What question did this study set out to answer?

To examine the role and definition of shared decision making in the context of depression treatment.

June 1, 2026European Psychiatry0 citationsOpen Access

Shared Decision Making in depression: From a generalized ethical imperative to a personalized approach? a narrative review

KDKoen DemyttenaereUniversitair Ziekenhuis Leuven EHElke HeirmanUniversity Psychiatric Hospital SBStefano BarlatiBrescia University

Key Points

To examine the role and definition of shared decision making in the context of depression treatment.
Conducted a narrative review of existing literature on shared decision making and its application in depression.
Analyzed the influence of evidence-based and personalized patient-centered medicine on clinical practices.
Identified that shared decision making is not consistently integrated into clinical practices despite its perceived importance.
Highlighted the need for clearer definitions and frameworks for implementing shared decision making in treatment for depression.

Abstract

Background :While both evidence-based medicine as well as personalised patient-centred medicine are glorified, clinical practice seems to be only partially influenced by guidelines or by patients' views.Against this background, Shared Decision Making (SDM) became a hype but remains an ill-defined concept : it can be considered as an umbrella concept covering therapeutic alliance, physician and patient preferences,

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