National trends in the outpatient treatment of children and adolescents with antipsychotic drugs

Context: Although there are indications that antipsychotic drugs are increasingly used to treat children and adolescents, little is known about the characteristics of those who receive them. Objective: To examine national trends and patterns in antipsychotic treatment of youth seen by physicians in...

Descripción completa

Detalles Bibliográficos
Autores: Olfson, Mark, Blanco, Carlos, Liu, Linxu, Moreno Ruiz, María del Carmen, Lage Gómez, Carlos
Tipo de recurso: artículo
Fecha de publicación:2006
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/115091
Acceso en línea:https://hdl.handle.net/20.500.14352/115091
Access Level:acceso abierto
Palabra clave:616.89
Adolescent
Antipsychotic Agents
Mental Disorders
Psiquiatría
3211 Psiquiatría
id ES_5b95d67dc8a8adc8d80b4cd51f90f7b4
oai_identifier_str oai:docta.ucm.es:20.500.14352/115091
network_acronym_str ES
network_name_str España
repository_id_str
spelling National trends in the outpatient treatment of children and adolescents with antipsychotic drugsOlfson, MarkBlanco, CarlosLiu, LinxuMoreno Ruiz, María del CarmenLage Gómez, Carlos616.89AdolescentAntipsychotic AgentsMental DisordersPsiquiatría3211 PsiquiatríaContext: Although there are indications that antipsychotic drugs are increasingly used to treat children and adolescents, little is known about the characteristics of those who receive them. Objective: To examine national trends and patterns in antipsychotic treatment of youth seen by physicians in office-based medical practice. Design: Analysis of national trends of visits (1993-2002) that included prescription of antipsychotics, and comparison of the clinical and demographic characteristics of visits (2000-2002) that included or did not include antipsychotic treatment. Setting: Outpatient visits to physicians in office-based practice. Participants: Patient visits by persons 20 years and younger from the National Ambulatory Medical Care Surveys from 1993 to 2002. Main outcome measures: Visits that included prescription of antipsychotics. Results: In the United States, the estimated number of office-based visits by youth that included antipsychotic treatment increased from approximately 201,000 in 1993 to 1,224,000 in 2002. From 2000 to 2002, the number of visits that included antipsychotic treatment was significantly higher for male youth (1913 visits per 100,000 population) than for female youth (739 visits per 100,000 population), and for white non-Hispanic youth (1515 visits per 100,000 population) than for youth of other racial or ethnic groups (426 visits per 100,000 population). Overall, 9.2% of mental health visits and 18.3% of visits to psychiatrists included antipsychotic treatment. From 2000 to 2002, 92.3% of visits with prescription of an antipsychotic included a second-generation medication. Mental health visits with prescription of an antipsychotic included patients with diagnoses of disruptive behavior disorders (37.8%), mood disorders (31.8%), pervasive developmental disorders or mental retardation (17.3%), and psychotic disorders (14.2%). Conclusions: There has been a sharp national increase in antipsychotic treatment among children and adolescents in office-based medical practice. Second-generation antipsychotics are being widely prescribed, and emerging empirical evidence provides a base of support that is limited to short-term safety and efficacy.Jama NetworkUniversidad Complutense de Madrid20062006-06-0120062006-06-01journal articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/115091reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1150912026-06-02T12:44:21Z
dc.title.none.fl_str_mv National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
title National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
spellingShingle National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
Olfson, Mark
616.89
Adolescent
Antipsychotic Agents
Mental Disorders
Psiquiatría
3211 Psiquiatría
title_short National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
title_full National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
title_fullStr National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
title_full_unstemmed National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
title_sort National trends in the outpatient treatment of children and adolescents with antipsychotic drugs
dc.creator.none.fl_str_mv Olfson, Mark
Blanco, Carlos
Liu, Linxu
Moreno Ruiz, María del Carmen
Lage Gómez, Carlos
author Olfson, Mark
author_facet Olfson, Mark
Blanco, Carlos
Liu, Linxu
Moreno Ruiz, María del Carmen
Lage Gómez, Carlos
author_role author
author2 Blanco, Carlos
Liu, Linxu
Moreno Ruiz, María del Carmen
Lage Gómez, Carlos
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.89
Adolescent
Antipsychotic Agents
Mental Disorders
Psiquiatría
3211 Psiquiatría
topic 616.89
Adolescent
Antipsychotic Agents
Mental Disorders
Psiquiatría
3211 Psiquiatría
description Context: Although there are indications that antipsychotic drugs are increasingly used to treat children and adolescents, little is known about the characteristics of those who receive them. Objective: To examine national trends and patterns in antipsychotic treatment of youth seen by physicians in office-based medical practice. Design: Analysis of national trends of visits (1993-2002) that included prescription of antipsychotics, and comparison of the clinical and demographic characteristics of visits (2000-2002) that included or did not include antipsychotic treatment. Setting: Outpatient visits to physicians in office-based practice. Participants: Patient visits by persons 20 years and younger from the National Ambulatory Medical Care Surveys from 1993 to 2002. Main outcome measures: Visits that included prescription of antipsychotics. Results: In the United States, the estimated number of office-based visits by youth that included antipsychotic treatment increased from approximately 201,000 in 1993 to 1,224,000 in 2002. From 2000 to 2002, the number of visits that included antipsychotic treatment was significantly higher for male youth (1913 visits per 100,000 population) than for female youth (739 visits per 100,000 population), and for white non-Hispanic youth (1515 visits per 100,000 population) than for youth of other racial or ethnic groups (426 visits per 100,000 population). Overall, 9.2% of mental health visits and 18.3% of visits to psychiatrists included antipsychotic treatment. From 2000 to 2002, 92.3% of visits with prescription of an antipsychotic included a second-generation medication. Mental health visits with prescription of an antipsychotic included patients with diagnoses of disruptive behavior disorders (37.8%), mood disorders (31.8%), pervasive developmental disorders or mental retardation (17.3%), and psychotic disorders (14.2%). Conclusions: There has been a sharp national increase in antipsychotic treatment among children and adolescents in office-based medical practice. Second-generation antipsychotics are being widely prescribed, and emerging empirical evidence provides a base of support that is limited to short-term safety and efficacy.
publishDate 2006
dc.date.none.fl_str_mv 2006
2006-06-01
2006
2006-06-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/115091
url https://hdl.handle.net/20.500.14352/115091
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Jama Network
publisher.none.fl_str_mv Jama Network
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869408812536954880
score 15,81155

Similares en LA Referencia