Antidepressant Prescription by British Child Psychiatrists: Practice and Safety Issues

Bramble, David

doi:10.1097/00004583-199503000-00018

Cited by 8 publications

(7 citation statements)

References 10 publications

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“…However, prescription patterns vary from country to country. British child psychiatrists, for example, tended to use antidepressants far less than their counterparts in the US 5 .…”

Section: Introductionmentioning

confidence: 99%

Psychiatric treatments for children and adolescents preferred by spanish psychiatrists

Toro

Mur²,

Cantó³

2006

Eur. J. Psychiat.

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To study the prescription criteria of Spanish psychiatrists treating children and adolescents. Methods: a survey was designed to record their first choice and complementary preferences for pharmacological, psychotherapeutic and psychoeducational interventions in five disorders: autism, depression, separation anxiety, obsessive compulsive and attentiondeficit/hyperactivity disorders. Results: One hundred and nine psychiatrists responded. No distinction was made between children and adolescents. Around 90% recommended all three types of intervention in the five disorders. Only 2-10% would use only one treatment. Antidepressants were the most frequently prescribed drugs (recommended by 58%), followed by anxiolytics (33%), antipsychotics (24%), stimulants (20%), beta-blockers (19%), mood stabilizers (10%) and alpha-adrenergics (4%). Cognitive-behavioral therapy was the most popular approach, recommended by 66%; a third of the interviewees recommended family, support, interpersonal and dynamic psychotherapy. Interestingly, respondents quite frequently prescribe drugs, drug combinations and psychotherapies whose efficacy has not been demonstrated in the disorders in question. Conclusions: The majority of Spanish psychiatrists preferred the combined treatments in all disorders. There seems to be a tendency towards excessive generalization of therapeutic results obtained in adults.

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“…However, prescription patterns vary from country to country. British child psychiatrists, for example, tended to use antidepressants far less than their counterparts in the US 5 .…”

Section: Introductionmentioning

confidence: 99%

Psychiatric treatments for children and adolescents preferred by spanish psychiatrists

Toro

Mur²,

Cantó³

2006

Eur. J. Psychiat.

View full text Add to dashboard Cite

show abstract

“…Fewer studies focus only on antidepressant prescribing to children and adolescents (Bramble, 1995;Fegert, Kolch, Zito, Glaeske, & Janhsen, 2006;Kurian et al, 2007;Murray, deVries, & Wong, 2004;Murray, Thompson, Santosh, & Wong, 2005;Nemeroff et al, 2007;Rushton, Clark, & Freed, 2000;Vitiello, Zuvekas, & Norquist, 2006;Zito et al, 2002). These studies do limit their analysis to only antidepressant medications but no studies were located that limited the patient diagnosis to major depressive disorder.…”

Section: Statement Of the Problemmentioning

confidence: 99%

“…The majority of the scientific literature, which examines the prescribing of antidepressants to children and adolescents, has utilized large databases. The exception being three studies, Bhatia et al, 2008, Bramble, 1995, and Rushton, Clark, & Freed, 2000, which used surveys to obtain prescribing information directly from physicians who prescribe antidepressants to children and adolescents. Thus, most of these studies capture information about antidepressant utilization, and not data regarding the decisionmaking process.…”

Section: Statement Of the Problemmentioning

confidence: 99%

“…Other studies have focused specifically on the prescribing of antidepressant medications to children and adolescent patients. Bramble (1995) conducted a mail survey of child psychiatrists in Britain to gain information about prescribing patterns of antidepressants. Of those psychiatrists who responded 85% had prescribed antidepressants to their patients (Bramble, 1995).…”

Section: Antidepressant Prescribing To Children and Adolescentsmentioning

confidence: 99%

“…Bramble (1995) conducted a mail survey of child psychiatrists in Britain to gain information about prescribing patterns of antidepressants. Of those psychiatrists who responded 85% had prescribed antidepressants to their patients (Bramble, 1995). The most frequently prescribed antidepressants were amitriptyline and imipramine, and…”

Section: Antidepressant Prescribing To Children and Adolescentsmentioning

confidence: 99%

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