Seven-day shared decision making for outpatients with first episode of mood disorders among university students: A randomized controlled trial

Yumi Aoki, Yoshikazu Takaesu, Masato Inoue, Takehiko Furuno, Yasushi Kobayashi, Hiromi Chiba, Yasuhide Kakita, Masashi Hori, Hisateru Tachimori, Koichiro Watanabe

Research output: Contribution to journalArticle


Providing appropriate treatment to patients with a first episode of mood disorders is crucial for recovery from the disorders. Although shared decision making (SDM) has been proposed as a promising model in psychiatric practice, an appropriate SDM approach has not yet been established. The aim of the current study was to evaluate the effects of an originally developed seven-day SDM program for outpatients with a first episode of mood disorders among university students. University students with a first episode of mood disorders were randomly allocated into two arms: SDM and control. The participants in the SDM arm received the seven-day SDM program, which included option presentation consultation, external deliberation with a decision aid booklet, decision coaching by a nurse, and decision-making consultation. The control arm received usual care. The primary outcome was patient-perceived involvement. We enrolled 88 participants. Compared with usual care, the SDM program significantly improved patient-perceived involvement in treatment decision making without taking up clinicians’ time. The program did not lead to worse symptoms of mood disorders. In conclusion, sharing treatment decision making with university students with a first episode of mood disorders is feasible.

Original languageEnglish
Article number112531
JournalPsychiatry Research
Publication statusPublished - 2019 Nov



  • Bipolar disorders
  • Decision aid
  • Decision making
  • Decision support techniques
  • Depression
  • Patient participation
  • SDM
  • Young adult

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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