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Variations in Physician Attitudes Regarding ADHD and Their Association With Prescribing Practices.
Sheldrick, R Christopher; Leslie, Laurel K; Rodday, Angie Mae; Parsons, Susan K; Saunders, Tully S; Wong, John B.
Afiliación
  • Sheldrick RC; Tufts University School of Medicine, Boston, MA, USA Tufts Medical Center, Boston, MA, USA rsheldrick@tuftsmedicalcenter.org.
  • Leslie LK; Tufts University School of Medicine, Boston, MA, USA Tufts Medical Center, Boston, MA, USA.
  • Rodday AM; Tufts Medical Center, Boston, MA, USA.
  • Parsons SK; Tufts University School of Medicine, Boston, MA, USA Tufts Medical Center, Boston, MA, USA.
  • Saunders TS; Tufts Medical Center, Boston, MA, USA.
  • Wong JB; Tufts University School of Medicine, Boston, MA, USA Tufts Medical Center, Boston, MA, USA.
J Atten Disord ; 19(7): 569-77, 2015 Jul.
Article en En | MEDLINE | ID: mdl-23142852
OBJECTIVE: The objective of this study was to test whether physicians' attitudes regarding the impact of ADHD on health-related quality of life (HRQL) explain differences in practices for prescribing psychostimulants in children. METHOD: In a cross-sectional survey, U.S.-based pediatricians and psychiatrists ("physicians") used the Paper-Standard Gamble--a widely used preference-based assessment of HRQL--to rate four vignettes describing ADHD health states of varying severity. Associations between standard gamble scores and questions about prescribing practices were analyzed using ordinal logistic regression. RESULTS: Surveys were mailed to 291 physicians; 127 (44%) returned complete forms. Lower standard gamble scores were associated with more emphasis on children's ADHD symptoms (p = .03) and less emphasis on parents' concerns about stimulant side effects (p = .03) when prescribing psychostimulants. CONCLUSION: Differences in physician perceptions of the severity of ADHD symptoms and in their emphasis on parental concerns about side effects may help explain variations in ADHD psychostimulant prescription patterns.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno por Déficit de Atención con Hiperactividad / Pautas de la Práctica en Medicina / Actitud del Personal de Salud / Estimulantes del Sistema Nervioso Central / Metilfenidato Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Atten Disord Asunto de la revista: PSICOLOGIA / PSIQUIATRIA Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno por Déficit de Atención con Hiperactividad / Pautas de la Práctica en Medicina / Actitud del Personal de Salud / Estimulantes del Sistema Nervioso Central / Metilfenidato Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Atten Disord Asunto de la revista: PSICOLOGIA / PSIQUIATRIA Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos