Literature DB >> 7619096

Antidepressant prescribing: a comparison between general practitioners and psychiatrists.

M P Kerr1.   

Abstract

BACKGROUND: The 'defeat depression' campaign emphasizes the importance of adequate prescribing of antidepressants in general practice. AIM: A study was undertaken to investigate the prescribing habits of a group of general practitioners and psychiatrists.
METHOD: A postal questionnaire was sent to 123 general practitioners and 97 psychiatrists in south Wales.
RESULTS: The response rate among general practitioners was 60% and among psychiatrists it was 67%. As a group, the psychiatrists reported using significantly higher daily dosages of antidepressant medication for adult and for elderly patients over a longer period compared with general practitioners. Fifty two per cent of 68 general practitioners and 17% of 60 psychiatrists reported using lower than recommended daily treatment dosages for adult patients and 40% of 68 general practitioners and 7% of 62 psychiatrists used a shorter than recommended period of continuation therapy (less than four months). Both groups showed a wide variation in the use of maintenance therapy.
CONCLUSION: Educational efforts should be made to improve the prescribing habits of general practitioners and psychiatrists.

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Year:  1994        PMID: 7619096      PMCID: PMC1238901     

Source DB:  PubMed          Journal:  Br J Gen Pract        ISSN: 0960-1643            Impact factor:   5.386


  7 in total

1.  Maintenance treatment in recurrent depression: current and future directions. The first William Sargant Lecture.

Authors:  D J Kupfer
Journal:  Br J Psychiatry       Date:  1992-09       Impact factor: 9.319

Review 2.  Recognition and management of depression in general practice: consensus statement.

Authors:  E S Paykel; R G Priest
Journal:  BMJ       Date:  1992-11-14

3.  Effect of an educational program for general practitioners on Gotland on the pattern of prescription of psychotropic drugs.

Authors:  W Rutz; L von Knorring; J Wålinder; B Wistedt
Journal:  Acta Psychiatr Scand       Date:  1990-12       Impact factor: 6.392

4.  A study of the use of antidepressant medication in general practice.

Authors:  D A Johnson
Journal:  Br J Psychiatry       Date:  1974-08       Impact factor: 9.319

5.  General practice patients on long-term psychotropic drugs. A controlled investigation.

Authors:  J Catalan; D H Gath; A Bond; G Edmonds; P Martin; J Ennis
Journal:  Br J Psychiatry       Date:  1988-03       Impact factor: 9.319

Review 6.  The importance of dosage in prescribing antidepressants.

Authors:  F M Quitkin
Journal:  Br J Psychiatry       Date:  1985-12       Impact factor: 9.319

7.  Drug treatment of psychiatric patients in general practice.

Authors:  P Tyrer
Journal:  Br Med J       Date:  1978-10-07
  7 in total
  11 in total

Review 1.  Should general practitioners refer patients with major depression to counsellors? A review of current published evidence. Nottingham Counselling and Antidepressants in Primary Care (CAPC) Study Group.

Authors:  R Churchill; M Dewey; V Gretton; C Duggan; C Chilvers; A Lee
Journal:  Br J Gen Pract       Date:  1999-09       Impact factor: 5.386

2.  Do practice guidelines augment drug utilisation review?

Authors:  E A Chrischilles; K Gondek
Journal:  Pharmacoeconomics       Date:  1997-12       Impact factor: 4.981

3.  Guideline adherence rates and interprofessional variation in a vignette study of depression.

Authors:  H Tiemeier; W J de Vries; M van het Loo; J P Kahan; N Klazinga; R Grol; H Rigter
Journal:  Qual Saf Health Care       Date:  2002-09

4.  Cross sectional database analysis of antidepressant prescribing in general practice in the United Kingdom, 1993-5.

Authors:  J Donoghue; A Tylee; H Wildgust
Journal:  BMJ       Date:  1996-10-05

Review 5.  Prevalence of potentially inappropriate long term prescribing in general practice in the United Kingdom, 1980-95: systematic literature review.

Authors:  S A Buetow; B Sibbald; J A Cantrill; S Halliwell
Journal:  BMJ       Date:  1996-11-30

6.  Continuing to defeat depression.

Authors:  A F Wright
Journal:  Br J Gen Pract       Date:  1995-04       Impact factor: 5.386

7.  What type and dose of antidepressants are cancer and non-cancer inpatients being prescribed: a retrospective case-control study at an Australian tertiary hospital.

Authors:  Saira Sanjida; Kelly Mulvogue; Joanne Shaw; Jeremy Couper; David Kissane; Sallie-Anne Pearson; Melanie A Price; Monika Janda
Journal:  Support Care Cancer       Date:  2017-09-19       Impact factor: 3.603

8.  General practitioners and psychiatrists: comparison of attitudes to depression using the depression attitude questionnaire.

Authors:  M Kerr; R Blizard; A Mann
Journal:  Br J Gen Pract       Date:  1995-02       Impact factor: 5.386

9.  Treatment-Refractory Depression in the Elderly: An Audit of Primary Care Referrals to Psychiatric Services in Swindon, U.K.

Authors:  Patrick Brooke; Mari Jones-Ritson; Roger Bullock
Journal:  Prim Care Companion J Clin Psychiatry       Date:  1999-12

10.  Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study.

Authors:  Eric van Rijswijk; Hein van Hout; Eloy van de Lisdonk; Frans Zitman; Chris van Weel
Journal:  BMC Fam Pract       Date:  2009-07-20       Impact factor: 2.497

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