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Use of Antipsychotics: The Experiences, Views, and Monitoring Practices of Child and Adolescent Psychiatrists in Turkey.
J Child Adolesc Psychopharmacol. 2020 Jun 30 [Online ahead of print]JC

Abstract

Objectives:

The aim of this study is to evaluate the antipsychotics prescribed by child psychiatrists and their applications on the follow-up of these drugs.

Methods:

The universe of this research included consultant physicians and child psychiatry residents working in the field. A questionnaire has been created that assesses the use of antipsychotics and follow-up processes of physicians. The survey involved 19 questions. Contents of the survey were sociodemographic data, short-term and long-term follow-up of antipsychotic drugs, side-effect intervention strategies, and diagnoses of the most commonly preferred antipsychotic medications. The survey was delivered via e-mail and sent as a message to the child and adolescent psychiatrists in Turkey.

Results:

One hundred sixty-one physicians working in the field of child and adolescent psychiatry participated in the study. Aripiprazole (32.2%), risperidone (30.4%), and quetiapine (14.9%) were three most commonly prescribed antipsychotics. Disruptive behavior-related disorders (28.9%), behavior problems related to autism spectrum disorder (20.7%), behavior problems related to intellectual disability (14.5%), and attention-deficit/hyperactivity disorder (12.4%) were the most common diagnoses requiring antipsychotics medications. Before starting antipsychotic treatment, the most commonly evaluated parameters were body mass index (BMI) (47.2%), waist circumference (10.5%), blood pressure (28.5%), lipid profile (37%), and blood glucose level (41.6%). When the evaluations made at least in a year after starting antipsychotic drug therapy were examined, 80.2% of physicians reported blood glucose, 79.6% lipid profile, 65.7% BMI, 59.1% blood pressure, and 26.6% waist circumference measurement almost always done.

Conclusions:

The results showed that the adherence to recommendations in guidelines for the screening of antipsychotic-related side effects was low. This study suggests that interventions should be made about antipsychotic monitoring training to physicians.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University Faculty of Medicine, Manisa, Turkey.Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University Faculty of Medicine, Manisa, Turkey.Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University Faculty of Medicine, Manisa, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32614261

Citation

Çakır, Burak, et al. "Use of Antipsychotics: the Experiences, Views, and Monitoring Practices of Child and Adolescent Psychiatrists in Turkey." Journal of Child and Adolescent Psychopharmacology, 2020.
Çakır B, Yalın Sapmaz Ş, Kandemir H. Use of Antipsychotics: The Experiences, Views, and Monitoring Practices of Child and Adolescent Psychiatrists in Turkey. J Child Adolesc Psychopharmacol. 2020.
Çakır, B., Yalın Sapmaz, Ş., & Kandemir, H. (2020). Use of Antipsychotics: The Experiences, Views, and Monitoring Practices of Child and Adolescent Psychiatrists in Turkey. Journal of Child and Adolescent Psychopharmacology. https://doi.org/10.1089/cap.2020.0078
Çakır B, Yalın Sapmaz Ş, Kandemir H. Use of Antipsychotics: the Experiences, Views, and Monitoring Practices of Child and Adolescent Psychiatrists in Turkey. J Child Adolesc Psychopharmacol. 2020 Jun 30; PubMed PMID: 32614261.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of Antipsychotics: The Experiences, Views, and Monitoring Practices of Child and Adolescent Psychiatrists in Turkey. AU - Çakır,Burak, AU - Yalın Sapmaz,Şermin, AU - Kandemir,Hasan, Y1 - 2020/06/30/ PY - 2020/7/3/entrez KW - antipsychotics KW - child and adolescent KW - metabolic monitoring JF - Journal of child and adolescent psychopharmacology JO - J Child Adolesc Psychopharmacol N2 - Objectives: The aim of this study is to evaluate the antipsychotics prescribed by child psychiatrists and their applications on the follow-up of these drugs. Methods: The universe of this research included consultant physicians and child psychiatry residents working in the field. A questionnaire has been created that assesses the use of antipsychotics and follow-up processes of physicians. The survey involved 19 questions. Contents of the survey were sociodemographic data, short-term and long-term follow-up of antipsychotic drugs, side-effect intervention strategies, and diagnoses of the most commonly preferred antipsychotic medications. The survey was delivered via e-mail and sent as a message to the child and adolescent psychiatrists in Turkey. Results: One hundred sixty-one physicians working in the field of child and adolescent psychiatry participated in the study. Aripiprazole (32.2%), risperidone (30.4%), and quetiapine (14.9%) were three most commonly prescribed antipsychotics. Disruptive behavior-related disorders (28.9%), behavior problems related to autism spectrum disorder (20.7%), behavior problems related to intellectual disability (14.5%), and attention-deficit/hyperactivity disorder (12.4%) were the most common diagnoses requiring antipsychotics medications. Before starting antipsychotic treatment, the most commonly evaluated parameters were body mass index (BMI) (47.2%), waist circumference (10.5%), blood pressure (28.5%), lipid profile (37%), and blood glucose level (41.6%). When the evaluations made at least in a year after starting antipsychotic drug therapy were examined, 80.2% of physicians reported blood glucose, 79.6% lipid profile, 65.7% BMI, 59.1% blood pressure, and 26.6% waist circumference measurement almost always done. Conclusions: The results showed that the adherence to recommendations in guidelines for the screening of antipsychotic-related side effects was low. This study suggests that interventions should be made about antipsychotic monitoring training to physicians. SN - 1557-8992 UR - https://www.unboundmedicine.com/medline/citation/32614261/Use_of_Antipsychotics:_The_Experiences,_Views,_and_Monitoring_Practices_of_Child_and_Adolescent_Psychiatrists_in_Turkey L2 - https://www.liebertpub.com/doi/10.1089/cap.2020.0078?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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