Evidence map›Paper›PMID 40525406›Full record

ArticleJournal of primary care & community health

Patterns of Antidepressant and Antianxiety Medication Prescriptions in Pediatric Primary Care in the U.S.

Laura M Prichett, Andrea S Young, Ellie Wu, Robert H Yolken, Emily G Severance, Juleisa Badio, Meilin Zheng, Tina Kumra

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Laura M PrichettJohns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-6029-6902
Andrea S YoungJohns Hopkins School of Medicine, Baltimore, MD, USA.
Ellie WuJohns Hopkins School of Medicine, Baltimore, MD, USA.
Robert H YolkenJohns Hopkins School of Medicine, Baltimore, MD, USA.
Emily G SeveranceJohns Hopkins School of Medicine, Baltimore, MD, USA.
Juleisa BadioJohns Hopkins School of Medicine, Baltimore, MD, USA.
Meilin ZhengJohns Hopkins School of Medicine, Baltimore, MD, USA.
Tina KumraJohns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-0925-1749

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShortages of pediatric mental health (MH) specialty providers have left pediatric primary care providers (PPCP) to care for the influx of youth with MH needs. This study examined trends in prescription of antidepressants and antianxiety medication in pediatric primary care clinics from 2015 to 2023.

methodsAnnual rates of prescription of antidepressant and/or antianxiety medication orders were calculated by race/ethnicity, sex, and practice type. Adjusted mean differences (AMD) were calculated and compared for the beginning and end of the study period.

resultsPrescription orders for antianxiety and/or antidepressant medications increased between 2015 and 2023 across all patients but was greatest among Hispanic youth (AMD = 50.9, 95% CI = 15.3-86.4) and among females irrespective of race (AMD = 29.3, 95% CI = 16.8-41.7). Despite these increases, non-Hispanic White youth were more likely to receive prescriptions than Hispanic and non-Hispanic Asian or Black youth across time periods. Family practices (treating adults and children) had the highest rates of prescription across time periods.

conclusionsWhile prescription rates for antidepressant and antianxiety medications have increased overall, treatment gaps between White and ethnoracially minoritized pediatric patients have persisted. Differences in prescribing patterns between practice environments suggest PPCPs may be more comfortable prescribing MH medications in family practices relative to pediatric practices.

Indexed as

Anti-Anxiety AgentsAntidepressive AgentsDrug PrescriptionsPediatricsPractice Patterns, Physicians'Primary Health CareAdolescentChildFemaleHumansMaleUnited StatesAnti-Anxiety AgentsAntidepressive Agentsadolescentanxietydepressiondisparitiesmedicationpediatricsprimary caresuicide

Identifiers

PMID40525406
PMCPMC12174736

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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.