Evidence map›Paper›PMID 36266742›Full record

ReviewEuropean psychiatry : the journal of the Association of European Psychiatrists2022

Clinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countries.

Martina Rojnic Kuzman, Mike Slade, Bernd Puschner, Elisabetta Scanferla, Zarko Bajic, Philippe Courtet, Jerzy Samochowiec, Celso Arango, Simavi Vahip, Maris Taube and 31 more

Abstract readReview
In one paragraph

Review in European psychiatry : the journal of the Association of European Psychiatrists, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Protection of human rights during involuntary treatment in mental healthcare services: A European perspective.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  6. Review
  7. Cultural impacts on shared decision-making: A cross-European study of psychiatrist preferences in 38 countries.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  8. Schizophrenia treatment preferences of psychiatrists versus guidelines: A European perspective.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Review
  9. Article
  10. Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Review
  11. 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

41 authors.

Martina Rojnic KuzmanDepartment of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb and School of Medicine, University of Zagreb, Zagreb, Croatia.ORCID 0000-0001-9646-0594
Mike SladeInstitute of Mental Health, School of Health Sciences, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0001-7020-3434
Bernd PuschnerDepartment of Psychiatry II, Ulm University, Ulm, Germany.
Elisabetta ScanferlaED 450, Université de Paris, Paris, France.ORCID 0000-0002-6985-6662
Zarko BajicResearch Unit "Dr. Mirko Grmek", Psychiatric Clinic "Sveti Ivan", Zagreb, Croatia.ORCID 0000-0002-7983-6892
Philippe CourtetDepartment of Emergency Psychiatry and Post Acute Care, Hôpital Lapeyronie, CHU Montpellier, Montpellier, France.
Jerzy SamochowiecCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0003-1438-583X
Celso ArangoCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0003-3382-4754
Simavi VahipCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0003-0645-7098
Maris TaubeCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Peter FalkaiDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian-University Munich, Munich, Germany.
Geert DomCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Lubomira IzakovaCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Bernardo CarpinielloCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0002-5385-7871
Marcella BellaniDepartment of Neurosciences Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID 0000-0003-1727-5396
Andrea FiorilloDepartment of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.ORCID 0000-0002-6926-0762
Oleg SkugarevskyCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Alma Mihaljevic-PelesDepartment of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb and School of Medicine, University of Zagreb, Zagreb, Croatia.
Diogo Telles-CorreiaEPA Sections, Strasbourg, France.
Filipa NovaisEPA Sections, Strasbourg, France.ORCID 0000-0001-9379-1734
Pavel MohrCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0002-9851-3271
Johannes WancataCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0003-4951-6780
Martin HulténCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Eka ChkoniaCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0002-8817-9679
Judit BalazsCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0001-6397-1419
Julian BeezholdNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0001-9857-1669
Lars LienCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0002-0480-9208
Goran MihajlovicCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Mirjana DelicCenter for Treatment of Drug Addiction, University Psychiatric Clinic, Ljubljana, Slovenia.
Gabriela StoppeEPA Sections, Strasbourg, France.
Goran RacetovicCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Dragan BabicCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Ramune MazaliauskieneCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0003-4212-8283
Doina CozmanCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0001-7102-2432
Simon HjerrildCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0001-6673-2798
Jana ChihaiCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0002-7720-5544
William FlanneryCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0003-2316-8976
Tarja MelartinCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Nataliya MarutaCouncil of National Psychiatric Associations, EPA, Strasbourg, France.ORCID 0000-0002-6619-9150
Armen SoghoyanCouncil of National Psychiatric Associations, EPA, Strasbourg, France.
Philip GorwoodED 450, Université de Paris, Paris, France.ORCID 0000-0003-1845-3676

Funding

Department of Health
6 · The paper itself

Abstract

backgroundWhile shared clinical decision-making (SDM) is the preferred approach to decision-making in mental health care, its implementation in everyday clinical practice is still insufficient. The European Psychiatric Association undertook a study aiming to gather data on the clinical decision-making style preferences of psychiatrists working in Europe.

methodsWe conducted a cross-sectional online survey involving a sample of 751 psychiatrists and psychiatry specialist trainees from 38 European countries in 2021, using the Clinical Decision-Making Style - Staff questionnaire and a set of questions regarding clinicians' expertise, training, and practice.

resultsSDM was the preferred decision-making style across all European regions ([central and eastern Europe, CEE], northern and western Europe [NWE], and southern Europe [SE]), with an average of 73% of clinical decisions being rated as SDM. However, we found significant differences in non-SDM decision-making styles: participants working in NWE countries more often prefer shared and active decision-making styles rather than passive styles when compared to other European regions, especially to the CEE. Additionally, psychiatry specialist trainees (compared to psychiatrists), those working mainly with outpatients (compared to those working mainly with inpatients) and those working in community mental health services/public services (compared to mixed and private settings) have a significantly lower preference for passive decision-making style.

conclusionsThe preferences for SDM styles among European psychiatrists are generally similar. However, the identified differences in the preferences for non-SDM styles across the regions call for more dialogue and educational efforts to harmonize practice across Europe.

Indexed as

Patient ParticipationPsychiatryClinical Decision-MakingCross-Sectional StudiesDecision MakingHumansSurveys and QuestionnairesClinical decision-makingEuropemental healthprofessional-patient relationspsychiatryshared decision-making

Identifiers

PMID36266742
PMCPMC9706307

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.