Psychotropic Polypharmacy and Antipsychotics in Children: A Survey of Caregiver's Perspectives.

Objective: We examined caregiver's knowledge, attitudes, and concerns about their child's psychotropic medication regimen and the potential side effects, describe how they seek information regarding treatment, and ascertain their perspectives toward deprescribing. Methods: We surveyed 48 caregivers...

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Publicado en:Community Mental Health Journal Vol. 58; no. 3; pp. 512 - 517
Autores principales: McLaren, Jennifer L., Barnett, Erin R., Acquilano, Stephanie C., Concepcion Zayas, Milangel T., Drake, Robert E., Leyenaar, JoAnna K.
Formato: Artículo
Publicado: Springer Nature Apr2022
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
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      pub: Springer Nature
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        10.1007/s10597-021-00845-2
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        atl: Psychotropic Polypharmacy and Antipsychotics in Children: A Survey of Caregiver's Perspectives.
      aug:
        au:
          McLaren, Jennifer L.
          Barnett, Erin R.
          Acquilano, Stephanie C.
          Concepcion Zayas, Milangel T.
          Drake, Robert E.
          Leyenaar, JoAnna K.
        affil:
          Department of Psychiatry, Dartmouth Hitchcock Medical Center, 03756, Lebanon, NH, USA
          Vulnerable Children Research Group, The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA
          Department of Pediatrics, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
          Dartmouth Trauma Interventions Research Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA
          Westat, Inc., 85 Mechanic Street, Suite C3-1, Lebanon, NH, USA
      su:
        Psychiatric drugs
        Psychology of caregivers
        Health attitudes
        Drugs
        Patient compliance
        Information-seeking behavior
        Caregiver attitudes
        Polypharmacy
        Deprescribing
        Descriptive statistics
        Antipsychotic agents
      sug:
        subj:
          Psychiatric drugs
          Psychology of caregivers
          Health attitudes
          Drugs
          Patient compliance
          Information-seeking behavior
          Pharmaceutical and medicine manufacturing
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Drugs and Druggists' Sundries Merchant Wholesalers
          Caregiver attitudes
          Polypharmacy
          Deprescribing
          Descriptive statistics
          Antipsychotic agents
      keyword:
        Children's mental health
        Parent perspectives
        Psychotropic medications
        Side effects
        Children's mental health
        Parent perspectives
        Psychotropic medications
        Side effects
      ab: Objective: We examined caregiver's knowledge, attitudes, and concerns about their child's psychotropic medication regimen and the potential side effects, describe how they seek information regarding treatment, and ascertain their perspectives toward deprescribing. Methods: We surveyed 48 caregivers of children 6–17 years old treated with two or more psychotropic medications or an antipsychotic medication, analyzing outcomes using descriptive statistics. Results: Almost all (N = 44, 92%) participants reported feeling very knowledgeable about why medications were prescribed, but only one-third (N = 16, 33%) reported feeling very knowledgeable about potential problems with long-term use or polypharmacy. Half of respondents (N = 24, 50%) reported asking their provider about reducing/stopping medications due to concerns about harmful effects, and nearly half (N = 20, 42%) reported stopping medications earlier than recommended. Conclusions: Interventions to engage caregivers in shared decision-making about complex medication regimens and to support prescribers to safely deprescribe psychotropic medications are needed to address caregivers' concerns regarding psychotropic medication use.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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