A survey among psychiatrists regarding psychotropic drug use in reproductive age women

Godbole, Koumudi; Vehale, Manjusha; Phadke, Sanjay

doi:10.1016/j.ajp.2011.08.003

Cited by 2 publications

(12 citation statements)

References 15 publications

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“…However, most studies explained only the general content of surveys without examples or explanation of how the questions were meant to assess the relevant concepts. Confirmation of face validity of the study‐specific self‐designed survey tools generally was not reported and validity and internal consistency statistics for key instruments were absent from several works 30–33,35–38 . One article used a theoretical framework to inform study design or analysis 44 …”

Section: Resultsmentioning

confidence: 99%

“…The results of this review highlight variation across provider education experiences and identify a need for updated educational competencies that include education for psychopharmacology during pregnancy for all health care providers who engage with patients during the perinatal period. Providers’ responses highlight a preference for continuing education content to supplement their existing knowledge, emphasize current clinical guidelines, and highlight the relative risks of untreated depression and anxiety 29,37,39,43 . Interdisciplinary and interprofessional continuing education can be used to foster collaborative communication between primary, perinatal, and mental health care specialties.…”

Section: Discussionmentioning

confidence: 99%

“…45 Health care providers were recruited through specific health care systems, 33,34,38,43 listservs, 29,32 professional membership, 30 training workshop, 36 catchment area, 35 or national 31 or regional directories. 31,36,37 Only one study used classic random sampling 30 and 2 used random sampling in combination with alternative strategies. 34,36 No study reported predetermining a sample size through power analysis, pilot data, or other means.…”

Section: Critical Appraisalmentioning

confidence: 99%

“…Providers' responses highlight a preference for continuing education content to supplement their existing knowledge, emphasize current clinical guidelines, and highlight the relative risks of untreated depression and anxiety. 29,37,39,43 Interdisciplinary and interprofessional continuing education can be used to foster collaborative communication between primary, perinatal, and mental health care specialties. Individual organizations can also prioritize the promotion of such trainings.…”

Section: Educationmentioning

confidence: 99%

“…The majority of studies relied on study-specific surveys or questionnaires designed by the authors. 22,[29][30][31][32][33][34][35][36][37][38][39][40][41][42] Focus groups were used in one study, 43 and in-depth semistructured interviews were used in 4 studies. 20,22,41,44 Eight studies considered the perspective of patients, 10 focused on health care providers, and one included both groups.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Antidepressant use During Pregnancy: Knowledge, Attitudes, and Decision‐Making of Patients and Providers

Eakley

Lyndon

2022

J Midwife Womens Health

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Introduction: Despite the risks associated with untreated perinatal depression and anxiety, both patients and clinicians are less likely to follow evidence-based guidelines including the use of antidepressants during pregnancy. The aim of this integrative review was to describe the perspectives of both patients and prescribing health care providers regarding the use of antidepressants during pregnancy. Methods:We performed a literature search in PubMed, CINAHL, ProQuest Central, and PsychINFO. Inclusion criteria were English language, original peer-reviewed research published within the previous 10 years that described perspectives regarding the use of antidepressants of pregnant patients or prescribing providers during pregnancy. Studies were excluded if their focus was on screening practices, treatment guidelines, or evaluation of decision support tool; medication or treatment broadly; bipolar disorder or serious mental illness; or they did not provide patient or provider perspective. This review was limited to professionals with scopes of practice that include prescriptive authority (eg, physicians, advanced practices nurses, midwives). Included articles were critically appraised and read in an iterative process to extract methodological details and synthesize findings.Results: Nineteen studies met criteria for inclusion and varied by design, sample, and quality. Together, the reviewed articles suggest that patients and prescribing providers hold a range of beliefs regarding the safety of antidepressant during pregnancy. Patients and providers appear to value different sources of information and varied in awareness of the negative impacts of untreated depression and anxiety during pregnancy. Many patients report dissatisfaction with available information and distress throughout the decision-making experience. Notably, patients and providers had incongruent perceptions of the others' experience.Discussion: Inconsistencies between knowledge, attitudes, and decision-making highlight the need for improved dissemination of evidence-based treatments and support increased training for psychopharmacology during pregnancy. Efforts to reduce patient distress regarding their decisions, such as adequate time and information, are indicated.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Critical Appraisalmentioning

confidence: 99%

Section: Educationmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Antidepressant use During Pregnancy: Knowledge, Attitudes, and Decision‐Making of Patients and Providers

Eakley

Lyndon

2022

J Midwife Womens Health

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Psychiatrists' Attitudes Toward Psychopharmacologic Treatments During Pregnancy and Lactation Periods: A Survey Study

Yazıcı

Tanriverdi

2015

Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychophar

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Psychiatrists' attitudes toward psychopharmacologic treatments during pregnancy and lactation periods: a survey study Objective: Pregnancy and lactation are risk periods when women are susceptible to psychiatric illnesses. As well as side effects and teratogenic effects of drug utilization, negative effects of untreated psychiatric illnesses on the fetus and mother may be issues of concern. Management of pregnancy and lactation periods may become complicated by a relapse of a psychiatric illness or by using a drug with unexpected harm effecting mother or baby. Mental health professionals are commonly confronted with patients who ask for advice during such times. In determining the course of treatment, the attitudes of mental health professionals are as important as the attitudes of patients. This study was conducted to evaluate attitudes and personal opinions of psychiatrists. Methods: An Internet survey was designed to ask questions about the tendency to use pharmacotherapy, electroconvulsive therapy (ECT), or psychotherapy, or to stop or lower the dosage of medicines, and the personal principles of psychiatrists during pregnancy and lactation. The relationship between academic degrees and professed knowledge levels of psychiatrists about management of treatments of pregnant and lactating women and personal comments were also evaluated. Of those asked, 246 psychiatrists replied and 213 online-surveys were completed. Results: Of the respondents, 22.2% were psychiatry residents, 50.9% were attending psychiatrists, 6.6% were assistant professors, 9% were associate professors, and 11.3% were full professors. The results showed that avoidance of starting drug therapy, terminating an ongoing drug treatment, seeking alternatives to drug treatment, transitioning to ECT treatment and consulting a higher center were significantly more common in pregnancy than during the lactation period (p<0.05). Low, dosage-safe medicine use was preferred in both periods. In cases where drug utilization was deemed necessary, higher scores were obtained regarding the opinion that it was necessary to 'avoid pregnancy' than to 'avoid lactation'. The attitudes of psychiatrists did not change according to the level of their knowledge that they professed. Of psychiatrists, 85% stated that they know and successfully apply drug utilization principles in pregnancy and lactation (always and generally), and 81% stated that during examination, they were able to provide their patients needed information and training. Psychiatrists did not prefer to terminate a pregnancy if medicine was needed for treatment with a response rate of 61.1% for 'never'. Conclusions: The present study showed that the psychiatrists were reluctant in prescribing psychotropic drugs during pregnancy, but they were more comfortable doing so in the lactation period. The attitudes of the psychiatrists seemed independent from their generally stated knowledge levels. The present study is valuable because it shows the differences in attitudes of the psychiatrists regarding their tre...

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A survey among psychiatrists regarding psychotropic drug use in reproductive age women

Cited by 2 publications

References 15 publications

Antidepressant use During Pregnancy: Knowledge, Attitudes, and Decision‐Making of Patients and Providers

Antidepressant use During Pregnancy: Knowledge, Attitudes, and Decision‐Making of Patients and Providers

Psychiatrists' Attitudes Toward Psychopharmacologic Treatments During Pregnancy and Lactation Periods: A Survey Study

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