Improving the Therapeutic Relationship When Prescribing Antidepressants: A Pilot Study.

Michel, Konrad; Lutz-Beck, Daniela; Engeroff, Sylva (2023). Improving the Therapeutic Relationship When Prescribing Antidepressants: A Pilot Study. Healthcare, 11(21) MDPI 10.3390/healthcare11212825

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Studies indicate that the quality of the doctor-patient relationship moderates the effect of pharmacotherapy. To enhance the quality of the therapeutic relationship in the pharmacotherapy of depression, we developed a brief manual with interactive materials for residents in psychiatry and their patients. In a pilot study at a psychiatric university hospital's outpatient department, we compared patient-centered treatment parameters of a first patient group treated as usual and a second patient group treated using the manual. The study had no influence on the choice of medication. In the manual group, patient satisfaction with the doctor-patient relationship increased significantly at the three-month follow-up. Depression parameters declined in both groups, without group differences. Continuation of antidepressant medication at six months was higher in the manual group. In conclusion, a simple intervention using written materials for doctors prescribing antidepressants improved doctors' and patients' satisfaction with treatment.

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