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Am J Psychiatry 1993; 150:571-577
Copyright © 1993 by American Psychiatric Association
Trends in the prescription of antidepressants by office-based psychiatrists
M Olfson and GL Klerman
Department of Psychiatry, Cornell University Medical College, New York, NY.
OBJECTIVE: This study was done in an effort to determine whether there was
a change over the past decade in the number and proportion of patients
prescribed antidepressants by psychiatrists in private practice. METHOD:
The authors analyzed data from the National Ambulatory Medical Care Survey
for the years 1980, 1985, and 1989, focusing on visits by adults over the
age of 18 years to physicians specializing in psychiatry and psychiatric
subspecialties. RESULTS: The number of visits that included prescribing an
antidepressant medication grew from approximately 2.5 million in 1980 to
4.7 million in 1989, or from 17.9% to 30.4% of all office-based psychiatric
visits. Fluoxetine, which first became available in 1988, accounted for
29.6% of the prescriptions for antidepressants in 1989. Increases in
prescriptions for antidepressants were particularly evident for male
patients, young adult patients, and patients with neurotic disorders.
CONCLUSIONS: There was an increase in the 1980s in the use of
antidepressants in office-based psychiatric practice. The advent of new
agents and the broadening of the clinical usefulness of existing agents may
have contributed to this increase.
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