Adequacy of antidepressant treatment by psychiatric residents

The antidepressant treatment history form as a possible assessment tool

Rachel Elizabeth Dew, Stephen I. Kramer, William Vaughn McCall

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: Facility in psychopharmacology is a major goal of psychiatric residency. This study assesses the adequacy of pharmacotherapy provided to depressed patients in a resident clinic. Methods: Charts of all 285 patients seen in an outpatient triage clinic during 2000 were reviewed. One hundred twelve patients had diagnoses of major depression, dysthymia, depressive disorder not otherwise specified, adjustment disorder with depressed mood, or bipolar disorder with a documented depressed episode during the studied period. Pharmacotherapy prescribed to these 112 patients was rated using the Antidepressant Treatment History Form (ATHF). Also analyzed were weeks in treatment and Clinical Global Impression (CGI) Severity score assigned retrospectively. Results: Of the 112 charts subjected to detailed review, 49.1% documented adequate treatment. Antidepressant Treatment History Form ratings increased with treatment duration. No correlation was found between ATHF ratings and CGI ratings. Conclusions: Results suggest that time retained in treatment is a major factor in treatment adequacy.

Original languageEnglish (US)
Pages (from-to)283-288
Number of pages6
JournalAcademic Psychiatry
Volume29
Issue number3
DOIs
StatePublished - Jul 1 2005
Externally publishedYes

Fingerprint

Antidepressive Agents
Psychiatry
History
rating
resident
history
outpatient clinic
mood
Therapeutics
Adjustment Disorders
Drug Therapy
Psychopharmacology
Triage
Depressive Disorder
Internship and Residency
Ambulatory Care Facilities
Mood Disorders
Bipolar Disorder
Depression
time

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Education

Cite this

Adequacy of antidepressant treatment by psychiatric residents : The antidepressant treatment history form as a possible assessment tool. / Dew, Rachel Elizabeth; Kramer, Stephen I.; McCall, William Vaughn.

In: Academic Psychiatry, Vol. 29, No. 3, 01.07.2005, p. 283-288.

Research output: Contribution to journalArticle

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