AI Article Synopsis

  • - Psychiatrists are prescribing psychotropic medications off-label to preschoolers with internalizing disorders like anxiety and depression, but research on this practice is limited and relies on weak methodologies.
  • - A systematic review identified 11 studies addressing the effectiveness of these medications in children aged 2-5, highlighting the need for better research and understanding in this area.
  • - The review emphasizes the importance of mental health practitioners being informed about the current evidence, and suggests monitoring strategies for assessing the costs and benefits of medication for young children, while calling for more research in this field.

Article Abstract

Psychotropic medications are being prescribed off-label by psychiatrists to treat preschool children diagnosed with internalizing disorders. In this review, the current state of evidence is presented for medications used to treat preschool children (ages 2-5 year olds) diagnosed with anxiety and/or depressive disorders. Eleven studies were systematically identified for this review based on a priori criteria. Overall, the available literature revealed that studies addressing the medication treatment of internalizing disorders in preschoolers are extremely limited and represent relatively weak research methodologies. Given the increasing prevalence of the use of psychotropic medications to treat preschool children and the unique challenges associated with working with this population, it is imperative that mental health practitioners are aware of the current, albeit limited, research on this practice to help make informed treatment decisions. Suggestions about how to monitor potential costs and benefits in those unique cases in which psychopharmacological treatments might be considered for young children are given. Moreover, areas of additional research for this population are discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3926238PMC
http://dx.doi.org/10.1155/2014/286085DOI Listing

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