Psychotropic drug use among Icelandic children: a nationwide population-based study

Helga Zoëga, Gísli Baldursson, Birgir Hrafnkelsson, Anna Birna Almarsdóttir, Unnur Valdimarsdóttir, Matthías Halldórsson

    58 Citationer (Scopus)

    Abstract

    OBJECTIVE: The aim of this study was to investigate psychotropic drug use among children in Iceland between 2003 and 2007.

    METHODS: A nationwide population-based drug use study covering the total pediatric population (ages 0-17) in Iceland. Information was obtained from the National Medicines Registry to calculate prevalence of use by year and psychotropic drug group; incidence by year, psychotropic drug group, child's age and sex, and medical specialty of prescriber; the most commonly used psychotropic chemical substances, off-label and unlicensed use and concomitant psychotropic drug use.

    RESULTS: The overall prevalence of psychotropic drug use was 48.7 per 1000 Icelandic children in 2007. Stimulants and antidepressants increased in prevalence from 2003 to 2007 and were the two most prevalent psychotropic drug groups, respectively, 28.4 and 23.4 per 1000 children in 2007. A statistically significant trend of declining prevalence (p = 0.00013) and incidence (p = 0.0018) of antidepressant use occurred during the study period. Out of 21,986 psychotropic drugs dispensed in 2007, 25.4% were used off-label.

    CONCLUSIONS: With reference to reports from other European countries, the results indicate extensive psychotropic drug use among children in Iceland between 2003 and 2007. Further scrutiny is needed to assess the rationale behind this widespread use.

    OriginalsprogEngelsk
    TidsskriftJournal of Child and Adolescent Psychopharmacology
    Vol/bind19
    Udgave nummer6
    Sider (fra-til)757-64
    Antal sider8
    ISSN1044-5463
    DOI
    StatusUdgivet - dec. 2009

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