Journals / Psychiatry and behavioral sciences (Online) / 2019 / Cilt: 9 - Sayı: 3

Psychotropic Drug Use in Preschool and Toddler Age Groups: An Evaluation of Hospital Admissions

Pages
112–118
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Multi-centered, large clinic-based studies are needed to constitute a systematic approach for psychopharmacological treatment in these age groups.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study is aimed to evaluate the frequency of psychotropic drug use in children under age 6, and determine the predictive variables of psychotropic drug use.
📊
Key Findings & Data:Methods: For six months, data of children aged up to 6 admitted to Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Child Psychiatry Department was evaluated.
💡
Conclusion & Impact:Multi-centered, large clinic-based studies are needed to constitute a systematic approach for psychopharmacological treatment in these age groups.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: This study is aimed to evaluate the frequency of psychotropic drug use in children under age 6, and determine the predictive variables of psychotropic drug use. Methods: For six months, data of children aged up to 6 admitted to Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Child Psychiatry Department was evaluated. Statistical analyses were performed using SPSS version 17 for Windows. A value of p<0.05 was accepted as significant. Results: Total of 953 children under age 6 were recruited. Mean age was 3.5 years and 67.7% were male. 83.4% of all had at least one psychiatric disorder. The most common diagnosis was communication disorders (33.5%). Comorbid psychiatric disorder was found in 5.9% of all and the most comorbid diagnosis was an oppositional defiant disorder (3.3%). Psychotropic drug use was found in 7.3%. The most commonly used drug was risperidone (4%). Predictors of treatment were found as aged in 4-5 (p=0.002); male gender (p=0.049); anxiety (p<0.001); attention-deficit/ hyperactivity disorder (ADHD) (p<0.001), and pervasive developmental disorder (p<0.001). Conclusions: Our results could be useful for preferences of clinicians in treatment of children under age 6, and predictions of scientists working on these age groups in pharmaceutical industry. Multi-centered, large clinic-based studies are needed to constitute a systematic approach for psychopharmacological treatment in these age groups.

🔖

Cite This Article

UYGUN, S. D., AÇIKEL, S. B., GÖKER, Z., DİNÇ, G., HEKİM, Ö., COP, E., ÜNERİ, Ö. Ş. (2019). Psychotropic Drug Use in Preschool and Toddler Age Groups: An Evaluation of Hospital Admissions. Psychiatry and behavioral sciences (Online), Cilt: 9 - Sayı: 3, 112–118. https://ajindex.com/articles/414595

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Hölling H, Kurth BM, Rothenberger A, Becker A, Schlack R. Assessing psychopathological problems of children and adolescents from 3 to 17 years in a nationwide representative sample: results of the German health interview and examination survey for children and adolescents (KiGGS). Eur Child Adolesc Psychiatry 2008;17(1):34-41
  2. Gleason MM, Egger HL, Emslie GJ, Greenhill LL, Kowatch RA, Lieberman AF, et al. Psychopharmacological treatment for very young children: contexts and guidelines. J Am Acad Child Adolesc Psychiatry 2007;46(12):1532-1572
  3. Fanton J, Gleason MM. Psychopharmacology and preschoolers: a critical review of current conditions. Child Adolesc Psychiatr Clin N Am 2009;18(3):753-771
  4. Egger HL, Angold A. Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry 2006;47(3-4):313-337
  5. Canino G, Shrout PE, Rubio-Stipec M, Bird HR, Bravo M, Ramirez R, et al. The dsm-iv rates of child and adolescent disordersin puerto rico: prevalence, correlates, service use, and the effects of impairment. Arch Gen Psychiatry 2004;61(1):85-93
  6. Ford T, Goodman R, Meltzer H. The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 2003;42(10):1203-1211
  7. Lohr WD, Creel L, Feygin Y, Stevenson M, Smith MJ, Myers J, et al. Psychotropic Polypharmacy Among Children and Youth Receiving Medicaid, 2012-2015. J Manag Care Spec Pharm 2018;24(8):736-744
  8. Turkoglu S. Cocuk ve ergen psikiyatrisi poliklinigine basvuran hastalarda tani dagilimlari [Diagnosis of patients referring to a child and adolescent psychiatry outpatient clinic]. Selcuk Medical Journal 2014;30(3):118-122. [Turkish] 9. Sari BA. Batman’da çocuk psikiyatrisi polikliniğine başvuran hastalarda belirti ve tanı dağılımları [Symptoms and diagnosies of patients referring to a child and adolescent psychiatry outpatient clinic in Batman]. Klinik Psikiyatri Dergisi 2013;16(1):7-17. [Turkish] 10. Durukan I, Karaman D, Kara K, Turker T, Tufan AE, Yalcin O, et al. Diagnoses of patients referring to a child and adolescent psychiatry outpatient clinic. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2011;24(2):113-120
  9. Aktepe E, Demirci K, Çalışkan AM, Sönmez Y. Symptoms and diagnoses of patients referring to a child and adolescent psychiatry polyclinic. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2010;23(2):100-108.