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The British Journal of Psychiatry 144: 603-610 (1984)
© 1984 The Royal College of Psychiatrists

The effects of non-prescribing of anxiolytics in general practice. II. Factors associated with outcome

J Catalan, D Gath, A Bond and P Martin

Factors associated with psychiatric outcome were examined in a series of 87 patients who had presented in general practice with new episodes of minor affective disorder. Two outcome measures were used: (i) Status on Present State Examination (PSE) seven months after initial consultation; (ii) prescribing of psychotropic medication between one- month and seven-month follow-up assessments. Outcome according to the PSE was significantly associated with: worse measures of psychiatric state (General Health Questionnaire, Profile of Mood states) and of social functioning (SAS-M) at initial consultation and one month later; and with persistent anxious or depressed mood during the follow-up period; but not with life events. During the follow-up period 20 patients received at least one psychotropic prescription; they were significantly associated with worse initial GHQ scores, consumption of tobacco and non-prescribed medication, and initial anxiety. A sub-group of 11 patients received multiple psychotropic prescriptions; they were significantly associated with the same initial measures, and also with poor outcome measures (psychiatric and social).


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International Journal of Social Psychiatry, March 1, 1996; 42(1): 45 - 57.
[Abstract] [PDF]


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Copyright © 1984 The Royal College of Psychiatrists.