Dynamic Patterns in Mood Among Newly Diagnosed Patients With Major Depressive Episode or Panic Disorder and Normal Controls

Katerndahl, David A.; Ferrer, Robert L.; Best, Rick; Wang, Chen-Pin

doi:10.4088/pcc.v09n0303

Cited by 19 publications

(10 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…32 Adaptive processes often have a stable linear framework to which an adaptive nonlinear pattern is added. 33 In the case of patient encounters, the "complicatedness" of input complexity may increase the demands placed on the provider, but the adaptability of output complexity allows the provider to tailor management to the patient and context.…”

Section: Discussionmentioning

confidence: 99%

Family Medicine Outpatient Encounters are More Complex Than Those of Cardiology and Psychiatry

Katerndahl¹,

Wood²,

Jaén³

2011

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Background:Comparison studies suggest that the guideline-concordant care provided for specific medical conditions is less optimal in primary care compared with cardiology and psychiatry settings. The purpose of this study is to estimate the relative complexity of patient encounters in general/family practice, cardiology, and psychiatry settings.Methods: Secondary analysis of the 2000 National Ambulatory Medical Care Survey data for ambulatory patients seen in general/family practice, cardiology, and psychiatry settings was performed. The complexity for each variable was estimated as the quantity weighted by variability and diversity.Results: There is minimal difference in the unadjusted input and total encounter complexity of general/family practice and cardiology; psychiatry's input is less complex. Cardiology encounters involved more input quantitatively, but the diversity of general/family practice input eliminated the difference. Cardiology also involved more complex output. However, when the duration of visit is factored in, the complexity of care provided per hour in general/family practice is 33% more relative to cardiology and 5 times more relative to psychiatry.Conclusions: Care during family physician visits is more complex per hour than the care during visits to cardiologists or psychiatrists. This may account for a lower rate of completion of process items measured for quality of care. (J Am Board Fam Med 2011;24:6 -15.)

show abstract

Section: Discussionmentioning

confidence: 99%

Family Medicine Outpatient Encounters are More Complex Than Those of Cardiology and Psychiatry

Katerndahl¹,

Wood²,

Jaén³

2011

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

show abstract

“…Several studies have shown that a low variability (or higher regularity) in mood regulation may be particularly characteristic of disease states, particularly in major depression , premenstrual dysphoric disorder , posttraumatic stress disorder , and panic disorder . Patients with borderline personality disorder, on the other hand, showed higher than normal day‐to‐day and within‐day variability .…”

mentioning

confidence: 99%

Nonlinear dynamics of mood regulation in bipolar disorder

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The power law distribution may reflect constraints placed on the group of subjects by the practice [24]. Previous analysis of mood variability among healthy controls found a circadian (linear) pattern with an underlying chaotic (non‐linear) pattern [27]. This non‐linear feedback can be due to multiple interrelated causes or a complex series of events preceding measurement [12].…”

Section: Discussionmentioning

confidence: 96%

Power laws in covariability of anxiety and depression among newly diagnosed patients with major depressive episode, panic disorder and controls

Katerndahl

2009

Evaluation Clinical Practice

View full text Add to dashboard Cite

First, power laws suggest a scale-free relationship; the differences seen in transition from symptom level to change level may reflect that complex events at the level of mood assessment affect change in mood. Second, this covariation may be due to external factors acting on the patient or multiple internal interrelated factors. Third, different factors and populations can yield different slopes. Future research is needed to confirm these preliminary findings and to understand the origin of these dynamics.

show abstract

Dynamic Patterns in Mood Among Newly Diagnosed Patients With Major Depressive Episode or Panic Disorder and Normal Controls

Cited by 19 publications

References 26 publications

Family Medicine Outpatient Encounters are More Complex Than Those of Cardiology and Psychiatry

Family Medicine Outpatient Encounters are More Complex Than Those of Cardiology and Psychiatry

Nonlinear dynamics of mood regulation in bipolar disorder

Power laws in covariability of anxiety and depression among newly diagnosed patients with major depressive episode, panic disorder and controls

Contact Info

Product

Resources

About