一个专家聚焦小组的调查结果关于心理药物治疗,为有复杂需求的儿童和青少年减轻处方的做法
Laura Theall1, Ajit Ninan1,2, Melissa Currie1
1Applied Research & Evaluation, Child and Parent Resource Institute, Ministry of Children, Community and Social Services, London, ON, Canada.
Frontiers in child and adolescent psychiatry
|January 16, 2025
概括
在年轻人中停止处方精神药物需要仔细审查,考虑时机,方法和持续支持. 这项研究强调了患者/家庭的参与和护理的连续性是成功戒药的关键.
科学领域:
- 儿科精神病学 儿科精神病学
- 临床药理学 临床药理学
- 儿童和青少年心理健康
背景情况:
- 心理药物有效地管理儿童和青少年的情绪和行为障碍.
- 当药物的益处,适用情况或不良反应受到质疑时,停止处方至关重要.
- 现有的抑郁症指导方针主要针对成人,通常是理论性的,对于儿科多药学缺乏实际应用.
研究的目的:
- 探索在儿童和青少年中减轻精神药物的处方的实用策略.
- 确定在专门的儿科三级护理环境中对抑郁症的关键主题和考虑因素.
- 为临床医生提供关于年轻患者正念抑郁症的实践的信息.
主要方法:
- 一个有质量的倡议,涉及八名医生 (六名精神病医生,两名儿科医生) 在儿童心理药物管理方面的专业知识.
- 聚焦小组讨论以确定抑郁症描述实践中的新兴主题.
- 利用来自服务于有复杂情感和行为需求的儿童和青年的高等中心的专业知识.
主要成果:
- 确定的主要主题包括系统的药物审查,抑郁症的战略时间和逐步的方法.
- 在住院和门诊服务中设置适当的脱处方条件至关重要.
- 患者和家庭的参与,以及心理社会/行为支持的连续性,成为关键的反复出现的子类别.
结论:
- 这些发现为支持临床医生在儿科患者群体中实践性地减少精神药物的处方提供了基础.
- 强调了患者,家庭和医疗保健提供者参与的协作方法的重要性.
- 强调需要针对儿科减产处方制定量身定制的实际指导方针,特别是在多种药物的情况下.
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