心理药物使用和多药在儿童和青少年开始强化行为治疗严重挑战性行为治疗的多药
Matthew J O'Brien1, Alexander M Pauls2, Anna M Cates2
1The University of Iowa, Iowa City, IA; The University of Iowa Stead Family Department of Pediatrics, Iowa City, IA.
The Journal of pediatrics
|April 14, 2024
概括
心理药物使用和多药在严重行为挑战的儿童中仍然很高,十年来没有观察到任何显著的变化. 注意力缺陷/多动症和焦虑症与增加的药物使用有关.
科学领域:
- 儿童和青少年精神病学
- 行为健康 行为健康
- 心理药理学 心理药理学
背景情况:
- 强化行为治疗 (IBT) 对具有严重挑战性行为的儿童至关重要.
- 心理药物使用和多药在这个人群中很常见,但随着时间的推移趋势并未得到很好的确立.
研究的目的:
- 评估心理药物使用和多药物的流行,趋势和相关因素.
- 专注于儿童和青少年在10年的时间内开始密集的行为治疗.
主要方法:
- 追溯观察性研究分析了302名儿科患者 (2013-2022) 的数据.
- 数据来源包括护理人员采访和医疗记录.
- 统计分析包括回归和非参数方法来评估趋势和因素.
主要成果:
- 观察到使用精神药物 (83.8%) 和多药 (68.2%) 的高患病率.
- 在为期10年的研究期间,药物使用或多药药的流行没有显著变化.
- 注意缺陷/多动障碍 (ADHD),焦虑障碍和自我伤害行为的诊断与更高的药物使用和多药性有关.
结论:
- 心理药物使用和多药在儿童患者中持续高,这些患者具有严重的挑战性行为.
- 药物使用和多药的趋势在十年内保持稳定.
- 需要进一步的研究来概括这些发现,并探索美国的区域差异.
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