Related Experiment Video
Updated: Mar 27, 2026
04:33
Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
1.7K
Association Between Psychiatrists' Subjective Clinical Behavior Scores and Objective Quality Indicators Based on
Kazuhiko Yamamuro1,2, Naomi Hasegawa3, Yusuke Arai4
1Center for Health Control, Nara Medical University, Kashihara, Nara, Japan.
Neuropsychopharmacology Reports
|March 24, 2026
Summary
Psychiatrists' self-assessed clinical behaviors partially align with actual prescribing practices for schizophrenia and major depressive disorder. This suggests self-assessments can help identify needs for improving evidence-based care.
Area of Science:
- Psychiatry
- Clinical Pharmacology
- Health Services Research
Background:
- Psychiatrists often overestimate their adherence to clinical guidelines.
- A gap exists between perceived and actual prescribing behaviors.
Purpose of the Study:
- To examine the association between self-assessed clinical behavior scores (CBs) and objective prescribing practices (quality indicators, QIs).
- To explore this association within the EGUIDE educational program for schizophrenia and major depressive disorder.
Main Methods:
- Prospective observational multicenter study in Japan with 820 psychiatrists.
- Analysis of associations between psychiatrists' CB scores and QIs based on discharge prescriptions for patients with schizophrenia (n=6714) and major depressive disorder (n=3692).
- Logistic regression adjusted for covariates.
Main Results:
- For schizophrenia, CBs correlated with 8/11 QIs, including assessment of treatment resistance and specific antipsychotic/adjunctive medication use.
- For major depressive disorder, CBs correlated with 3/7 QIs, including severity assessment and specific medication/treatment choices.
- Significant associations were found between self-assessment and objective prescribing quality.
Conclusions:
- Self-assessed clinical behaviors partially reflect actual prescribing practices.
- Subjective evaluations integrated into assessment tools can promote guideline adherence.
- Self-assessments offer a scalable method to identify needs for educational or system-level support in evidence-based prescribing.
More Related Videos
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
13.3K
02:28Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
1.0K
Related Concept Videos
01:31Discharge Summary Forms
1.3K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.3K
01:28Drug Therapy
392
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
392
01:26Psychosis: Goals of Pharmacotherapy
662
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
662
01:30Psychosurgery
2.2K
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
2.2K
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
1.7K
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
1.7K
01:52Regression Toward the Mean
7.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
7.3K