Open Access
Pediatric Stimulant and Selective Serotonin Reuptake Inhibitor Prescription Trends
TLDR
Prevalence of stimulant and SSRI medications has increased during the 1990s, with prescription prevalence in North Carolina Medicaid youth higher than previously reported.Abstract:
Background: Presciption trends have key implications for costs, outcomes, and research, yet few data exist on pediatric selective serotonin reuptake inhibitor (SSRI) trends and associations with stimulant trends. Objective: To describe prescription trends for stimulants, SSRIs, and combination prescriptions by age, sex, and race.read more
Citations
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Psychotropic practice patterns for youth: a 10-year perspective.
Julie M. Zito,Daniel J. Safer,Susan dosReis,James F. Gardner,Laurence S. Magder,Karen Soeken,Myde Boles,Frances L. Lynch,Mark A. Riddle +8 more
TL;DR: Youth psychotropic treatment utilization during the 1990s nearly reached adult utilization rates, and youth findings can be used to accurately assess the duration of treatment and unforeseen practice pattern changes, and to identify safety concerns.
Journal ArticleDOI
Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trial.
Joan Rosenbaum Asarnow,Lisa H. Jaycox,Naihua Duan,Anne P. LaBorde,Margaret M. Rea,Pamela J. Murray,Martin Anderson,Christopher Landon,Lingqi Tang,Kenneth B. Wells +9 more
TL;DR: A 6-month quality improvement intervention aimed at improving access to evidence-based depression treatments through primary care was significantly more effective than usual care for depressed adolescents from diverse primary care practices.
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Relationship Between Antidepressant Medication Treatment and Suicide in Adolescents
TL;DR: An inverse relationship between regional change in use of antidepressants and suicide raises the possibility of a role for using antidepressant treatment in youth suicide prevention efforts, especially for males, older adolescents, and adolescents who reside in lower-income regions.
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National trends in the treatment of attention deficit hyperactivity disorder.
TL;DR: Significant increases in the rates of treatment for ADHD were evident across nearly all sociodemographic groups, with the largest increases among children from poor, near-poor, and low-income families and children ages 12 to 18.
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Child Anxiety in Primary Care: Prevalent But Untreated.
TL;DR: The high prevalence of impairing anxiety disorders, in concert with the very low extent of treatment utilization, suggests a need for methods to identify and disseminate empirically validated treatments for these disorders in the primary care setting.
References
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Journal ArticleDOI
A 14-Month Randomized Clinical Trial of Treatment Strategies for Attention-Deficit/Hyperactivity Disorder
P. S. Jensen,L. E. Arnold,Je Richters,Jb Severe,D Vereen,Benedetto Vitiello,E. Schiller,Stephen P. Hinshaw,Gr Elliott,C.K. Conners,Kc Wells,John S. March,James M. Swanson,Timothy Wigal,Dennis P. Cantwell,Hb Abikoff,J Hechtman,Ll Greeenhill,Jh Newcorn,We Pelham,B Hoza,Hk Kraemer +21 more
TL;DR: In this paper, a group of 579 children with ADHD Combined Type, aged 7 to 9.9 years, were assigned to 14 months of medication management (titration followed by monthly visits); intensive behavioral treatment (parent, school, and child components, with therapist involvement gradually reduced over time); the two combined; or standard community care (treatments by community providers).
Journal ArticleDOI
Gender differences in ADHD: A meta-analysis and critical review
Miranda Gaub,Caryn L. Carlson +1 more
TL;DR: The need for future research examining gender differences in ADHD is strongly indicated, with attention to methodological limitations of the current literature, including the potential confounding effects of referral bias, comorbidity, developmental patterns, diagnostic procedures, and rater source.
Journal ArticleDOI
Diagnosis and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
TL;DR: Although some children are being diagnosed as having ADHD with insufficient evaluation and in some cases stimulant medication is prescribed when treatment alternatives exist, there is little evidence of widespread overdiagnosis or misdiagnosis of ADHD or ofidespread overprescription of methylphenidate by physicians.
Journal ArticleDOI
Clinical Practice Guideline: Diagnosis and Evaluation of the Child With Attention-Deficit/Hyperactivity Disorder
TL;DR: This clinical practice guideline provides recommendations for the assessment and diagnosis of school-aged children with attention-deficit/hyperactivity disorder (ADHD).