Evidence map›Paper›PMID 26614572›Full record

ArticleClinical child psychology and psychiatry2016

System struggles and substitutes: A qualitative study of general practitioner and psychiatrist experiences of prescribing antipsychotics to children and adolescents.

Andrea L Murphy, David M Gardner, Steve Kisely, Charmaine A Cooke, Stanley P Kutcher, Jean Hughes

Abstract read
In one paragraph

Article in Clinical child psychology and psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Barriers and Facilitators Associated with the Management of Aggressive and Disruptive Behaviour in Children: A Qualitative Study with Pediatricians.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2020
    Article
  6. Article
  7. Article
  8. The immense value of qualitative research to pharmacy.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2016
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrea L MurphyCollege of Pharmacy, Dalhousie University, Canada andrea.murphy@dal.ca.
David M GardnerCollege of Pharmacy, Dalhousie University, Canada.
Steve KiselySchool of Population Health, University of Queensland, Australia.
Charmaine A CookeNova Scotia Department of Health and Wellness, Canada.
Stanley P KutcherDepartment of Psychiatry, Dalhousie University, Canada.
Jean HughesSchool of Nursing, Dalhousie University, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are significant controversies regarding rising antipsychotic prescription trends in children and adolescents. Many pharmacoepidemiology trend studies have been published, and interpretations of these data are helpful in explaining what is happening in prescribing practices, but not why these patterns exist. There is a lack of qualitative data in this area, and the experience of prescribing antipsychotics to children and adolescents has not been adequately researched. We conducted a qualitative study using an interpretive phenomenological analysis of physicians' experiences of antipsychotic prescribing to children and adolescents. Prescribers participated in individual interviews and a focus group. We used a staged approach for data analysis of transcriptions. In all, 11 physicians including psychiatrists and general practitioners participated in our study. We identified themes related to context, role and identity, and decision-making and filtering Struggles with health system gaps were significant leading to the use of antipsychotics as substitutes for other treatments. Physicians prescribed antipsychotics to youth for a range of indications and had significant concerns regarding adverse effects. Our results provide knowledge regarding the prescribers' experience of antipsychotics for children and adolescents. Important gaps exist within the health system that are creating opportunities for the initiation and continued use of these agents.

Indexed as

AdolescentAntipsychotic AgentsChildDrug PrescriptionsGeneral PractitionersHumansPsychiatryQualitative ResearchAntipsychotic Agentsantipsychoticschildren and adolescentsdisruptive behavior disordersphysicians

Identifiers

PMID26614572
PMCPMC5094295

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.