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Table 5 Comparison of medical care of GPs' patients and psychiatrists' patients

From: Roles and practices of general practitioners and psychiatrists in management of depression in the community

 

GPs' patients

n = 6104

n (%)

Psychiatrists' patients

n = 1433

n (%)

OR (1) [IC95]*

Time in care

   

Less than 1 year

1157 (19.0)

911 (63.8)

14.96 [12.37 – 18.10]

1 to 5 years

1989 (32.7)

366 (25.6)

3.51 [2.87 – 4.29]

more than 5 years

2928 (48.2)

151 (10.6)

1.0

Current prescription of...

...antidepressant

   

None

1418 (23.2)

213 (14.9)

1.0

One SSRI

4110 (67.3)

943 (65.8)

1.51 [1.28 – 1.78]

tricyclic

142 (2.3)

112 (7.8)

5.03 [3.73 – 6.77]

Another class

185 (3.0)

98 (6.8)

3.77 [2.81 – 5.06]

2 or more antidepressants

249 (4.1)

67 (4.7)

1.73 [1.26 – 2.37]

...anxiolytic or hypnotic

   

Yes

2706 (44.3)

749 (52.3)

1.34 [1.19 – 1.50]

No

3398 (55.7)

684 (47.7)

1.0

...antipsychotic

   

Yes

331 (5.4)

136 (9.5)

1.63 [1.31 – 2.03]

No

5773 (94.6)

1297 (90.5)

1.0

Psychotherapy **

   

Yes

4406 (72.2)

1277 (89.1)

3.07 [2.57 – 3.67]

No

1698 (27.8)

156 (10.9)

1.0

Care also provided by another health professional

   

Yes

1245 (20.4)

221 (15.4)

0.62 [0.53 – 0.73]

No

4859 (79.6)

1212 (84.6)

1.0

Alternative or non-conventional treatment ***

   

Yes

540 (8.8)

34 (2.4)

0.26 [0.19 – 0.38]

No

5564 (91.2)

1399 (97.6)

1.0

  1. In bold: statistically significant odds ratio (p < 0.05) and less than 0.5 or higher than 2.0
  2. * GPs' patients are the reference, odd ratio adjusted on gender, on age as a quantitative variable and on the CGI-severity score
  3. ** Supportive therapy, psychoanalytically oriented therapy or cognitive-behavioral therapy
  4. *** Homeopathy, acupuncture, herbal medicine or mesotherapy