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Do GPs and psychiatrists recommend alternatives when prescribing anti-depressants?

机译:处方抗抑郁药时,全科医生和精神科医生会推荐替代药物吗?

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摘要

This study explores whether a partial explanation for high antidepressant prescription rates is the failure of prescribers to recommend alternatives. 1,829 New Zealand adults were asked which of six non-pharmacological treatment approaches were recommended when prescribed anti-depressants. The majority (82%) received at least one recommendation and 32% received three or more, most commonly ‘Counsellor/Psychologist/Psychotherapist’ (74%) and Exercise Schedule (43%). It cannot, therefore, be concluded that failing to consider non-pharmacological treatments is a major cause of high prescribing rates. Being younger and more severely depressed were both positively related to number of recommendations. Psychiatrists made significantly more recommendations than GPs.
机译:这项研究探讨了抗抑郁药高处方率的部分解释是否是开处方者未能推荐替代药物。询问了1,829名新西兰成年人在处方抗抑郁药时建议使用六种非药物治疗方法中的哪一种。大部分(82%)接受了至少一项推荐,32%接受了三项或以上推荐,最常见的是“参赞/心理医生/心理治疗师”(74%)和锻炼计划(43%)。因此,不能得出结论,不考虑非药物治疗是高处方率的主要原因。年轻人和更严重的抑郁症都与建议数量成正相关。精神科医生提出的建议比全科医生要多得多。

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