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Biomedical subjects

Robert D Goldney

Publications and source records attributed to Robert D Goldney.

At least 19 recordsLinked to original sources
PubMed2006

Bipolar disorders in Australia. A population-based study of excess costs.

OBJECTIVE: To estimate the excess costs associated with bipolar disorders in Australia, based on prevalence (using the Mood Disorder Questionnaire (MDQ)) and associated excess burden-of-illness costs. METHODS: Using data from the 2004 South Australian Health Omnibus Survey (HOS), a weighted cross-sectional survey of 3,015 adults, excess costs were estimated from health service utilisation. RESULTS: There was a 2.5% lifetime prevalence of bipolar disorders, delineated by the MDQ. Those persons (MDQ positive) reported a significantly greater use of services and a poorer health status and quality of life than those who were MDQ negative. Using the service provision perspective, excess costs of bipolar disorders in Australia were approx $3.97-$4.95 billion. CONCLUSIONS: These results from an Australian population demonstrate the significant economic burden of bipolar disorders. Our findings emphasise the need for further evaluation of the cost-effectiveness of different treatments, or alternative means of reducing the burden borne by individuals, the health system and the general community.

Adult↗
PubMed2005

Use of prescribed medications in a South Australian community sample.

OBJECTIVE: To determine the extent of self-reported use of prescription medications in an Australian community sample. DESIGN, SETTING AND PARTICIPANTS: Face-to-face interviews with a random, representative sample of the South Australian population (aged > or = 15 years) living in metropolitan and rural areas. The study, a Health Omnibus Survey, was conducted between March and June 2004. MAIN OUTCOME MEASURES: Reported number of prescribed medications used per person, most common categories of medication, and use by individuals of multiple medications for the same body system. RESULTS: From 4700 households selected, 3015 participants were interviewed (65.9% response rate). Of respondents, 46.8% were using prescribed medications; 171 respondents (5.7%) were taking six or more medications, and four were taking 16 or more; 23.2% were using medications for the cardiovascular system, with 11.9% using agents acting on the renin-angiotensin system. Prescription medication use increased with age, with over 10% of respondents aged > or = 55 years using six or more medications. CONCLUSIONS: Use of multiple prescribed medications was common, with the potential for significant drug interactions. Assuming a similar pattern of medication use Australia-wide, reducing the number of prescribed medications by one for people taking six or more medications would save the federal government about 380 million dollars a year.

Adolescent↗
PubMed2005

Changes in mental health literacy about depression: South Australia, 1998 to 2004.

OBJECTIVE: To identify changes in mental health literacy in regard to depression between 1998 and 2004. DESIGN AND SETTING: Face-to-face interviews with a random and representative sample of the South Australian population in 2004, compared with a similarly conducted survey in 1998 that used the same vignette, questions and methodology. PARTICIPANTS: 3015 randomly selected participants, aged 15 years and over. MAIN OUTCOME MEASURES: Responses to both open-ended and direct questions about symptoms and treatment options for depression. RESULTS: The 3015 interviews conducted represented a response rate of 65.9%. Compared with 1998, in 2004 there was a significant increase in the proportion of people recognising depression in the vignette, acknowledging personal experience of depression, and perceiving professional assistance to be more helpful and less harmful. However, although more people nominated psychiatrists or psychologists as therapists of choice, the difference between 1998 and 2004 was not significant. CONCLUSIONS: There has been a significant increase in mental health literacy, at least as regards depression, in the South Australian community between 1998 and 2004. The lack of significant change in psychiatrists and/or psychologists being perceived as therapists of choice is of concern and suggests that community education about their expertise may be appropriate.

Adolescent↗
PubMed2005

Suicide prevention: a pragmatic review of recent studies.

Because of the almost complete absence of randomized controlled trials demonstrating the effectiveness of specific treatments, there is sometimes a degree of pessimism about our ability to prevent suicidal behaviors. However, the methodological challenges to produce such research are formidable and may never be overcome. Therefore, a pragmatic review of evidence-based methods of suicide prevention is required. This review of recent studies using a variety of research strategies, both nonpharmacological and pharmacological, particularly at the community level, provides persuasive data that suicide prevention is possible. This is achievable by the application of broad community and professional education programs, as well as by the optimum management of mental disorders.

Evidence-Based Medicine↗
PubMed2005

Bipolar I and II disorders in a random and representative Australian population.

OBJECTIVE: To assess the prevalence of bipolar I and II disorders in an Australian population. METHOD: The Mood Disorder Questionnaire (MDQ) was administered to 3015 respondents in a random and representative sample in South Australia. Health status, quality of life and demographic data were also collected. RESULTS: There was a 2.5% lifetime prevalence of bipolar I and II disorders delineated by the MDQ. Those people had a significantly greater use of services and a poorer health status and quality of life than those who were MDQ-negative. CONCLUSIONS: These results in an Australian population are consistent with other international studies showing a greater prevalence of bipolar disorders than hitherto appreciated.

Adult↗