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[儿童和青少年精神药物处方行为的自我评估。执业医师调查结果]

[Self-assessment of prescribing behavior of psychotropic drugs for children and adolescence. Results of a survey of established physicians].

作者信息

Trott G E, Badura F, Wirth S, Friese H J, Hollmann-Wehren B, Warnke A

机构信息

Klinik und Poliklinik für Kinder- und Jugendpsychiatrie der Julius-Maximilians-Universität, Würzburg.

出版信息

Psychiatr Prax. 1995 Nov;22(6):235-9.

PMID:8570754
Abstract

All registered general practitioners, pediatricians, and neuropsychiatrists of lower franconia were asked to fill out a questionnaire regarding the ratio of 0-20 year old patients with psychiatric symptoms and their prescribing methods of psychopharmaca. Neuropsychiatrists treated less children and adolescents with psychiatric symptoms than pediatricians or general practitioners. Approximately 50% of the patients with psychiatric symptoms received psychopharmaca. The most frequently prescribed psychopharmaca were neuroleptics and antidepressants, followed by phytopharmaca with various ingredients, which were most frequently prescribed by general practitioners. The average duration of a psychopharmacotherapy was 9 weeks. A great deal of uncertainty regarding the prescription of psychopharmaca to children and adolescents has become evident. Despite the fact that an enuresis can not be diagnosed before the end of the 5th year, it was one of the most frequently treated symptom of the 2-5 year old children. On the other hand, approximately one third of all physicians principally do not treat children and adolescents with psychopharmaca.

摘要

下弗兰肯地区所有注册的全科医生、儿科医生和神经精神科医生都被要求填写一份关于0至20岁有精神症状患者的比例及其精神药物处方方法的问卷。与儿科医生或全科医生相比,神经精神科医生治疗的有精神症状的儿童和青少年较少。约50%有精神症状的患者接受了精神药物治疗。最常开具的精神药物是抗精神病药和抗抑郁药,其次是含有各种成分的植物药,全科医生最常开具此类药物。精神药物治疗的平均疗程为9周。给儿童和青少年开具精神药物方面存在很大的不确定性,这一点已很明显。尽管遗尿症在5岁末之前不能被诊断出来,但它却是2至5岁儿童最常治疗的症状之一。另一方面,约三分之一的医生原则上不给儿童和青少年使用精神药物治疗。

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