According to a published study, primary care pediatricians (PCPs) who prescribe selective serotonin reuptake inhibitors (SSRIs) to children with anxiety and/or depression routinely document initiation of Appropriate indications for medication and prescribing without specialist involvement Online April 17
Pediatrics.
Talia R. Lester, MD, Stanford School of Medicine, Palo Alto, CA, and colleagues charted 110 patients At least one visit with a diagnosis of anxiety and/or depression in a large primary care network with a prescription for an SSRI by a network PCP was reviewed. The visit at which an SSRI was first prescribed (drug visit), the previous visit, and the visit immediately following it were reviewed.
Researchers found that in 82 percent of cases, PCPs documented reasons for initiating SSRIs at the time of visit, with the most common The reason was a clinical change (57%). Participation by a developmental behavioral pediatric or psychiatric subspecialist was documented in 30% of the three visits reviewed. Overall, 33% and 4% received unspecified psychotherapy and cognitive behavioral therapy, respectively. Of the 69 patients who followed up, 48% had documentation for monitoring side effects.
“These findings encourage specialists to work with PCPs to make specific Children and adolescents receive prompt and comprehensive follow-up care with SSRIs,” the authors wrote. More information: Anxiety and Depression Treatment in Primary Care Pediatrics, Pediatrics (2023) . DOI: 10.1542/peds.2022-058846m Abstract/Full Text Editorial
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