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Titolo:
A record-based analysis of 803 patients treated for depression in psychiatric care
Autore:
Rytsala, HJ; Melartin, TK; Leskela, US; Lestela-Mielonen, PS; Sokero, TP; Isometsa, ET;
Indirizzi:
Natl Publ Hlth Inst, Dept Mental Hlth & Alcohol Res, Mood Disorders & Suicide Res Unit, FIN-00300 Helsinki, Finland Natl Publ Hlth Inst Helsinki Finland FIN-00300 N-00300 Helsinki, Finland Peijas Med Care Dist, Dept Psychiat, Vantaa, Finland Peijas Med Care DistVantaa Finland ist, Dept Psychiat, Vantaa, Finland
Titolo Testata:
JOURNAL OF CLINICAL PSYCHIATRY
fascicolo: 9, volume: 62, anno: 2001,
pagine: 701 - 706
SICI:
0160-6689(200109)62:9<701:ARAO8P>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEROTONIN REUPTAKE INHIBITORS; MAJOR DEPRESSION; TRICYCLIC ANTIDEPRESSANTS; GENERAL-PRACTITIONERS; DATABASE ANALYSIS; DISABILITY; PRESCRIPTION; COMMUNITY; PATTERNS; UNDERTREATMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Isometsa, ET Natl Publ Hlth Inst, Dept Mental Hlth & Alcohol Res, Mood Disorders & Suicide Res Unit, Mannerheimintie 166, FIN-00300 Helsinki, FinlandNatl Publ Hlth Inst Mannerheimintie 166 Helsinki Finland FIN-00300
Citazione:
H.J. Rytsala et al., "A record-based analysis of 803 patients treated for depression in psychiatric care", J CLIN PSY, 62(9), 2001, pp. 701-706

Abstract

Background: New antidepressants emerged and became widely used during the 1990s. The present study investigated quality-of-care problems in the treatment of depression in a current psychiatric settingMethod: We investigated the treatment received for depression by all 803 inpatients or outpatients with a clinical diagnosis of ICD-10 depressive episode or recurrent depressive disorder in 1996 in the Peijas Medical Care District, which provides psychiatric services for citizens of Vantaa, a city in southern Finland. Results: Most patients (84%) in the sample were found to have received antidepressants, generally in adequate, albeit low, doses. Inadequate antidepressant treatment was common only with tricyclic antidepressants. Most patients received a single antidepressant for extended periods; only 22% had 2 or more antidepressant trials. During the treatment period, disability pension was granted to 19% of those not already pensioned, two thirds (67%) of whom had received only I antidepressant trial prior to being granted a pension. Conclusion: The present study supports the emerging perception of improvedquality of pharmacotherapy in psychiatric settings, with the exception of treatment with tricyclic antidepressants. Problems of quality of care now appear to be related to the suboptimal intensity and monitoring of the treatment provided, which may eventually result in considerable costs to societydue to permanent disability.

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Documento generato il 20/01/20 alle ore 10:26:46