Community Mental Health Journal

, Volume 46, Issue 5, pp 466–473 | Cite as

Preferences for Participation in Decision Making Among Ethnically Diverse Patients with Anxiety and Depression

  • Sapana R. Patel
  • Suzanne Bakken
Original Paper


This study explored preferences for treatment decision making using the Control Preferences Scale and Problem Solving Decision Making Scale among a sample of ethnically diverse adults (N = 60) seeking treatment for anxiety and depression. Most participants expressed a desire for participation in shared decision making. Being Hispanic was significantly associated with a more passive role in decision making. Participants preferred more involvement in decision making versus problem solving tasks for both mental and general health vignettes, and more involvement in mental health versus general health decision-making. More research is needed to confirm tentative results on the influence of sociodemographic variables on preferences for role and participation in treatment decision making and the variation in these preferences. Treatment seeking individuals with anxiety and depression have identifiable preferences for participation in decision making. Asking about patient preferences and a better understanding of variability in preferences may improve patient-provider communication.


Shared decision making Ethnicity Mental health Preferences 



This work was supported by a Ruth L. Kirschstein National Research Service Award (NRSA) from the National Institute of Mental Health. Preparation of the manuscript was partially supported by the Center for Evidence-based Practice in the Underserved (P30NR010677).


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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.College of Physicians and SurgeonsThe New York State Psychiatric Institute and Columbia UniversityNew YorkUSA
  2. 2.Department of Biomedical Informatics, College of Physicians and SurgeonsColumbia University School of Nursing and Columbia UniversityNew YorkUSA

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