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'Standard' Clinical Practice as an Unexamined Topic

David J. Kupfer, MD; Daniel X. Freedman, MD

Arch Gen Psychiatry. 1986;43(5):509-511.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The first reports from the epidemiologic catchment area (ECA) studies, in line with other recent, smaller surveys, indicated a lifetime prevalence for affective disorders between 6.1% and 9% and a six-month prevalence of affective disorders ranging from 4.6% to 6.5%.^1,2 Yet despite the prevalence of the disorder and increasing recognition of it by a more informed public, two recent sources of evidence point to the underuse of treatment. The ECA studies and the recent Consensus Development Conference on Recurrent Mood Disorders³ both concluded that less than one third of those individuals suffering from a depressive illness actually receive treatment. The early ECA findings suggest that only 31.2% to 31.7% of subjects meeting criteria for an affective disorder are likely to obtain professional care.⁴ While there are complexities in determining what constitutes a "case"⁵ or appropriate diagnosis and treatment, the extent and actual basis of underdiagnosis or . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Psychiatry, University of Pittsburgh School of Medicine (Dr Kupfer); and the Department of Psychiatry and Biobehavioral Sciences, Neuropsychiatric Institute, University of California, Los Angeles (Dr Freedman).

Footnotes
Accepted for publication Feb 17, 1986.

Reprint requests to Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara St, Pittsburgh, PA 15213 (Dr Kupfer).

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