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Papers by Deborah Perlick

Research paper thumbnail of Devaluation of Consumer Families Scale

Research paper thumbnail of Overcoming Stigma and Barriers to Mental Health Treatment

Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D.... more Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D. LAUREN N. MANNING, BA Case Vignette Theodore, a successful investment banker, husband, and ...

Research paper thumbnail of Multifamily group treatment for veterans with traumatic brain injury

Professional Psychology: Research and Practice, Feb 1, 2011

Research paper thumbnail of The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care

Psychological Science in the Public Interest, Sep 3, 2014

Research paper thumbnail of Devaluation of Consumers Scale

Research paper thumbnail of Adapting the multifamily group model for treating veterans with posttraumatic stress disorder

Psychological Services, 2012

Research paper thumbnail of Predictors of Antidepressant Prescription and Early Use Among Depressed Outpatients

American Journal of Psychiatry, May 1, 1999

The rates of antidepressant recommendation and use were determined in outpatients with major depr... more The rates of antidepressant recommendation and use were determined in outpatients with major depression receiving services in mental health clinics. Site of service and the patients' sociodemographic and clinical characteristics were investigated as possible predictors. Patients admitted to six outpatient clinics were recruited through a two-stage sampling procedure. Patients with major depressive disorder (N = 124) according to the Structured Clinical Interview for DSM-IV--Patient Edition were assessed at admission and 3 months later. Drug therapy was recommended for most patients (71%), and minimal use (at least 1 week) was recorded for 59% of the subjects. White patients were nearly three times as likely to receive a recommendation for antidepressants. Antidepressant recommendation was also associated with severity of depressed mood, recent medication use, and clinic type. Recent antidepressant use was the only variable that predicted whether the patient actually took the recommended medication. Many patients with depression seeking treatment at community mental health clinics do not receive antidepressant drug therapy. The offer of medication is predicted by patient ethnicity, clinic type, and symptom severity. Minority patients are less likely to be offered antidepressant treatment.

Research paper thumbnail of Burden experienced by care-givers of persons with bipolar affective disorder

British Journal of Psychiatry, Jul 1, 1999

Research paper thumbnail of Perceived Stigma as a Predictor of Treatment Discontinuation in Young and Older Outpatients With Depression

American Journal of Psychiatry, Mar 1, 2001

Research paper thumbnail of Multi-Family Group Intervention for OEF/OIF Traumatic Brain Injury Survivors and Their Families

Research paper thumbnail of Symptoms Predicting Inpatient Service Use Among Patients With Bipolar Affective Disorder

Psychiatric Services, Jun 1, 1999

Symptoms that were risk factors for hospital readmission among psychiatric inpatients diagnosed a... more Symptoms that were risk factors for hospital readmission among psychiatric inpatients diagnosed as having bipolar affective disorder were evaluated. Subjects were 100 persons consecutively admitted to a psychiatric inpatient unit at a university-affiliated hospital who met Research Diagnostic Criteria for bipolar I or II disorder or schizoaffective disorder, manic type. Patients were assessed using the Schedule for Affective Disorders and Schizophrenia-Lifetime Version (SADS-L) and the Brief Psychiatric Rating Scale (BPRS) within one week of discharge, and their hospitalization status was documented by monthly phone contacts over a period of 15 months. Twenty-four patients (24 percent) were rehospitalized within six months of discharge, and 44 (44 percent) were readmitted within 15 months. Survival analysis using the Cox proportional hazard regression model demonstrated that patients with high scores on a BPRS-derived mania factor were at significantly decreased risk of rehospitalization, whereas those scoring high on a factor consistent with neurovegetative depression were at significantly increased risk. A greater number of previous psychiatric admissions and younger age were also associated with significantly increased risk of rehospitalization. The findings suggest that patients with bipolar disorder presenting with a depressive episode characterized by prominent neurovegetative features should be treated more aggressively with both pharmacotherapy and intensive outpatient services to reduce the relatively high risk of rehospitalization that appears to be associated with this type of depression.

Research paper thumbnail of Hospital vs. Community

Psychiatric Services, May 1, 1993

Research paper thumbnail of An Exclusive Disease

contemporary Psychology, Nov 1, 1978

Research paper thumbnail of Stigma and Violence

Psychiatric Services, Sep 1, 2002

Research paper thumbnail of Sleep and motor activity of community elderly who frequently use bedtime medications

Biological Psychiatry, 1994

Research paper thumbnail of Devaluation of Consumer Families Scale

Research paper thumbnail of Overcoming Stigma and Barriers to Mental Health Treatment

Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D.... more Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D. LAUREN N. MANNING, BA Case Vignette Theodore, a successful investment banker, husband, and ...

Research paper thumbnail of Multifamily group treatment for veterans with traumatic brain injury

Professional Psychology: Research and Practice, Feb 1, 2011

Research paper thumbnail of The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care

Psychological Science in the Public Interest, Sep 3, 2014

Research paper thumbnail of Devaluation of Consumers Scale

Research paper thumbnail of Devaluation of Consumer Families Scale

Research paper thumbnail of Overcoming Stigma and Barriers to Mental Health Treatment

Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D.... more Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D. LAUREN N. MANNING, BA Case Vignette Theodore, a successful investment banker, husband, and ...

