Raghavan Ramesh, McMillen J Curtis
George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, St. Louis, MO 63130, USA.
Psychiatr Serv. 2008 Sep;59(9):1052-5. doi: 10.1176/ps.2008.59.9.1052.
This study described the prevalence of and risk factors for using multiple concurrent psychotropics among adolescents leaving foster care.
In-person interviews were conducted with 406 adolescents who were aged 17 years and were leaving foster care in a Midwestern state.
Of the 403 who had complete records, most (N=257, or 64%) did not report taking any psychotropic medications, while 46 (10%) were on three or more concurrent psychotropics. A history of physical or sexual abuse and a diagnosis of major depressive disorder or manic episode were significantly associated with the use of three or more concurrent medications. Between 19% and 41% of adolescents with diagnoses for which psychotropics are indicated were not taking any medications.
This local cohort of adolescents aging out of foster care seemed to display both overuse and underuse of psychotropics. Research on larger and more representative cohorts of youths leaving foster care is necessary in order to understand the appropriateness of psychotropic prescribing among these adolescents.
本研究描述了脱离寄养照料的青少年中同时使用多种精神药物的患病率及危险因素。
对美国中西部一个州406名年满17岁且即将脱离寄养照料的青少年进行了面对面访谈。
在有完整记录的403名青少年中，大多数（N = 257，占64%）未报告服用任何精神药物，而46名（10%）同时服用三种或更多种精神药物。身体或性虐待史以及重度抑郁症或躁狂发作的诊断与同时服用三种或更多种药物显著相关。在有精神药物使用指征诊断的青少年中，19%至41%未服用任何药物。
这一当地脱离寄养照料的青少年群体似乎存在精神药物过度使用和使用不足的情况。有必要对更大规模且更具代表性的脱离寄养照料的青少年群体进行研究，以了解这些青少年精神药物处方的合理性。
