Is it time to end our complicity with pharmacocentricity?

Wand, Timothy

doi:10.1111/inm.12554

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…Additionally, early life trauma induced alterations in affective and stress responses have been observed to reverse through psychological interventions (Bethell et al, 2016;Koe et al, 2016;Ortiz and Sibinga, 2017). Also, the benefits of psychiatric drugs may be overestimated while their toxicity is underestimated (Adlington, 2018;Hengartner et al, 2018;Wand, 2019).…”

Section: The Bps-pathways Model and Its Implicationsmentioning

confidence: 99%

Pathways to well-being: Untangling the causal relationships among biopsychosocial variables

Karunamuni

Imayama

Goonetilleke

2021

Social Science & Medicine

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Section: The Bps-pathways Model and Its Implicationsmentioning

confidence: 99%

Pathways to well-being: Untangling the causal relationships among biopsychosocial variables

Karunamuni

Imayama

Goonetilleke

2021

Social Science & Medicine

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“…7,23 The greater utilization of psychotropics among students and young adults should be discussed, as mental disorders are mostly determined by personal experiences, and is not a condition that they are born with. 27 Considering the current trend to withdraw psychotropics once they can cause more harm than provide benefits, 28,29 it is essential that individuals reassess the meaning of mental health in early adulthood. Among students treated with psychotropics, 79.5% partially or totally associated use with pharmacy graduation.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Use of Medications for Anxiety and Depression in Pharmacy Students in Brazil

Amaral

Carvalho

Vieira

et al. 2021

American Journal of Pharmaceutical Education

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To map the use of medications for anxiety and depression and associated factors among pharmacy students in Brazil. Methods. A cross-sectional study was conducted from May to July 2019 with undergraduate pharmacy students. Data were collected using an online questionnaire on sociodemographic issues and the use of psychotropics. Exploratory descriptive analysis of data, the chi-square test, and multivariate binary logistic regression were performed to identify factors associated with the use of medications for anxiety and depression. Results. A total of 198 responses were included, with most respondents being female with a mean age of 22.3 years. Among these, 17.7% of pharmacy students used medications to treat anxiety and 13.1% used medications for depression. The most consumed psychotropics were escitalopram and fluoxetine. There were two peaks, in the initial and last years of the pharmacy school, for beginning the use of these medications. Dissatisfaction with the pharmacy program and psychological support were significantly associated with the use of medications for anxiety. In contrast, monthly income between 3 to 15 times the minimum wage, religiosity/spirituality, and psychological support were associated with the use of medications for depression. Conclusion.There was a high prevalence of the use of medications to treat anxiety and depression among undergraduate pharmacy students, and this utilization was associated with psychological support, monthly income, and religiosity/spirituality.

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“…This is primarily for assisting with acute distress and short-term use; however, these accounts are offset by concerns over the consequences of long-term use, side-effects, compromised functioning and the impact psychotropic medications have on people's sense of self and agency (Bjornestad et al 2020;Cartwright et al 2016;Read et al 2018;Read & Sacia 2020;Thompson et al 2020). This has prompted the proposition that on balance psychotropic medications cause greater harm than good (Wand 2019).…”

Section: Introductionmentioning

confidence: 99%

“…2020). This has prompted the proposition that on balance psychotropic medications cause greater harm than good (Wand 2019).…”

Section: Introductionmentioning

confidence: 99%

What should be the future focus of mental health nursing? Exploring the perspectives of mental health nurses, consumers, and allied health staff

Wand

Glover²,

Paul³

2021

Int J Mental Health Nurs

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The landscape of mental health care and service delivery is changing, as is our understanding of the underlying causes for mental distress. It is now apparent that biogenic explanations have been overstated and instead experiences of trauma and adversity constitute the main contributor to people's experiences of mental health challenges. The shortcomings of treatments traditionally used in mental health care are also evident, and with a contemporary focus on person-centred care, the utility of diagnostic labels has been called into question. Taking all this into consideration, this study sought to explore, what should be the future focus of mental health nursing? Three separate focus groups were conducted. One with a sample of senior clinical mental health nurses, one with a sample of consumer representatives and another with allied health professionals. The common theme across all three focus groups was the centrality of the therapeutic role of mental health nurses (MHNs). Consumers and allied health participants, in particular, advocated for a de-emphasis on medications, psychiatric diagnoses, and custodial practices. The MHNs role in health promotion, working collaboratively with consumers, being hopeful, understanding the individual perspective, and appreciating the social determinants of mental health were all highlighted in framing the future focus of MHN practice.

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Is it time to end our complicity with pharmacocentricity?

Cited by 5 publications

References 18 publications

Pathways to well-being: Untangling the causal relationships among biopsychosocial variables

Pathways to well-being: Untangling the causal relationships among biopsychosocial variables

Factors Associated With Use of Medications for Anxiety and Depression in Pharmacy Students in Brazil

What should be the future focus of mental health nursing? Exploring the perspectives of mental health nurses, consumers, and allied health staff

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