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Psychiatrists' attitudes to maintenance drug treatment in depression

  • Graham A. Jackson (a1) and Ishbel Maciver (a2)
Abstract
Aims and method

The recurrence rate of major depression can be decreased by the use of maintenance drug treatment. This paper describes a survey of Scottish psychiatrists' attitudes to prescribing maintenance therapy. Questionnaires were sent to all Scottish psychiatrists at consultant and associate specialist grade.

Results

It is evident that there are major differences in prescribing practices. How patients are managed would appear to depend on to whom they are referred.

Clinical implications

Psychiatrists do not appear to be practising evidence-based medicine in this context. There is perhaps a need for greater consensus on the prevention of recurrence.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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References
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Angst, J. (1992) How recurrent and predictable is depressive illness? In Long Term Treatment of Depression (ed. Montgomery, S.), pp 113. Chichester: John Wiley.
Ayd, F. J. (1984) Long term treatment of chronic depression: 15 year experience with Doxepin HCl. Journal of Clinical Psychiatry, 45, 3946.
Frank, E., Kupfer, D. J., Perel, J. M., et al (1993) Comparison of full dose versus half dose pharmacotherapy in the maintenance treatment of recurrent depression. Journal of Affective Disorders, 27, 139145.
Kupfer, D. J. (1993) Management of recurrent depression. Journal of Clinical Psychiatry, 54 (suppl.), 2933; 34–35.
Kupfer, D. J., Frank, E., Perel, J. M., et al (1992) Five year outcome for maintenance therapies in recurrent depression. Archives of General Psychiatry, 49, 769773.
Medical Research Council Drug Trials Subcommittee (1981) Continuation therapy with lithium and amitryptiline in unipolar depressive illness: a controlled clinical trial. Psychological Medicine, 11, 409.
Montgomery, S. A. (1996) Efficacy in long term treatment of depression. Journal of Clinical Psychiatry, 57 (suppl. 2), 2430.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Psychiatrists' attitudes to maintenance drug treatment in depression

  • Graham A. Jackson (a1) and Ishbel Maciver (a2)
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