The Treatment and Outcome of Anxiety Neurosis Patients in Saskatchewan
Bibliographic record
Abstract
Individuals diagnosed with a psychiatric illness, and in particular an anxiety disorder, are among the highest users of non-psychiatric ambulatory services. The present study used the data files of Saskatchewan Health to identify the health care utilization of individuals with anxiety disorders. The resource utilization was compared before and after the index anxiety diagnosis. \nA total of 46,122 individuals met the inclusion/exclusion criteria for the study; 43,312 in the general practitioner group (93.9%), 2,762 in the psychiatrist group (6.0%), and 48 in the anxiety clinic group (0.1%). Total utilization increased prior to the diagnosis of anxiety and peaked during the year immediately following the diagnosis. Total utilization was significantly higher \n(p<0.05) in the first post-index year when compared to the pre-index year in all three groups. \nWhen total utilization was divided into psychiatric and medical utilization, the trend in utilization between the groups differed. The anxiety clinic and psychiatrist groups showed an "offset effect" in medical service utilization such that medical utilization decreased significantly during the second and third post-index years (p<0.05) while psychiatric utilization increased. In contrast, the general practitioner group had significantly higher medical care utilization, including physician counseling, following index diagnosis. \nThe pattern of total prescription drug utilization was similar for all three groups. Outpatient prescription drugs, which were separated into central nervous system medications used in the treatment of anxiety, and "all other" prescription drugs, showed different patterns of utilization in the three groups. \nThe present study confirms that individuals, diagnosed with anxiety disorders, are relatively high utilizers of health care resources prior to and immediately following their anxiety diagnosis. Patients treated by psychiatrists, experienced a decrease in medical utilization which was "offset" by an increase in psychiatric utilization. The excessive use of medical health services could be reduced if the diagnosis of anxiety was made earlier and the proper intervention implemented.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".