Psychotropic medication use in treatment-seeking youth with eating disorders.
adolescents
anorexia nervosa
bulimia nervosa
eating disorders
psychotropic medication
Journal
European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
07
04
2020
revised:
07
07
2020
accepted:
10
08
2020
pubmed:
15
9
2020
medline:
27
2
2021
entrez:
14
9
2020
Statut:
ppublish
Résumé
Psychotropic medication use in youth with eating disorders (EDs) is poorly understood despite high co-occurrence of psychiatric disorders. This study examined characteristics associated with medication use in treatment-seeking youth with EDs. Youth up to age 18 reported on medication use when presenting to an academic medical center outpatient ED service in the United States. Data presented were collected between 1998-2015. The sample (N = 604) was predominantly female (90.6%) with a mean age of 15.3 years (SD = 2.3). Approximately one-third (30%, n = 173) were taking psychotropic medications (40%, n = 70, were taking multiple medications). Antidepressant use was most common (26%, n = 152), followed by atypical antipsychotics (8%, n = 43). Adjusting for co-occurring psychiatric disorders, non-Hispanic Whites who had received prior treatment (psychotherapy, hospitalization) were significantly more likely to be using medication. Longer illness duration and prior treatment were associated with greater antidepressant use. For atypical antipsychotics, prior hospitalization was associated with greater use. Findings confirm moderate psychotropic medication use among young patients with EDs despite a lack of clarity regarding optimally effective pharmacologic interventions in this population. Pharmacological trials examining the efficacy of medications for young patients with EDs are warranted to inform future prescribing practice.
Identifiants
pubmed: 32926514
doi: 10.1002/erv.2788
pmc: PMC7903243
mid: NIHMS1667856
doi:
Substances chimiques
Antipsychotic Agents
0
Psychotropic Drugs
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
739-749Subventions
Organisme : NIDDK NIH HHS
ID : K23 DK105234
Pays : United States
Organisme : NIMH NIH HHS
ID : K23 MH120347
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH018261
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH082761
Pays : United States
Informations de copyright
© 2020 John Wiley & Sons, Ltd and Eating Disorders Association.
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