Cited by 179Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsMental Health Treatment and Access

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Why Don't Psychiatrists Use Scales to Measure Outcome When Treating Depressed Patients?

Zimmerman, Mark, McGlinchey, Joseph B.·2008·The Journal of Clinical Psychiatry

DOI 10.4088/jcp.v69n1209

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Abstract

OBJECTIVE: A survey of psychiatrists in the United Kingdom found that only a minority routinely used standardized measures to assess outcome when treating depression and anxiety disorders. The goals of the present study were to determine how frequently psychiatrists in the United States use scales to measure outcome when treating depressed patients and, for those clinicians who do not regularly use such scales, to ascertain the reasons for the lack of use. METHOD: The subjects were 314 psychiatrists who attended a continuing medical education conference in California, Massachusetts, New York, or Wisconsin in 2006 or 2007. Prior to a lecture, the subjects completed a questionnaire that included 2 questions regarding the use of rating scales to monitor outcome when treating depression. RESULTS: More than 80% of the psychiatrists indicated that they did not routinely use scales to monitor outcome when treating depression. The most frequent reasons psychiatrists gave for not using scales were that they did not believe scales would be clinically helpful, that scales take too much time to use, and that they were not trained in the use of such measures. CONCLUSIONS: The majority of psychiatrists indicated that they do not routinely use standardized measures to evaluate outcome when treating depressed patients. The Centers for Medicare and Medicaid Services' Physician Quality Reporting Initiative is intended to improve quality of care by providing physicians financial incentives to document outcomes reflecting best practices. If standardized outcome assessment is to assume increasing importance in this country, either educational efforts or payor mandates, or both, will be necessary to change clinicians' behavior.

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Authors: Zimmerman, M., & McGlinchey, J. B.
Affiliations: Brown University (US)
ORCID: Zimmerman, Mark
Venue: The Journal of Clinical Psychiatry
Publisher: Physicians Postgraduate Press, Inc
Published: 2008-12-31
Volume: 69
Issue: 12
Pages: 1916-1919
ISSN: 0160-6689 (ISSN-L)
DOI: 10.4088/jcp.v69n1209
OpenAlex: W2092574656
Cited by: 179
References: 0
Citations by year: 2026: 7 · 2025: 17 · 2024: 13 · 2023: 10 · 2022: 10 · 2021: 14 · 2020: 11 · 2019: 12 · 2018: 20 · 2017: 9 · 2016: 7 · 2015: 4 · 2014: 5 · 2013: 6 · 2012: 7
FWCI: 12.27
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Clinical Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: depression, outcome measurement, rating scales, psychiatrists, clinician behavior, Physician Quality Reporting Initiative, quality of care, continuing medical education, anxiety disorders
MeSH terms: Adult, Aged, Antidepressive Agents, Attitude of Health Personnel, Depressive Disorder, Education, Medical, Continuing, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychiatry, Quality Assurance, Health Care, Surveys and Questionnaires, Outcome Assessment, Health Care

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Why Don't Psychiatrists Use Scales to Measure Outcome When Treating Depressed Patients?

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