Editorial: Rising Psychotropic Medication Use Among US Youth.
연구 요약
Editorial: Rising Psychotropic Medication Use Among US Youth.
Journal of the American Academy of Child and Adolescent Psychiatry 학술지에 발표된 이 연구는 Olfson M 외 연구팀이 수행하였습니다.
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핵심 내용
Psychotropic medication use among children, adolescents, and young adults in the United States has increased over the past 2 decades, focusing renewed attention on the appropriateness of prescribing, polypharmacy, and potential drug-drug interactions during critical periods of neurodevelopment. In their new study, Meng and colleagues report findings from a repeated cross-sectional analysis of nationally representative data from the US National Health and Nutrition Examination Survey (NHANES) spanning 2001 through March 2020, including 1,625 young people 6 to 24 years of age who reported psychotropic medication use.1 Psychotropic medication use, defined as self-reported use of stimulants, antidepressants, antipsychotics, or benzodiazepine-related medications in the past month, increased from 5.3% in 2001 to 2004 to 8.3% in 2017 to March 2020. Psychotropic polypharmacy, defined as concurrent use of 2 or more psychotropic medications, nearly doubled over the 2001 to 2020 study period, rising from 1.8% to 3.3%. Increases were most pronounced for children and young adults and were driven largely by stimulant use. Among young people prescribed psychotropic medications, 26.0% were treated with at least one potential contraindicated or major drug-drug interaction. Together, these findings reveal increasing use of medication-based treatments for mental health conditions in US youth, alongside increasing treatment complexity and potential safety risks, highlighting the importance of careful prescribing and ongoing clinical monitoring.
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