Use of Selective Serotonin Reuptake Inhibitors by Pediatricians: Comparing Attitudes of Primary Care Pediatricians and Child and Adolescent Psychiatrists
Use of Selective Serotonin Reuptake Inhibitors by Pediatricians: Comparing Attitudes of Primary Care Pediatricians and Child and Adolescent Psychiatrists
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儿科医生使用选择性血清素再摄取抑制剂：比较初级保健儿科医生与儿童和青少年精神科医生的态度
DOI：
10.1177/0009922807306169
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发表时间：
2008
影响因子：
1.6
通讯作者：
Sarah McCue Horwitz
中科院分区：
文献类型：
--
作者：
A. Heneghan;A. Garner;A. Storfer‐Isser;Karl Kortepeter;R. Stein;Sarah McCue Horwitz
为了比较儿科医生在给儿童和青少年开选择性血清素再摄取抑制剂方面的作用，调查问卷邮寄给了338名初级保健儿科医生和75名儿童和青少年精神病学家；一半的回应道。儿童和青少年精神病学家比初级保健儿科医生更倾向于认为选择性血清素再摄取抑制剂对儿童和青少年是安全有效的。初级保健儿科医生比儿童和青少年精神病医生更有可能同意黑框警告改变了他们的处方做法。对于抗抑郁药是否应该只由精神科医生开处方，以及儿科医生是否应该在没有咨询精神科医生的情况下或在咨询精神科医生之后开始选择性血清素再摄取抑制剂治疗，两人都有类似的看法。这些数据表明，在儿童和青少年精神病学家和初级保健儿科医生中，关于儿科医生在使用选择性血清素再摄取抑制剂治疗中的作用缺乏共识。加强沟通和支持初级保健儿科医生以及儿童和青少年精神病医生明确角色的战略将确保有心理健康需求的儿童得到安全和适当的治疗。
To compare attitudes regarding a pediatrician's role in prescribing selective serotonin reuptake inhibitors for children and adolescents, surveys were mailed to 338 primary care pediatricians and 75 child and adolescent psychiatrists; half responded. Child and adolescent psychiatrists were significantly more likely than primary care pediatricians to agree that selective serotonin reuptake inhibitors are safe and effective when used for children and adolescents. Primary care pediatricians were significantly more likely than child and adolescent psychiatrists to agree that black box warnings have changed their prescribing practices. Both had similar beliefs about whether antidepressants should be prescribed only by psychiatrists and whether pediatricians should initiate selective serotonin reuptake inhibitor therapy, without or after consulting a psychiatrist. These data suggest that among child and adolescent psychiatrists and primary care pediatricians, agreement about the pediatrician's role in using selective serotonin reuptake inhibitors therapy is lacking. Strategies that enhance communication and endorse support for defined roles of primary care pediatricians and child and adolescent psychiatrists will ensure that children with mental health needs are treated safely and appropriately.
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DOI：
10.1097/00004583-200001000-00014
发表时间：
2000-01-01
影响因子：
13.3
作者：
Shaffer, D;Fisher, P;Schwab-Stone, ME
通讯作者：
Schwab-Stone, ME
影响因子：
--
作者：
G. Emslie;A. Rush;W. Weinberg;R. Kowatch;C. Hughes;T. Carmody;J. Rintelmann
通讯作者：
G. Emslie;A. Rush;W. Weinberg;R. Kowatch;C. Hughes;T. Carmody;J. Rintelmann
报告对邮寄医生调查问卷的答复率。
影响因子：
3.4
作者：
Cummings,SM;Savitz,LA;Konrad,TR
通讯作者：
Konrad,TR
DOI：
10.1001/jama.1989.03420150079041
发表时间：
1989-04
期刊：
JAMA
影响因子：
--
作者：
G. Klerman;Myrna M. Weissman
通讯作者：
G. Klerman;Myrna M. Weissman