Psychotropic drugs play a major role in primary care management of mental disorders.
This study expands the existing data on prescribing practices using data from a 15-center, primary care epidemiologic survey.
Questions to be addressed include the following : Which clinical and nonclinical factors are related to the prescribing of psychotropic drugs by primary care physicians ?
How do prescribing patterns vary across primary care centers ?
At each center, primary care patients were screened using the General Health Questionnaire, and a stratified random sample completed a standardized diagnostic assessment.
For each patient completing the diagnostic assessment, the treating primary care physician provided data on clinical diagnosis and medications prescribed.
Study results indicated that 11.5% of all practice attenders, 51.7% of cases who received a diagnosis of mental disorders by a physician, and 27.6% of cases who received a diagnosis using the Composite International Diagnostic Interview were treated with psychotropic medication because of their psychologic problems.
Anxiolytics, hypnotics, and antidepressants each accounted for approximately 20% of all prescriptions.
Prescription rates increased with the prominence of psychologic complaints, severity of mental disorder, severity of social disability, female gender, age older than 40 years, lower education, unemployment, and marital separation. (...)
Mots-clés Pascal : Psychotrope, Soin santé primaire, Médecin, Personnel sanitaire, Pratique professionnelle, Prescription médicale, Attitude, Homme, Trouble psychiatrique
Mots-clés Pascal anglais : Psychotropic, Primary health care, Physician, Health staff, Professional practice, Medical prescription, Attitude, Human, Mental disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0208010
Code Inist : 002B02B01. Création : 16/11/1999.