Featured Post

Attacks in Russian schools inspired by Columbine massacre

Three separate bloodbaths at Russian schools recently are all linked by the teenage attackers 'worshipping' the perpetrators of...

Thursday, September 15, 2016

Impact of advertising psychiatric drugs

Direct-to-consumer advertising of psychiatric medications appears to increase prescribing, which may be having a mixed effect on the quality of treatment, according to a new review of the very few studies on the topic.

Advertising prescription drugs to consumers is forbidden in most of the world, but since U.S. guidelines were relaxed in 1997, such ads have become nearly ubiquitous in American media. In a newly published review, Brown University researchers examined what has been learned since then about the effect of all that advertising on psychiatric conditions. They found that the data are very limited, but what does exist suggests that ads succeed in driving prescribing with potentially mixed effects on patient care.
"On a basic level, the goal of our review was to begin addressing an important and rarely examined public health question," said lead author Sara Becker, a research assistant professor at the Brown University School of Public Health and the Warren Alpert Medical School. "Is this enormous multibillion dollar industry of direct-to-consumer advertising of psychiatric medication affecting public health in a positive or negative way? There are many possible ways to answer this question -- we began by taking a close look at patient and physician behavior in response to these ads."
It's a germane question in psychiatry because in recent years, medicines for mood disorders and other conditions have become some of the most advertised and biggest selling drugs.
The new paper appears online in the Journal of Clinical Psychiatry.
Reviewing the scant evidence
While doctors and others have been debating the perceived merits or dangers of direct-to-consumer advertising (DTCA) for years, Becker and co-author Miriam Midoun found few studies that have analyzed how such ads affect encounters between doctors and patients and even fewer that have zeroed in on psychiatry. In fact, they could find only four studies that met their criteria for analysis -- studies that include advertised psychiatric medicines, tracked prescribing behavior based on patient requests for those drugs, and documented specific doctor-patent interaction at the point of care (rather than in general, or retrospectively).
One was a randomized controlled trial, conducted in 2005, in which actors posing as patients presented to doctors with different degrees of depression. The "standardized patients" would then either ask for a specific brand of drug they saw on television, ask in general for an antidepressant because they viewed a commercial, or not ask specifically for a medicine. That study found significantly higher rates of prescribing when patients asked for the drugs than when they didn't. The other three studies all corroborated that trend, including a 2003 article in which the researchers compared prescribing rates in Canada, where DTCA is forbidden, to rates in the U.S.
Though the studies all suggest that most patient requests for medications will be granted, the three studies involving observations of real patients found that requests for medications are hardly a fixture of doctor-patient discussions. Requests for advertised drugs occurred less than 10 percent of the time in the studies, the authors found. The U.S.-Canada study, however, showed that U.S. patients asked for medications at more than double the rate of Canadian patients.
With advertising seemingly influencing some patients to ask for drugs and doctors often being willing to prescribe drugs when asked, one of the biggest questions is whether the right treatment is occurring for the right patients. The authors found only the randomized controlled trial had the strong methodological quality to address the issue.
Based on the data from the 2005 study, it appeared that when standardized patients with severe symptoms of depression asked for medication, they were more likely to get it. That could be good, Becker said, because people who objectively needed such care were getting it. But the standardized patients with less severe or transient depression (an "adjustment disorder") were also more likely to get prescriptions if they asked for them. That could create a problem, because in these cases medication wasn't medically necessary.
With the other studies also documenting increased drug requests and prescriptions for psychiatric medicines, Becker said, the limited evidence appears to support the possibility that DTCA has mixed effects on treatment quality. Its possible that DTCA may result in increased prescribing for patients who actually need it, but also overprescribing for patients who don't.
Ultimately, the field needs more data than these few studies have provided, Becker said.
"In 2007, the editor of Annals of Family Medicine referred to direct-to-consumer advertising of prescription drugs as 'a huge, uncontrolled public health experiment on American people,'" Becker said. "Our review supported this statement. Very few rigorous studies have been conducted on DTCA over the past 20 years. But our review also didn't support a clear decision for or against DTCA -- the limited data aren't all bad or all good. It's possible that DTCA might help some people and might lead to over-prescribing in others.
"The most important conclusion of our study is that more research is needed."

Story Source:
The above post is reprinted from materials provided by Brown UniversityNote: Content may be edited for style and length.

