National trends in psychotropic medication polypharmacy in office-based psychiatry

Ramin Mojtabai, Mark Olfson

Research output: Contribution to journalArticle

Abstract

Context: Psychotropic medication polypharmacy is common in psychiatric outpatient settings and, in some patient groups, may have increased in recent years. Objective: To examine patterns and recent trends in psychotropic polypharmacy among visits to office-based psychiatrists. Design: Annual data from the 1996-2006 cross-sectional National Ambulatory Medical Care Surveys were analyzed to examine patterns and trends in psychotropic polypharmacy within nationally representative samples of 13 079 visits to office-based psychiatrists. Setting: Office-based psychiatry practices in the United States. Participants: Outpatients with mental disorder diagnoses visiting office-based psychiatrists. Main Outcome Measure: Number of medications prescribed in each visit and specific medication combinations. Results: There was an increase in the number of psychotropic medications prescribed across years; visits with 2 or more medications increased from 42.6% in 1996-1997 to 59.8% in 2005-2006; visits with 3 or more medications increased from 16.9% to 33.2% (both P

Original languageEnglish (US)
Pages (from-to)26-36
Number of pages11
JournalArchives of General Psychiatry
Volume67
Issue number1
DOIs
StatePublished - Jan 2010

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Polypharmacy
Psychiatry
Office Visits
Outpatients
Health Care Surveys
Mental Disorders
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Psychiatry and Mental health

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National trends in psychotropic medication polypharmacy in office-based psychiatry. / Mojtabai, Ramin; Olfson, Mark.

In: Archives of General Psychiatry, Vol. 67, No. 1, 01.2010, p. 26-36.

Research output: Contribution to journalArticle

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