Evidence map›Paper›PMID 28068620›Full record

ArticleJournal of affective disorders2017

Temporal trends in antidepressant prescribing to children in UK primary care, 2000-2015.

Jane Sarginson, Roger T Webb, S Jill Stocks, Aneez Esmail, Shruti Garg, Darren M Ashcroft

Abstract read
In one paragraph

Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Jane SarginsonNIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester; Centre for Pharmacoepidemiology and Drug Safety, Manchester Academic Health Sciences Centre (MAHSC). Electronic address: jane.sarginson@manchester.ac.uk.
Roger T WebbDivision of Psychology & Mental Health, University of Manchester.
S Jill StocksNIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester.
Aneez EsmailNIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester.
Shruti GargDivision of Neuroscience and Experimental Psychology, University of Manchester.
Darren M AshcroftNIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester; Centre for Pharmacoepidemiology and Drug Safety, Manchester Academic Health Sciences Centre (MAHSC).

Funding

Department of Health GMPSTRC-2012-1
6 · The paper itself

Abstract

backgroundThe prevalence of antidepressant prescribing in children and adolescents increased steadily in the United States and parts of Europe between 2005 and 2012 despite regulatory safety warnings. Little is known about the characteristics of those being prescribed antidepressants for the first time.

methodsA longitudinal study of antidepressant prescribing in 3-17 year olds was carried out using data from the UK Clinical Practice Research Datalink (CPRD) between 2000 and 2015. Changes in the incidence of first ever antidepressant prescriptions and the characteristics of those being prescribed them was examined.

resultsIncidence of first ever prescriptions nearly doubled between 2006 and 2015 rising from 1.60 (95%CI: 1.51, 1.69) to 3.12 (3.00, 3.25) per 1000 person years. Only 21% of the 1721 patients with incident prescriptions in 2015 could be linked to a depression diagnosis, with an additional 22% of prescriptions linked to alternative indications. The incidence of prescriptions linked to a depression diagnosis increased between 2012 and 2015, with an adjusted incidence rate ratio of 1.46 (1.26, 1.70). Antidepressant prescribing for depression and other indications has been increasing most rapidly in 15 to 17 year old females. LIMITATIONS: Diagnoses are not directly linked to prescriptions in CPRD, so linkage must be inferred by temporal proximity.

conclusionsAntidepressant prescribing in children increased between 2006 and 2015. This is, at least in part, due to a rise in alternative uses of antidepressants, including the treatment of anxiety, chronic pain and migraines.

Indexed as

AdolescentAntidepressive AgentsAnxiety DisordersChildChild, PreschoolDepressionDepressive DisorderFemaleHumansLongitudinal StudiesMaleMigraine DisordersPractice Patterns, Physicians'Primary Health CareUnited KingdomAntidepressive AgentsAntidepressantChildrenDepressionUK

Identifiers

PMID28068620
PMCPMC5458802

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Registered trials

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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.