d(lVice afl(l John. (oi#{236}noll for help with the figure;. Harold. I. Schwartz,. MI)., ..... among women. Dvoredsky and. Cooley. (4) also reported that schizophrenia.
aiid
interventions,
consideration strategies.
filled g);
uicl
Ilistea(l
with our
of
a single
coherent
a thick
juiiibled
of the patient, perience, and Patient
lected
infonuuatioi#{236}
in coniputer
vill systems
printing a fresh sumniary tient daml Our proposal courage
doctors
health
I)rofessiolials
ail
reinvent,
1)svCliiatnic
coniputer
prograniniers
tional
habit
into
cx-
SOn,
be colcapable of
SOOfl
for each should
other to reslial)e,
1
authors d(lVice
I ngc
afl(l
John
Druckre (oi#{236}noll
M.D.,
Selby Kini,
J. Craig
C. JaM.D., Nd-
(ICr.
PP Uhde TW: of the life course vith affective disorJournal of Psychiatry
Anerican
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EB (eds):
l’lie
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iolog
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in Iue(lical 12:871-81,
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RJ: Practical
Wyatt
Retreat)
Robert
Stephen Fleck, M.D., \l.D., Kathleen M. 4. Mazure, Ph.D., M.D., Morton F Reisei;
C\’CIHICS
institu-
:3. thank
Institute
1lartford to view to 1824;
Bowers,
h)rnhtts.
2.
Acknowledgments The sign
.
#{149}
silicon.
the
4.
Schwartz, Pleckiatis,
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PP
Clinical Characteristics and Health Resource Use of Men and Women Veterans With Serious Mental Illness Martha Sajatovic, M.D. Lance Vernon, B.S. Semple,
William
In this
Ph.D.
retrospective
der-specific
analysis
differences
among
erans with serious mental clinical characteristics service utilization 1 14 men were had
fewer
nesses disorders
men,
were
morbid
vet-
use
in the
co-
for 50 percent
suboptimally
(LIlt/WI’S
(lC
percent
scruice
of
chosis.
Ofpsi/(hliatfl/ Vi
(It
Case
chosis more among
%%sk’r1l
(;hr’hz,id.
PSYCHIATRIC SERVICES #{149} November
study
of The
group,
were
Vol.
vet-
with
results
uch fective
veterans.
48
No.
11
primary that veterans than (Psychiatric 1997)
and
in 1)0th sexes
ly equal
tion
mental
as schizophrenia, disorder,
with (1),
exist
of these
schizoaf-
genden-relat-
For example,
of schizophrenia
pears
to be better
for women
15.3
men,
and
with
psy-
generally
psy-
1)itdl treatment,
is that
and less likelihood hospital discharge Women
percent
women have
ap-
than
for
schizophrenia
a better
course
of hos-
shorter
hospital
stays,
relapse
after
represent
4.5
of (2).
currently
of the
disorder
approximate-
in the manifesta-
disorders.
outcome
illnesses
bipolar
prevalence
global
prima-
with
suggest
among women severe or refractory men
with
compared men
for illness
prescribed
of women
Services 48:1461-1463, 1997
used
responsive
psychosis,
Tue
Lliiit-ersitij
the
serious
ed differences
only
affiliated wit/i the psijeluthe Veterans Affairs \1edic#{252}lCenter, 10000 Breckscille Road, Brecksville, Ohio 44141. Dr. Sajatovic (118(1 Dr. Semple (Ill’ (use afjiliatc(l with the
lthough
samples
illness,
antipsychotics,
substance frequent
both
Atypical
ill-
the most
nonveteran
mental
psychiatric and
for
occur
atrtj
Resert-e
Unlike
serious
illness
erans in this study showed no gender differences in hospital length of stay.
ry
(l(’j)aIl?lU’flt
psychiatric
genders. with
illness, the and health
of 57 women and compared. Women
comorbid
than
of gen-
veteran
population,
al1461
43±11.05
1
Table
Classes
ofmedications
prescribed
for women
men
and
veterans
with
primary
psy-
chosis Women Medication
class
Conventional antipsychotic’ Atypical antipsychotic2
Men
(N
72)
N
%
N
%
22 18
61.1 50.0
63 11
87.5 15.3
Anxiolytic
7
19.4
18
25.0
36.1
19
26.4
agent
18
50.0
23
31.9
1
Significant
difference difference
though
this
between
women women
between
proportion
and men and men
is likely
to in-
crease in the coming years. Between 1973 and 1989 the percentage of women in the U.S. armed services rose from
1.6 to 10.8 percent
Women ited
with
(3).
severe
capacity
for
and lim-
recovery
in the
population
women veterans from Department
seeking health care of Veterans Affairs
(4). Accordingly,
seek VA mental to have serious Unlike illnesses veterans
severe
comes
than
men
or
poorer
veterans
and
health
with
veterans
resource
diagnoses.
mental
and
The
compared
two
illnesses,
chi square
single-factor unpaired
illness
for all veterans
Women
illness.
and
and
illness
1 14 men
were
1,
tients Among
1993,
to September
30,
1995,
discharge
schizophrenia, der, or bipolar
with
diagnosis
schizoaffective disorder. The
a of
disordemo-
samples
of male were with
veterans,
matched each
two for age
female
characteristics,
psychiatric
illnesses,
of stay, chotropic 1462
and and
and
patient.
mographic
sample
male
patients diagnosis
Data
on de-
comorbid hospital
prescription nonpsychotropic
length of
psymcd-
df= women,
the
and
p
