control. Having a personality disorder and higher education also increases decisional conflict on the dimensions support and clarification of values, respectively. Less decisional conflict was experienced by patients with psychotic disorders on the dimension certainty and by women on the information domain.
conclusionsDecisional conflict is common among patients in specialist mental health care and is very useful for assessing the quality of clinical decision making. Measuring decisional conflict and knowledge about influencing factors can be used to improve patients' participation in clinical decision making, adherence to treatment and clinical outcomes.
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