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Titolo:
Practitioner versus medication-expert opinion on psychiatric pharmacotherapy of mentally retarded patients with mental disorders
Autore:
Patel, NC; Crismon, ML; Rush, AJ; Frances, A;
Indirizzi:
Univ Texas, Coll Pharm, Austin, TX 78712 USA Univ Texas Austin TX USA 78712 iv Texas, Coll Pharm, Austin, TX 78712 USA Texas Dept Mental Hlth & Mental Retardat, Off Med Director, Austin, TX USATexas Dept Mental Hlth & Mental Retardat Austin TX USA r, Austin, TX USA Univ Texas, SW Med Ctr, Dept Psychiat, Dallas, TX USA Univ Texas Dallas TX USA exas, SW Med Ctr, Dept Psychiat, Dallas, TX USA
Titolo Testata:
AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
fascicolo: 19, volume: 58, anno: 2001,
pagine: 1824 - 1829
SICI:
1079-2082(20011001)58:19<1824:PVMOOP>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE DEPRESSION; ANTIDEPRESSANTS; AWARENESS;
Keywords:
antidepressants; antimanic agents; data collection; lithium; mental retardation; mirtazapine; protocols; psychotherapeutic agents; psychotic disorders; venlafaxine;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Crismon, ML Univ Texas, Coll Pharm, Austin, TX 78712 USA Univ Texas Austin TX USA 78712 ll Pharm, Austin, TX 78712 USA
Citazione:
N.C. Patel et al., "Practitioner versus medication-expert opinion on psychiatric pharmacotherapy of mentally retarded patients with mental disorders", AM J HEAL S, 58(19), 2001, pp. 1824-1829

Abstract

The agreement of practicing psychiatrists with medication experts regarding how psychotropic drugs should be used to treat behavioral and psychiatricproblems in patients with mental retardation was studied. The medication survey used in developing guidelines on the treatment of behavioral and psychiatric problems in mental retardation was sent to 85 psychiatrists who had been identified as caring for the mentally retarded in the Texas public mental health system. The comparison of these practitioners with the medication experts included first-line and second-line treatment choices. Survey analysis was based on using 95% confidence intervals (Cis) to determine the type of rating. If the 95% Cis for the practitioners' responses overlapped the 95% Cis for experts, the two groups were judged to be in agreement. Thirty-seven practitioners (43.5%) completed and returned the survey. Few differences between the practitioners and the medication experts were foundwith respect to treatments for specific mental-illness diagnoses. However,the practitioners rated venlafaxine and mirtazapine higher than the medication experts. Lithium augmentation of therapy with selective serotonin-reuptake inhibitors for nonpsychotic depression was rated first-line by the practitioners and second-line by the medication experts. Practicing psychiatrists and medication experts generally agreed about theuse of psychotropic drugs for mental illness in patients with mental retardation.

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Documento generato il 29/03/20 alle ore 01:59:35