在患有1型糖尿病的儿童和青少年中使用心理药物
Shengxin Liu1, Tyra Lagerberg1,2, Jonas F Ludvigsson1,3,4
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
JAMA network open
|October 3, 2023
概括
从2006年至2019年,精神药物使用在患有1型糖尿病 (T1D) 的儿童和青少年中显著增加. 这一趋势凸显了需要综合护理来管理T1D年轻人的心理健康需求.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿童和青少年精神病学
- 药学流行病学 药学流行病学
背景情况:
- 患有1型糖尿病 (T1D) 的儿童和青少年患精神疾病的风险更高.
- 心理药物通常用于精神症状,但T1D年轻人的证据有限.
研究的目的:
- 从2006年到2019年,分析瑞典儿童和青少年患有T1D的精神药物开放趋势和模式.
- 为了比较T1D患者和无T1D患者之间的药物使用情况.
主要方法:
- 一个瑞典队列研究利用国家注册表从2006-2019.
- 包括儿童和青少年,直到18岁,移民或死亡.
- 分析了各种精神药物的处方,启动率和精神病诊断.
主要成果:
- 在2006-2019年期间,精神药物开放量从儿童的0.85%上升到3.84%,在患有T1D的青少年中从2.72%上升到13.54%,在儿童中从0.85%上升到3.84%.
- 与没有T1D的同龄人相比,患有T1D的年轻人使用药物的比例始终较高.
- 催眠药,ADHD药物,抗焦虑药和SSRI是最常见的,观察到的趋势越来越大.
结论:
- 对于患有T1D的儿童和青少年来说,精神药物开放的趋势越来越大.
- 研究结果表明,需要进一步研究这种人群中药物的益处/风险.
- 综合的儿科糖尿病和心理健康护理对于早期检测和监测至关重要.
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