Abstract:
OBJECTIVE:This study was designed to identify: 1) predictors of antidepressant pharmacotherapy among patients diagnosed with depression; and 2) predictors of prescription for either a selective-serotonin reuptake inhibitor (SSRI), or a serotonin-norepinephrine reuptake inhibitor (SNRI). METHOD:Data from the 1995 National Ambulatory Medical Care Survey (NAMCS) were used to discern the number of office-based encounters documenting a diagnosis of depression (ICD-9-CM codes 296.2-296.36; 300.4; or 311) among patients eighteen years of age or older. Logistic regression-derived odds ratios (OR) and 95 percent confidence intervals (CI) were used to elucidate factors predictive of receipt of antidepressant pharmacotherapy, and, more specifically, factors predictive of receipt of an SSRI or an SNRI. Model variables included age (18-49 years as compared to > or = 50 years); race (white as compared to nonwhite, inclusive of Hispanics); gender; self-report of depression as a reason for the office-based encounter; and payer type (private insurance program as compared to public). RESULTS:Among the estimated 18,046,293 office-based visits resulting in a diagnosis of depression, 56.2 percent of patients self-reported depression as a reason for the office-based encounter; 67.5 percent were prescribed or continued a regimen of antidepressant pharmacotherapy; and 48.3 percent were prescribed an SSRI or an SNRI. Factors predictive of receipt of antidepressant pharmacotherapy included age less than fifty years (OR = 1.30, CI = 1.01-1.67); female gender (OR = 1.45, CI = 1.13-1.85); and self-report of depression as a reason for the office-based encounter (OR = 1.98, CI = 1.57-2.51). Factors predictive of receipt of an SSRI or an SNRI included age less than fifty years (OR = 1.31, CI = 1.03-1.65); female gender (OR = 1.55, CI = 1.23-1.95); and self-report of depression as a reason for the office-based encounter (OR = 1.56, CI = 1.25-1.95). In addition, having private insurance increased the likelihood of having been prescribed an SSRI or SNRI by 46 percent (OR = 1.46, CI = 1.13-1.89). CONCLUSIONS:Among patients with a diagnosis of depression, the pattern of prescribing antidepressant pharmacotherapy is influenced by a patient's age, gender, self-report of depression, and type of insurance coverage. Further research is required to discern the reasons for these observed effects and to advance clinically rational and equitable access to pharmacotherapeutic innovation.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Sclar DA,Robison LM,Skaer TL,Galin RSdoi
10.2190/6VR0-XRCG-G1H3-N9Q0subject
Has Abstractpub_date
1998-01-01 00:00:00pages
407-19issue
4eissn
0091-2174issn
1541-3527journal_volume
28pub_type
杂志文章abstract:OBJECTIVE:To compare the risk of sexual arousal difficulties between two groups of depressed female patients in remission who were treated with either escitalopram or fluoxetine. Associated factors were also examined. METHODS:This was a cross-sectional study involving 112 female patients attending the psychiatric clin...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.4.h
更新日期:2012-01-01 00:00:00
abstract::It is possible that Jack the Ripper can be understood in terms of doctor-identification borne of one or more terrifying experiences he may have had with doctors during his childhood. The fantasies acted out by this primitive murderer are similar to the fantasies experienced by people who have been surgically traumatiz...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BTBK-Q6QD-N88Y-82VA
更新日期:1975-01-01 00:00:00
abstract::Dialysis encephalopathy (DE) is a distinct neuropsychiatric syndrome typically occurring in patients undergoing longterm hemodialysis. It is characterized by electroencephalographic abnormalities in association with disturbances of speech, cognition, movement, affect, or behavior. Previously thought to be relentlessly...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/c36r-6wgp-lcyu-9vrg
更新日期:1983-01-01 00:00:00
abstract::The authors discuss the case of a mildly disfigured patient with Neurofibromatosis from the perspectives of his distorted body image, need to attribute problems in his social and work lives to unrealistic assessment of his disfigurement, changes in his self-concept following communication training, and the need for ph...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/rpjq-g087-4qly-rped
更新日期:1981-01-01 00:00:00
abstract:INTRODUCTION:In patients with acute physical illness, symptoms used in the diagnosis of major depression such as sleep or appetite disturbance may be nonspecific for depression. This study was undertaken to examine the association of depressed mood with other depressive symptoms to determine which symptoms were most us...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BWJA-KQP3-7VUY-D06T
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.38.3.b
