«No matter how we looked at the data, the cost for the
DIMM clinic group was always lower, while their predicted Quality Adjusted Life Years were always higher,» said Hirsch, who is also a clinical pharmacist specialist at the Veterans Affairs San Diego Healthcare System.
Teachers rated the PDD and
nonPDD clinic groups as having equally severe ADHD and oppositional defiant disorder symptoms.
Equally, the improvements in mental health in the GEM
outpatient clinic group are curious because no significant differences in physical and social functioning were found.
The state farm group showed more psychopathology, greater marital disruption, less drinking alone, and four times the sexual promiscuity associated with drinking, as compared with
the clinic group.
We support a collaborative environment in
our clinic group, and are seeking enthusiastic, motivated DVMs to strengthen the bond between pets and clients...
Full remission from the index episode occurred in 78 % of
the clinic group and 92 % of the community group.
The prognostic factors associated with longer index episodes in
the clinic group were more severe impairment during the index episode (HR 3.27, 95 % CI 1.60 to 6.65), longer periods of depression before treatment (HR 0.95, 95 % CI 0.92 to 0.99), and younger age at first psychiatric episode (HR 1.12, 95 % CI 1.00 to 1.24).
Dropouts from
the clinic group had significantly different characteristics to those who participated in follow up (such as younger age at onset of index episode).
Clinic group: 58 participants aged 8 — 16 years attending a mental health clinic with depression (DSM - III - R major depression, minor depression, or dysthymia, assessed using the Schedule for Affective Disorders and Schizophrenia for School - Age Children (K - SADS), Present version).
In 22 % of children and adolescents in
the clinic group and in 8 % of the community group, the index episode persisted until age 22 years.
Median time to remission from the index episode was 24 months in
the clinic group and 3 months in the community group (p < 0.001).
The authors note that
the clinic group did not appear to differ from the comparison group in classroom behavior even before treatment.