OBJECTIVE: To determine the rates and predictors of treatments for @entity1 with common @entity146 in Australian general practice. DESIGN AND SETTING: Cross-sectional national audit of general practices throughout Australia in 1998-1999. @entity1 : 46 515 ambulatory care @entity1 attending 386 GPs. SCREENING TOOLS: Prevalence of common @entity146 --12 items from the 34-item SPHERE self-report questionnaire and associated classification system; pharmacological and non-pharmacological treatment provided, as reported by the GPs--questions relating to treatments provided; predictors of treatments--self-report questions about demography for @entity1 and GPs, and about practice organisation for GPs. MAIN OUTCOME MEASURES: GPs' reported provision of pharmacological and nonpharmacological treatments; and @entity1 , GP and practice characteristics predicting treatment provision. RESULTS: There were complete data on treatment for 39 983 @entity1 . 27% (10752) of all @entity1 received some form of intervention; 21% (8304) received non-pharmacological and 12% (4765) received pharmacological treatments. Non-pharmacological treatments were mostly non-specific counselling and support (83%; 6892/8304). Among the 10303 @entity1 with the most severe level of @entity74 , only 50% (5152) received any intervention (38% [3872] received non-pharmacological and 27% [2766] pharmacological treatments). Evidence-based treatments were provided to only 12% (4961) of all @entity1 (and only 27% [2802] of the 10303 with the most severe disorders). Although the newer antidepressant agents were commonly prescribed, older medications (mainly tricyclic antidepressants) were prescribed to older (OR, 1.29; 95% CI, 1.07-1.56), less educated (OR, 1.41; 95% CI, 1.12-1.79) and female (OR, 1.44; 95% CI, 1.23-1.70) @entity1 . Among the 8304 @entity1 receiving non-pharmacological treatments, specific (evidence-based) treatments were provided to only 17% (1412); these @entity1 were typically middle-aged (OR, 2.94; 95% CI, 2.32-3.73) and the providing GPs were typically not in full-time practice (OR, 3.34; 95% CI, 2.56-4.17). CONCLUSION: Practitioners largely provide non-specific, non-pharmacological interventions for @entity1 with common @entity146 . Even among those with the most severe disorders, only a minority receive pharmacological or specific evidence-based non-pharmacological treatments.

Treatment of common XXXX in Australian general practice.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PARTICIPANTS'] @entity74 :: ('MESH:D030342', 'Disease') :: ['psychological disorders'] @entity146 :: ('MESH:D001523', 'Disease') :: ['mental disorders']
@entity146 :: (MESH:D001523,Disease) :: ['mental disorders']
