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- Title
Clinical characteristics associated with the prescribing of SSRI medication in adolescents with major unipolar depression.
- Authors
Cousins, Lesley; Whitaker, Kirstie; Widmer, Barry; Midgley, Nick; Byford, Sarah; Dubicka, Bernadka; Kelvin, Raphael; Reynolds, Shirley; Roberts, Christopher; Holland, Fiona; Barrett, Barbara; Senior, Robert; Wilkinson, Paul; Target, Mary; Fonagy, Peter; Goodyer, Ian M
- Abstract
Unipolar major depressions (MD) emerge markedly during adolescence. National Institute for Health and Care Excellence (NICE) UK recommends psychological therapies, with accompanying selective serotonin reuptake inhibitors (SSRIs) prescribed in severe cases only. Here, we seek to determine the extent and rationale of SSRI prescribing in adolescent MD before entering a randomised clinical trial. SSRI prescribing, together with their clinical characteristics was determined in 465 adolescent patients with MD prior to receiving a standardised psychological therapy as part of the Improving mood with psychoanalytic and cognitive therapies (IMPACT) clinical trial. Overall, 88 (19 %) had been prescribed antidepressants prior to psychological treatment. The clinical correlates varied by gender: respectively, depression severity in boys and self-harming behaviours in girls. Prescribing also differed between clinical research centres. Medical practitioners consider severity of depression in boys as an indicator for antidepressant prescribing. Self-injury in girls appears to be utilised as a prescribing aid which is inconsistent with past and current revised UK NICE guidelines.
- Subjects
UNITED Kingdom; MENTAL depression; ANTIDEPRESSANTS; SEROTONIN uptake inhibitors; CHI-squared test; STATISTICAL correlation; MEDICAL cooperation; MEDICAL protocols; QUALITY of life; RESEARCH; RESEARCH funding; RISK-taking behavior; SELF-mutilation; SEX distribution; LOGISTIC regression analysis; RANDOMIZED controlled trials; SEVERITY of illness index; DATA analysis software; DESCRIPTIVE statistics; MANN Whitney U Test; ADOLESCENCE
- Publication
European Child & Adolescent Psychiatry, 2016, Vol 25, Issue 12, p1287
- ISSN
1018-8827
- Publication type
Article
- DOI
10.1007/s00787-016-0849-y