Evidence map›Paper›PMID 41190680›Full record

ArticlePharmacoepidemiology and drug safety2025

Age- and Sex-Related Trends in Psychotropic Prescribing Among Youths in Denmark and the United States: 2010-2020.

Phuong Tran, Lotte Rasmussen, Alejandro Amill-Rosario, Mette Bliddal, Susan dosReis, Rikke Wesselhoeft

Abstract readComparative Study
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Phuong TranSchool of Pharmacy, University of Maryland, Baltimore, Maryland, USA.ORCID 0009-0002-5946-083X
Lotte RasmussenClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-5962-6647
Alejandro Amill-RosarioSchool of Pharmacy, University of Maryland, Baltimore, Maryland, USA.
Mette BliddalClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Susan dosReisSchool of Pharmacy, University of Maryland, Baltimore, Maryland, USA.ORCID 0000-0003-2210-6650
Rikke WesselhoeftClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare age- and sex-specific trends of psychotropic prescribing between Danish and US 3-17-year-old youths.

methodsA consecutive annual cross-sectional study of trends in psychotropic prescribing from 2010 to 2020. Data sources included the Danish National Prescription Registry data and, for the US, a 25% random sample of the IQVIA PharMetrics Plus for Academics database. Psychotropic prescribing (i.e., ADHD medications, antidepressants, and antipsychotics), measured as annual prevalence, was estimated for each therapeutic class, by age group and sex, separately by country. We used Joinpoint models to calculate the average annual percentage change (AAPC).

resultsADHD medication prescribing decreased for 5-9 year-olds in both countries from 2010 to 2020, while prescribing among 10-17 year-olds was stable in the US and increased in Denmark, particularly among females (AAPC = 4.2% versus 1.4% among males). Antidepressant prescribing increased in older US youths, especially among 14-17 year-olds (AAPC = 6.5%), and females (AAPC = 7.2%). In Denmark, however, prescribing was low and decreased over time, especially among females (AAPC = -4.2%). Antipsychotic prescribing decreased in both countries for all age groups, with the largest decrease among males (Denmark: AAPC = -5.2% and US: AAPC = -6.1%).

conclusionPediatric antipsychotic prescribing generally decreased, whereas ADHD medication and antidepressant prescribing presented opposing patterns in the two countries. ADHD medication prescribing increased among Danish females and adolescents, but was stable in the US. Antidepressant prescribing decreased in Denmark, particularly among females, which opposed the marked rise for this group in the US. Future cross-national studies should examine the rationale underpinning variation in antidepressant prescribing.

Indexed as

Drug PrescriptionsPractice Patterns, Physicians'Psychotropic DrugsAdolescentAge FactorsAntidepressive AgentsAntipsychotic AgentsAttention Deficit Disorder with HyperactivityChildChild, PreschoolCross-Sectional StudiesDenmarkFemaleHumansMaleRegistriesAntidepressive AgentsAntipsychotic AgentsPsychotropic Drugschildren and adolescentspharmacological treatmentprevalencepsychotropics

Identifiers

PMID41190680
PMCPMC12587754

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