Psychotropic Medication Patterns Among Youth in Foster Care
Psychotropic Medication Patterns Among Youth in Foster Care
复制标题
寄养青少年的精神药物治疗模式
DOI：
10.1542/peds.2007-0212
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发表时间：
2008
期刊：
影响因子：
8
通讯作者：
Maria Mendez
中科院分区：
文献类型：
--
作者：
J. Zito;D. Safer;Devadatta Sai;J. Gardner;Diane Thomas;Phyllis Coombes;Melissa Dubowski;Maria Mendez
上下文研究表明，接受医疗补助保险的寄养青年接受精神药物治疗的比率是接受医疗补助保险的低家庭收入青年的3倍以上。关于寄养青年的药物治疗模式，特别是伴随药物治疗模式的系统数据有限。OBJECTIVE.这项工作的目的是描述和量化的模式，精神单一疗法和伴随治疗规定的一个随机选择的，1个月的样本的青年寄养谁一直在接受精神药物治疗。方法. 2004年7月，从美国西南部的一个州随机抽取了472名0至19岁的寄养青少年的医疗补助数据。通过伴随模式、频率、药物类别、亚类和药物实体确定精神药物治疗数据，并分析与年龄组、性别、人种或种族、国际疾病分类（第九次修订版）、精神病诊断和医生专业的关系。结果2004年7月，在接受过精神药物治疗的寄养儿童中，41.3%的儿童接受过≥3种不同类型的精神药物治疗，15.9%的儿童接受过≥4种不同类型的精神药物治疗。最常使用的药物是抗抑郁药（56.8%）、注意力缺陷/多动障碍药物（55.9%）和抗精神病药物（53.2%）。特定精神药物类别的使用因诊断分组而变化不大。精神科医生开了93%的精神药物，这些药物被分配给寄养的年轻人。22.2%的同时接受处方药物的患者使用了≥2种相同精神药物类别的药物。结论.寄养家庭中的青少年经常接受伴随精神药物治疗，但缺乏关于其有效性和安全性的实质性证据。
CONTEXT. Studies have revealed that youth in foster care covered by Medicaid insurance receive psychotropic medication at a rate >3 times that of Medicaid-insured youth who qualify by low family income. Systematic data on patterns of medication treatment, particularly concomitant drugs, for youth in foster care are limited. OBJECTIVE. The purpose of this work was to describe and quantify patterns of psychotropic monotherapy and concomitant therapy prescribed to a randomly selected, 1-month sample of youth in foster care who had been receiving psychotropic medication. METHODS. Medicaid data were accessed for a July 2004 random sample of 472 medicated youth in foster care aged 0 through 19 years from a southwestern US state. Psychotropic medication treatment data were identified by concomitant pattern, frequency, medication class, subclass, and drug entity and were analyzed in relation to age group; gender; race or ethnicity; International Classification of Diseases, Ninth Revision, psychiatric diagnosis; and physician specialty. RESULTS. Of the foster children who had been dispensed psychotropic medication, 41.3% received ≥3 different classes of these drugs during July 2004, and 15.9% received ≥4 different classes. The most frequently used medications were antidepressants (56.8%), attention-deficit/hyperactivity disorder drugs (55.9%), and antipsychotic agents (53.2%). The use of specific psychotropic medication classes varied little by diagnostic grouping. Psychiatrists prescribed 93% of the psychotropic medication dispensed to youth in foster care. The use of ≥2 drugs within the same psychotropic medication class was noted in 22.2% of those who were given prescribed drugs concomitantly. CONCLUSIONS. Concomitant psychotropic medication treatment is frequent for youth in foster care and lacks substantive evidence as to its effectiveness and safety.
寄养老年青少年使用心理健康服务。
DOI：
10.1176/appi.ps.55.7.811
发表时间：
2004
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
McMillen,JCurtis;Scott,LionelD;Zima,BonnieT;Ollie,MarciaT;Munson,MichelleR;Spitznagel,Edward
通讯作者：
Spitznagel,Edward
寄养学龄儿童的精神药物治疗模式。
DOI：
10.1089/cap.1999.9.135
发表时间：
1999
期刊：
Journal of child and adolescent psychopharmacology.
影响因子：
--
作者：
Zima,BT;Bussing,R;Crecelius,GM;Kaufman,A;Belin,TR
通讯作者：
Belin,TR