Brenner Sharon L, Southerland Dannia G, Burns Barbara J, Wagner H Ryan, Farmer Elizabeth M Z
Services Effectiveness Research Program, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, DUMC Box 3454, Durham, NC 27710.
School of Social Work, Virginia Commonwealth University, Richmond, VA.
J Child Fam Stud. 2014 May 1;23(4):666-674. doi: 10.1007/s10826-013-9882-3.
We describe the use of psychotropic medications among youth in treatment foster care (TFC). Data from 240 youth were coded to examine rates of medication use, including polypharmacy and an indicator of "questionable polypharmacy." Fifty-nine percent of youth in TFC had taken a psychotropic medication within the past two months. Of the youth taking psychotropics, 61% took two or more and 22% met criteria for questionable polypharmacy. The majority of youth taking psychotropics also received psychosocial mental health services and were more likely to receive such services than youth not taking medication. Use of psychotropic medication use was not significantly related to demographic factors, maltreatment history, or custody. However, youth with more severe symptoms were more likely to be on medications and to be on multiple medications. Youth with "questionable polypharmacy" were less likely than other youth on multiple medications to have a recent visit to a psychiatrist.
我们描述了治疗性寄养照护（TFC）中青少年使用精神药物的情况。对来自240名青少年的数据进行编码，以检查药物使用比率，包括多药合用情况以及一个“可疑多药合用”指标。在TFC中的青少年里，59%在过去两个月内服用过精神药物。在服用精神药物的青少年中，61%服用了两种或更多药物，22%符合可疑多药合用的标准。大多数服用精神药物的青少年还接受了心理社会心理健康服务，并且比未服用药物的青少年更有可能接受此类服务。精神药物的使用与人口统计学因素、虐待史或监护情况没有显著关联。然而，症状更严重的青少年更有可能服用药物且服用多种药物。与服用多种药物的其他青少年相比，有“可疑多药合用”情况的青少年近期看精神科医生的可能性较小。
