Psychopharmacology for Medically Ill Adolescents

被引:3
作者
Bursch, Brenda [1 ]
Forgey, Marcy [2 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Div Child Psychiat,Semel Inst Neurosci & Human Be, Dept Psychiat & Biobehav Sci,Dept Pediat, Los Angeles, CA 90024 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, Div Child Psychiat, Dept Psychiat & Biobehav Sci,Semel Inst Neurosci, Los Angeles, CA 90024 USA
关键词
Psychopharmacology; Adolescents; Pediatric; Iatrogenic; Medical; Depression; Anxiety; Insomnia; Sleep; Trauma; Post traumatic stress disorder; PTSD; Delirium; Emergence delirium; Treatment; Hospital; Benzodiazepines; Opiates; SSRIs; Neuroleptics; Antipsychotics; Psychiatry; POSTTRAUMATIC-STRESS-DISORDER; PEDIATRIC DELIRIUM; DOUBLE-BLIND; PSYCHOLOGICAL OUTCOMES; CRITICAL ILLNESS; ANIMAL-MODEL; CASE SERIES; CHILDREN; MANAGEMENT; QUETIAPINE;
D O I
10.1007/s11920-013-0395-y
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Medically ill adolescents are at increased risk for psychological distress and/or functional impairment. However, there are few research studies examining the optimal psychiatric treatments for this population. Psychiatric medication recommendations are largely based on studies of youth with a primary psychiatric disorder, adult studies, hypothesized mechanisms of action, and/or clinical experience. This paper provides evidence-informed recommendations for the psychopharmacological treatment of acutelymedically ill adolescents suffering from significant psychological distress and/or functional impairment. Representing the most common problems among medically ill adolescents that are treated with psychiatric medications, recommendations are provided for anxiety and depression; iatrogenic medical trauma, inadequate sleep and insomnia; and, delirium.
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页数:8
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