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine the course and clinical correlates of depression during the first year after myocardial infarction. METHOD:A group of seventy patients hospitalized for the treatment of myocardial infarction (MI) were assessed for the presence of mood disorders during their hospital a...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U8R0-A61Y-AKRP-T24V
更新日期:1994-01-01 00:00:00
abstract::Noncompliance in the taking of medication for a chronic disorder was related to emotional adjustment, psychosocial adjustment, ability to assume responsibility in life generally, and financial factors. Of 282 adults with epilepsy, eighty were identified by physicians' ratings as definitely compliant and forty-two as n...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4ny4-3p1r-e2r9-mhcy
更新日期:1987-01-01 00:00:00
abstract::Priapism is a rare but severe medical condition of sustained and painful erection of penis in the absence of any sexual stimulation, in which the penis does not return to a flaccid state. It is considered to be a medical emergency because without treatment it can lead to permanent damage and fibrosis of penis and in t...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.1177/0091217415610312
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Vitamin D deficiency might influence the development of depression; however, the association between vitamin D and depression in renal transplant recipients has not been evaluated. We aimed to test if there is a relation between 25-hydroxy (OH) vitamin D levels and depressive symptoms in patients with kidney ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.2.e
更新日期:2014-01-01 00:00:00
abstract::Pérez-San-Gregorio M. A., Fernández-Jiménez E., Luque-Budia A., Martín-Rodríguez A. (2015). Anxiety and concerns in Spanish living kidney donor candidates. The International Journal of Psychiatry in Medicine, 50, 163-177. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,已发布勘误
doi:10.1177/0091217415623373
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Although generalized social anxiety disorder (gSAD) is more prevalent in women, the role of female reproductive hormones in gSAD has never been investigated. Therefore, our aim was to make a first inventory of the influence of female reproductive hormones on gSAD symptoms. METHOD:Female patients with gSAD wh...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.3.e
更新日期:2009-01-01 00:00:00
abstract::During five years of self-medication with Prednisone, a forty-one-year old asthmatic businessman experienced periods of euphoria, psychomotor hyperactivity, and poor judgement; a period of depression and anxiety during temporary steroid withdrawal; and finally, with resumption of Prednisone, episodes of grandiosity an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/ygla-68km-q2vv-x03m
更新日期:1976-01-01 00:00:00
abstract:OBJECTIVE:To investigate the impact of psychiatric illness, aggression, and other covarying variables on the compliance and coping potential of cancer patients treated in liaison-consultation psychiatry. METHODS:The study involves 270 cancer patients who were admitted to the oncology ward for diagnosis and treatment. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/73UU-R7AY-P0LE-QQ5L
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To seek clues to the enhancement of primary care management by (i) Determining how often and in whom primary care clinicians in the United States, Puerto Rico, and Canada identify pediatric mood or anxiety syndromes; (ii) Determining which clinical and demographic features predict higher rates of identificati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/UT6D-RDFG-LBT7-G39N
更新日期:2003-01-01 00:00:00
abstract::Anti-N-methyl-D-aspartate receptor (NMDA-R) encephalitis, first characterized in 2005, is a neurological disease with prominent psychiatric features that frequently involves the consultation of psychiatrists. Since its discovery, the rate of diagnosis of new cases has increased rapidly and several epidemiological stud...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.46.4.f
更新日期:2013-01-01 00:00:00
abstract::State and trait anxiety correlates of eight dimensions of illness behavior in response to myocardial infarction, were examined for 120 survivors of myocardial infarction. Six of eight illness behavior dimensions were found to be significantly associated with measures of state anxiety or trait anxiety or both. Trait an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/y9bw-rl3y-a2ck-0gm9
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:We hypothesized that a systematic determination of symptom severity would predict psychiatric admission for non-suicidal patients referred for a psychiatric evaluation in an urban emergency department (ED) setting. METHOD:In a pilot study involving consecutive patients referred for a psychiatric evaluation i...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章
doi:10.2190/1YVH-LBFF-QJRD-R2ET
