Psychiatric patients and treatments in 1997: findings from the American Psychiatric Practice Research Network.

Office of Research, American Psychiatric Association, Washington, DC 20005, USA.
Archives of General Psychiatry (Impact Factor: 14.48). 06/1999; 56(5):441-9.
Source: PubMed


Despite extensive studies on the epidemiology of mental disorders and advances in the treatment of these conditions, there is a paucity of detailed information concerning the characteristics of psychiatric patients and how treatments are administered in routine psychiatric practice. This 1997 observational study collected detailed information from 417 psychiatrists on the demographic, diagnostic, clinical, and treatment characteristics of a systematic sample of 1228 patients. Six hundred thirty-seven patients (51.9%) were women and the mean patient age was 41.9 years. The most common diagnostic category (53.7%) was mood disorders, followed by schizophrenia/psychotic disorders (14.6%), anxiety disorders (9.3%), and disorders of childhood (7.7%). Six hundred seventy-one patients (54.6%) had at least one comorbid Axis I condition and almost half (49.8%) had a history of psychiatric hospitalization. Patients received a mean of 2.0 psychotherapeutic medications, most commonly antidepressants (62.3%). Findings demonstrate that psychiatrists in routine practice treat a patient population with severe, complex conditions.

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    • "By 1996/1997, however, diagnoses of mood disorders were more than three times as common as anxiety diagnoses in office-based psychiatry (Mojtabai and Olfson 2008). A large study of psychiatric practice that the American Psychiatric Association (APA) conducted in 1997 is illustrative, finding that more than half of patients had mood disorders and about a third had a principal diagnosis of MDD, whereas just 10 percent had received a diagnosis of an anxiety disorder (Pincus et al. 1999). "
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    • "Despite an increasing amount of studies on the epidemiology of acute mental disorders and the availability of recently introduced pharmacological interventions in the management of such conditions, only few reports provide detailed information on the characteristics of psychiatric patients and treatments received both in the hospital setting and as routine clinical practice [1]. "
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    • "Each participating psychiatrist completed general information on 12 consecutive patients and more detailed data on a subsample of three patients, according to a randomly assigned start-time. Data were weighted with a three-stage propensity score weighting scheme to generate nationally representative estimates based on a random sample of APA members (Pincus et al., 1999). Among the 1843 patients for whom detailed diagnostic and treatment information was provided, 288 (15.6%) had a diagnosis of schizophrenia or other psychotic disorders , including schizophreniform disorder, schizoaffective disorder, and the other psychotic disorders defined by the "
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