Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana.

Journal: BMC psychiatry

Volume: 17

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  Department of Psychiatry, University of Botswana, Gaborone, Botswana. olawaleanthonya@gmail.com. Department of Anesthesia and Critical Care, University of Botswana, Gaborone, Botswana.

Abstract summary 

There is a dearth of data on polypharmacy in child and adolescent mental health in Africa, especially Botswana where children and adults are treated in the same facility by general adult psychiatrists. This study was therefore designed to assess the prevalence and the risk factors of psychiatric polypharmacy among children and adolescents treated at Sbrana Psychiatric Hospital, Lobatse, Botswana.Data involving socio-demographics, diagnosis (using ICD-10 classification) and pharmacological treatment were retrieved from the records of 120 children and adolescents aged below 18 years, between 1 January 2012 and 31 July 2016, who presented with psychiatric disorders. They were analysed with univariate and multivariate models.The prevalence of psychiatric polypharmacy was 29.2%. Psychiatric co-morbidity (OR = 3.374, 95% CI: 1.177-9.9673) and psychotropic side effects (OR = 5.782, 95% CI: 1.636-20.430) were significantly associated with polypharmacy after regression analysis.Psychiatric co-morbidity and psychotropic side effects were significant risk factors for polypharmacy in Botswana.

Authors & Co-authors:  Olashore Rukewe

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Rao P, Zepf FD, Chakrabarti I, Sigalas P. Atypical antipsychotic prescribing patterns amongst Child and Adolescent Mental Health Services clinicians in a defined National Health Service Trust, Translational Developmental Psychiatry. 2016;4:1, 28537. Available at http://dx.doi.org/10.3402/tdp.v4.28537.
Authors :  2
Identifiers
Doi : 174
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Children and adolescents;Polypharmacy;Psychiatric disorders
Study Design
Study Approach
Country of Study
Botswana
Publication Country
England