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:Premature ejaculation is the most prevalent male sexual dysfunction. The present article is a comprehensive review of the literature on premature ejaculation. METHOD:This critical discussion of the literature evaluates the definitional issues, theoretical conceptualizations, assessment strategies, and treatm...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/UWP1-CNHH-L0NK-YQY9
更新日期:1992-01-01 00:00:00
abstract::The failure-to-thrive syndrome in geriatric patients is marked by social withdrawal, apathy, depression, anorexia, and cognitive impairment. For therapy to be effective, the treatment plan must target several of theseareas. This case report describes one such course of treatment for a patient with multiple myeloma wit...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/J82T-B61G-7DHD-4PW5
更新日期:2002-01-01 00:00:00
abstract::Even when non-epileptic seizures are correctly diagnosed, appropriate treatment recommendations may not be fully or correctly implemented. We present a case of a 17-year-old girl with frequent non-epileptic seizures who presented for frequent trips to the emergency room (ER) and was admitted to an inpatient Child and ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.42.3.g
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Depression scales that are responsive to changes in clinical symptoms are important for clinical monitoring and outcomes assessment in longitudinal studies. We evaluated the psychometric properties and responsiveness to clinical change of the 13- and 20-item versions of the Hopkins Symptom Checklist Depressio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U1B0-NKWC-568V-4MAK
更新日期:2004-01-01 00:00:00
abstract::Integrating behavioral health into primary healthcare offers multiple advantages for patients and health professionals. This model requires a new skill set for all healthcare professionals that is not emphasized in current educational models. The new skills include interprofessional team-based care competencies and ex...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.45.4.g
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:The aim of this article is to review and discuss the efficacy of the Cognitive-Behavioral Therapy (CBT), in the prevention of postnatal depression (PD) in pregnant women at risk. METHOD:PubMed, Medline, PsychInfo, Embase, and the Cochrane Library databases were searched from February 1991 to February 2011. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.43.3.b
更新日期:2012-01-01 00:00:00
abstract::Over 2 million adults in the United States are incarcerated and over 650,000 return to the community each year. This disparate population is known to have an elevated burden of chronic disease and lower socioeconomic status. Medical residency training about care of incarcerated or previously incarcerated patients is s...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417738935
更新日期:2017-07-01 00:00:00
abstract::Sixty right-handed adult subjects, divided equally into three groups (mildly depressed, normal, and "low normal") on the basis of the Zung self-Rating Depression Scale, were exposed for forty seconds each to forty-eight imagery items designed to reflect happy, sad, angry, and fearful situations. Expressed emotion (fac...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/h3ax-k9nm-q2xl-6gr3
更新日期:1982-01-01 00:00:00
abstract::Recent case reports have suggested an association between anorexia nervosa and/or bulimia with insulin-dependent diabetes mellitus (IDDM). Fifty-eight females aged fifteen to twenty-two with IDDM for more than one year were assessed for the presence of eating disorders. Patients were screened for eating and weight pat...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/hulh-ctpr-4v17-383c
更新日期:1986-01-01 00:00:00
abstract::Two cases from an adolescent dialysis group are presented to illustrate the limitations of the generally used models of patient compliance and noncompliance with medical treatment. Understanding the noncompliance of these two young men required awareness of their psychological development and of the interpersonal matr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/3vm7-gkwn-6pc2-rr76
更新日期:1981-01-01 00:00:00
abstract::Caring for patients can induce intense emotions in psychiatrists. Although clinical experience suggests that such feeling can become a source of stress for the psychiatrists, particularly the first year resident, and interfere adversely with patient care, research in this area has been lacking. We studied a group of p...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/nl9x-7tb9-4npm-0f6k
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:The goal of our study was to compare the incidence of Attention Deficit Hyperactivity Disorder (ADHD) observed in students at the School of Physical Education and Sports (SPES), which is a school that provides higher education in athletics, with that observed in students studying in other departments of the u...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.46.2.d
更新日期:2013-01-01 00:00:00