Research for shared decision making model of psychiatric treatments in perinatal periods

2018 Fiscal Year Final Research Report

• Project/Area Number: 15K09880
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Psychiatric science
• Research Institution: National Center for Child Health and Development
• Principal Investigator: Tachibana Yoshiyuki 国立研究開発法人国立成育医療研究センター, こころの診療部, 診療部長 (50589512)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Keywords: シェアードデシジョンモデル / 意思決定支援システム / 周産期 / メンタルヘルス / 薬物療法 / 産後うつ病

Outline of Final Research Achievements

We developed decision-making system in perinatal periods based on shared decision model in which women with mental health problems can share opinions with psychiatrists and make decisions. The purpose of the present study was to investigate the effectiveness of the system. We made a manual for professionals and performed a randomized controlled trial. We demonstrated that this model can improve the drop-out ratio of the treatments in perinatal periods, women's mental health, the drop-out ratio of the medications. We also performed the workshop of the decision-making system in perinatal periods to disseminate our research.

Free Research Field

精神医学

Academic Significance and Societal Importance of the Research Achievements

妊娠中に精神疾患のため精神科治療が必要な患者に対し、精神科医師と意見を共有しながら治療を選択するシェアードデシジョンモデルに基づく意思決定支援システムが、周産期にメンタルヘルスの問題を持つ妊産婦の支援に有効であることが示され、臨床現場でも本研究で開発した意思決定支援システムを行うことが有効であると考えられる。