Research paper thumbnail of Multifamily group treatment for veterans with traumatic brain injury

Professional Psychology: Research and Practice, Feb 1, 2011

Research paper thumbnail of The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care

Psychological Science in the Public Interest, Sep 3, 2014

Research paper thumbnail of Devaluation of Consumers Scale

Research paper thumbnail of Adapting the multifamily group model for treating veterans with posttraumatic stress disorder

Psychological Services, 2012

Research paper thumbnail of Predictors of Antidepressant Prescription and Early Use Among Depressed Outpatients

American Journal of Psychiatry, May 1, 1999

The rates of antidepressant recommendation and use were determined in outpatients with major depr... more The rates of antidepressant recommendation and use were determined in outpatients with major depression receiving services in mental health clinics. Site of service and the patients' sociodemographic and clinical characteristics were investigated as possible predictors. Patients admitted to six outpatient clinics were recruited through a two-stage sampling procedure. Patients with major depressive disorder (N = 124) according to the Structured Clinical Interview for DSM-IV--Patient Edition were assessed at admission and 3 months later. Drug therapy was recommended for most patients (71%), and minimal use (at least 1 week) was recorded for 59% of the subjects. White patients were nearly three times as likely to receive a recommendation for antidepressants. Antidepressant recommendation was also associated with severity of depressed mood, recent medication use, and clinic type. Recent antidepressant use was the only variable that predicted whether the patient actually took the recommended medication. Many patients with depression seeking treatment at community mental health clinics do not receive antidepressant drug therapy. The offer of medication is predicted by patient ethnicity, clinic type, and symptom severity. Minority patients are less likely to be offered antidepressant treatment.

Research paper thumbnail of Burden experienced by care-givers of persons with bipolar affective disorder

British Journal of Psychiatry, Jul 1, 1999

Research paper thumbnail of Perceived Stigma as a Predictor of Treatment Discontinuation in Young and Older Outpatients With Depression

American Journal of Psychiatry, Mar 1, 2001

Research paper thumbnail of Multi-Family Group Intervention for OEF/OIF Traumatic Brain Injury Survivors and Their Families

Research paper thumbnail of Symptoms Predicting Inpatient Service Use Among Patients With Bipolar Affective Disorder

Psychiatric Services, Jun 1, 1999

Symptoms that were risk factors for hospital readmission among psychiatric inpatients diagnosed a... more Symptoms that were risk factors for hospital readmission among psychiatric inpatients diagnosed as having bipolar affective disorder were evaluated. Subjects were 100 persons consecutively admitted to a psychiatric inpatient unit at a university-affiliated hospital who met Research Diagnostic Criteria for bipolar I or II disorder or schizoaffective disorder, manic type. Patients were assessed using the Schedule for Affective Disorders and Schizophrenia-Lifetime Version (SADS-L) and the Brief Psychiatric Rating Scale (BPRS) within one week of discharge, and their hospitalization status was documented by monthly phone contacts over a period of 15 months. Twenty-four patients (24 percent) were rehospitalized within six months of discharge, and 44 (44 percent) were readmitted within 15 months. Survival analysis using the Cox proportional hazard regression model demonstrated that patients with high scores on a BPRS-derived mania factor were at significantly decreased risk of rehospitalization, whereas those scoring high on a factor consistent with neurovegetative depression were at significantly increased risk. A greater number of previous psychiatric admissions and younger age were also associated with significantly increased risk of rehospitalization. The findings suggest that patients with bipolar disorder presenting with a depressive episode characterized by prominent neurovegetative features should be treated more aggressively with both pharmacotherapy and intensive outpatient services to reduce the relatively high risk of rehospitalization that appears to be associated with this type of depression.

Research paper thumbnail of Hospital vs. Community

Psychiatric Services, May 1, 1993

Research paper thumbnail of An Exclusive Disease

contemporary Psychology, Nov 1, 1978

Research paper thumbnail of Stigma and Violence

Psychiatric Services, Sep 1, 2002

Research paper thumbnail of Sleep and motor activity of community elderly who frequently use bedtime medications

Biological Psychiatry, 1994

Research paper thumbnail of Devaluation of Consumer Families Scale

Research paper thumbnail of Overcoming Stigma and Barriers to Mental Health Treatment

Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D.... more Page 409. 17 OVERCOMING STIGMA AND BARRIERS TO MENTAL HEALTH TREATMENT DEBORAH A. PERLICK, PH. D. LAUREN N. MANNING, BA Case Vignette Theodore, a successful investment banker, husband, and ...

Research paper thumbnail of Multifamily group treatment for veterans with traumatic brain injury

Professional Psychology: Research and Practice, Feb 1, 2011

Research paper thumbnail of The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care

Psychological Science in the Public Interest, Sep 3, 2014

Research paper thumbnail of Devaluation of Consumers Scale