News coverage of FDA warnings on pediatric antidepressant use and suicidality.
News coverage of FDA warnings on pediatric antidepressant use and suicidality.
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DOI：
10.1542/peds.2009-0792
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发表时间：
2010-01
期刊：
影响因子：
8
通讯作者：
Busch SH
中科院分区：
文献类型：
--
作者：
Barry CL;Busch SH
2004年，经过18个月的调查，美国食品和药物管理局（FDA）指示制药商在抗抑郁药中添加一个黑框警告，警告儿童自杀风险增加。有人认为，新闻媒体的报道在与本调查同时发生的儿科抗抑郁药使用急剧下降中发挥了关键作用。我们的目的是评估新闻报道的质量、内容和整体印象。我们收集了美国发行量最高的10家印刷报纸中发表的所有关于儿科抗抑郁药使用和自杀倾向的新闻报道，2003年和2004年，三大电视网和一家主要有线新闻网（N=167）。两名研究人员使用九项工具对新闻文章进行编码。项目评分者间可靠性为0.84或更高。FDA警告中包含的关键健康信息的新闻报道质量参差不齐。绝大多数新闻报道正确地描述了与儿童抗抑郁药使用相关的自杀风险，而不是自杀本身。然而，FDA警告中强调的其他关键健康信息往往没有出现在新闻报道中。在内容方面，新闻报道，特别是电视新闻，更有可能包括儿童受到伤害的轶事，而抗抑郁药帮助儿童的轶事，而引用的专家来源更有可能强调抗抑郁药的好处而不是风险。然而，大多数新闻报道既没有传达儿童抗抑郁药使用的风险超过益处的总体印象，也没有传达益处超过风险的总体印象，随着时间的推移，报道变得越来越中立。在FDA安全警告中包含关键健康信息不足以确保通过非专业媒体向公众传达这些信息，即使这些信息可能降低了儿科抗抑郁药使用的风险。
In 2004, after an 18-month investigation, the Food and Drug Administration (FDA) directed pharmaceutical manufacturers to add a black box warning to antidepressants regarding an increased risk of suicidality in children. It has been suggested that news media reporting played a critical role in the sharp declines in pediatric antidepressant use that occurred concurrent with this investigation. Our objective was to evaluate the quality, content and overall impression conveyed in news coverage of this issue. We collected all news stories on pediatric antidepressant use and suicidality published in a convenience sample of 10 of the highest circulation print newspapers in the U.S., the three major television networks and a major cable news network in 2003 and 2004 (N=167). Two researchers coded news articles using a nine-item instrument. Item inter-rater reliability was .84 or greater. The quality of news reporting on key health messages included in FDA warnings was mixed. The overwhelming majority of news stories correctly described a risk of suicidality associated with pediatric antidepressant use as opposed to suicide itself. However, other key health messages highlighted in FDA warnings were often absent from news coverage. In terms of content, news stories, in particular television news, were more likely to include anecdotes of children harmed versus children helped by antidepressants while expert sources quoted were more likely to emphasize the benefits of antidepressants over their risks. However, the majority of news stories conveyed neither the overall impression that the risks of pediatric antidepressant use outweighed the benefits nor that the benefits outweighed the risks, and coverage became increasingly neutral over time. Including key health messages in FDA safety warnings was not sufficient to ensure their communication to the public via the lay press, even though this information might have mitigated risks of pediatric antidepressant use.
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影响因子：
3.8
作者：
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通讯作者：
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影响因子：
120.7
作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
158.5
作者：
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通讯作者：
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