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Published Online: 30 July 2014

Treatment of Obsessive-Compulsive Disorder in a Nationwide Survey of Office-Based Physician Practice

Sapana R. Patel, Ph.D., Jennifer L. Humensky, Ph.D., Mark Olfson, M.D., Helen Blair Simpson, M.D., Ph.D., Robert Myers, Ph.D., and Lisa B. Dixon, M.D., M.P.H.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 65, Number 5
https://doi.org/10.1176/appi.ps.201300192
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Abstract

Objective

This study examined treatment of obsessive-compulsive disorder (OCD) in office-based practice.

Methods

Data from the 2003–2010 National Ambulatory Medical Care Survey, a nationally representative survey of visits to U.S. office-based physicians, were used to examine outpatient visits involving treatment of adults with OCD.

Results

Among the 316 visits with a diagnosis of OCD, most were to a physician seen previously by the patient (96%), usually a psychiatrist (86%), and most patients (56%) had seen the physician at least six times in the previous year. Most visits included psychotropic medications (84%), most commonly a serotonin reuptake inhibitor (SRI) (69%). Visits less commonly included psychotherapy (39%).

Conclusions

OCD was predominantly treated by psychiatrists using SRIs, despite the prevalence of OCD in primary care and SRI prescribing practices in that setting. Given the potential shift in OCD treatment patterns after health care reform, research on OCD treatment in primary care is warranted.

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Information & Authors

Information

Published In

Go to Psychiatric Services
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Cover: Gisele, by Elizabeth Shippen Green Elliott, published in Harper's magazine, 1908. Watercolor and charcoal drawing. Library of Congress Prints and Photographs Division, Washington, D.C.

Psychiatric Services
Volume 65 • Number 5 • May 2014
Pages: 681 - 684
PubMed: 24585056

History

Published in print: May 2014
Published online: 30 July 2014

Authors

Details

Sapana R. Patel, Ph.D.
Except for Dr. Myers, the authors are with the New York State Psychiatric Institute and the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City (e-mail: [email protected]). Dr. Myers is with the New York State Office of Mental Health, New York City.
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Jennifer L. Humensky, Ph.D.
Except for Dr. Myers, the authors are with the New York State Psychiatric Institute and the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City (e-mail: [email protected]). Dr. Myers is with the New York State Office of Mental Health, New York City.
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Mark Olfson, M.D.
Except for Dr. Myers, the authors are with the New York State Psychiatric Institute and the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City (e-mail: [email protected]). Dr. Myers is with the New York State Office of Mental Health, New York City.
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Helen Blair Simpson, M.D., Ph.D.
Except for Dr. Myers, the authors are with the New York State Psychiatric Institute and the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City (e-mail: [email protected]). Dr. Myers is with the New York State Office of Mental Health, New York City.
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Robert Myers, Ph.D.
Except for Dr. Myers, the authors are with the New York State Psychiatric Institute and the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City (e-mail: [email protected]). Dr. Myers is with the New York State Office of Mental Health, New York City.
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Lisa B. Dixon, M.D., M.P.H.
Except for Dr. Myers, the authors are with the New York State Psychiatric Institute and the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City (e-mail: [email protected]). Dr. Myers is with the New York State Office of Mental Health, New York City.
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