Interrupting the Cycle: Association of Parental Stress and Child/Youth Psychotropic Medication Nonadherence.

Laura Theall, Ajit Ninan, Kim Arbeau, Jessica Mannone, Shannon L Stewart

Open access · hybridAbstract read

In one paragraph

Article in Child psychiatry and human development, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

0.3field-weighted citation impact, top 37% of its field

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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 2 institutions in 1 country.

Laura TheallApplied Research & Education, Child and Parent Resource Institute, 600 Sanatorium Road, N6H 3W7, London, ON, Canada. laura.theall-honey@ontario.ca.ORCID http://orcid.org/0000-0002-6483-5870

Ajit NinanApplied Research & Education, Child and Parent Resource Institute, 600 Sanatorium Road, N6H 3W7, London, ON, Canada.

Kim ArbeauApplied Research & Education, Child and Parent Resource Institute, 600 Sanatorium Road, N6H 3W7, London, ON, Canada.

Jessica MannoneApplied Research & Education, Child and Parent Resource Institute, 600 Sanatorium Road, N6H 3W7, London, ON, Canada.

Shannon L StewartFaculty of Education, Western University, 1151 Richmond Street, N6A 3K7, London, ON, Canada.

Child and Family Research Institute · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Efficacy of psychotropic medication depends in large part on successful adherence to prescribed regimens. This study investigated child/youth nonadherence in relation to family dynamics and informal support. The participants were 10,225 children and youth prescribed psychotropic medication and receiving services from 50 Ontario mental health agencies, assessed with the interRAI™ Child and Youth Mental Health (ChYMH) and ChYMH-Developmental Disability (ChYMH-DD) tools. Findings suggest a cycle of parental stress and child/youth medication nonadherence possibly leading to or even perpetuated by worsening psychiatric symptoms. Informal supports do not appear to moderate this cycle. While the present data cannot speak to causes of medication nonadherence in children/youth or where the cycle begins, the results are consistent with the extant literature calling for attention to parental wellbeing to support children/youth for optimal therapeutic benefits. Understanding home dynamics related to nonadherence can assist care planning that engages the family to achieve best possible child/youth outcomes.

Indexed as

Medication AdherenceParentsPsychotropic DrugsStress, PsychologicalAdolescentChildChild, PreschoolFemaleHumansMaleMental DisordersOntarioSocial SupportPsychotropic DrugsChildren and youthFamilyInterRAINonadherencePsychotropic medication

Identifiers

PMID36306028

DOI10.1016/j.sapharm.2018.05.010

PMCPMC9614754

OpenAlexW4307462567

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

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.