Journal Reference:
  1. Sara J. Becker, Miriam M. Midoun. Effects of Direct-To-Consumer Advertising on Patient Prescription Requests and Physician PrescribingThe Journal of Clinical Psychiatry, 2016; DOI: 10.4088/JCP.15r10325

Impact of advertising psychiatric drugs September 13, 2016 Brown University

How Big Pharma sells you drugs you probably don’t need: Celebrities who spread ‘disease awareness’ MARTHA ROSENBERG 02 JUN 2016  

FDA Colludes with Big Pharma to Cover Up Deaths in Psychiatric Drug Trials J. D. Heyes Global Research, May 20, 2015 Natural News 19 May 2015

Psicofarmaci ai bambini: esperto mondiale concordava i risultati delle ricerche con le case farmaceutiche October 18, 2011

PSICO BAMBINI January 10, 2011

Side Effects: Death. Confessions of a Big Pharma-Insider October 24, 2014

Global Antipsychotics Market September 30, 2015

ANTYPSYCHOTICS FOR KIDS March 2, 2015

Alarming use of antipsychotics amongst nation's poor kids March 29, 2015

Dream Land: The True Tale of America’s Opiate Epidemic  August 16, 2015

OxyContin for Kids August 15, 2015

Antipsychotic Meds Cause Zombie-Like State February 11, 2015

PSYCHO ETHICS Psychiatry Under the Influence May 2, 2015

The Business of Madness April 18, 2015

MASS KILLER GENERATION April 12, 2015

STOP PSYCHIATRIC DRUGS  May 13, 2015

Emotionless teen killed his parents after house drug party September 15, 2016

Double murder-suicide in Pocomoke City September 15, 2016

A mother and her 8-week-old son died in a murder-suicide September 15, 2016

#HerNameWasClodagh September 14, 2016

Irish family of five dead in murder-suicide August 30, 2016

Murder-suicide in Ireland a ‘regular phenomenon' August 30, 2016

Mass Murder-Suicides, Familicides, WHY? August 21, 2016

Greenville quadruple homicide was a familicide August 21, 2016

Dad took kids to theme park before killing family, self August 17, 2016

Children Among 5 Dead in Berks County Family Murder-Suicide August 7, 2016

Family murder-suicide: Why do they do it? June 29, 2015

Family of 3 dead in murder-suicide September 14, 2016 

'Perfect couple' found dead in a murder-suicide September 10, 2016

Missing woman killed in murder-suicide September 10, 2016

Mother, daughter killed in murder-suicide September 10, 2016

Woman depressed, son dead in murder-suicide September 10, 2016

Depressed mum under psych drugs killed her 2 children then herself September 10, 2016

Girl shoots at Alpine High Schoolt hen kills herself September 8, 2016

Three people dead in murder-suicide August 30, 2016

Son murders mother, kills himself August 30, 2016

8-year-old girl dead in attempted murder-suicide August 24, 2016

Man shot his girlfriend before turning the gun on himself August 23, 2016

Father shoots wife, daughter, then himself August 23, 2016

Mass Murder-Suicides, Familicides, WHY? August 21, 2016

Greenville quadruple homicide was a familicide August 21, 2016

Dad took kids to theme park before killing family, self August 17, 2016

Children Among 5 Dead in Berks County Family Murder-Suicide August 7, 2016

2 Oregon Coaches, 14-Year-Old tudent Dead in Murder-Suicide August 21, 2016

Grandfather shot wife, daughter then himself August 21, 2016

Elderly woman, son dead in murder-suicide August 21, 2016

Woman, 8-year-old daughter killed in murder-suicide August 17, 2016

2-year-old girl killed in murder-suicide August 14, 2016

Mother, Daughter dead in murder-suicide August 14, 2016

Man kills 12-year-old with machete, then kills self August 11, 2016

Man kills wife, 10-year.old son in murder-suicide August 11, 2016

A Disturbed Mind (Under Psych Drugs?) August 7, 2016

A Disturbed Mind (Under Psych Drugs) August 21, 2015

Children Among 5 Dead in Berks County Family Murder-Suicide August 7, 2016

Man, 73, killed wife and 2 adult children in murder-suicide August 7, 2016

Double murder-suicide victims stabbed, killer hangs himself August 7, 2016

Bastrop man killed himself and three others August 7, 2016

Family of four found dead in murder-suicide July 31, 2016

Mother, 5-year-old daughter dead in murder-suicide August 2, 2016

Man kills 3-year-old daughter in murder-suicide July 31, 2016

Double murder-suicide linked to depression and psychosis July 30, 2016

Man, young girl dead in murder-suicide July 29, 2016

Police identify shooter in murder-suicide that left 4 dead July 29, 2016

Man shoots 8-year-old boy, then himself in murder-suicide July 28, 2016

Toddler, father shot in Dania Beach murder-suicide July 28, 2016

Policeman shot family in murder-suicide July 27, 2016

Mother and her two children dead in murder-suicide July 27, 2016

Man shoots wife and daughter before turning the gun on himself July 20, 2016

Two Children Dead in Tahoka, Mother Claims Murder-Suicide July 17, 2016

Woman, baby found dead in murder-suicide July 15, 2016

Mom, baby found dead in murder-suicide July 9, 2016

Berlin Clinic Murder-Suicide July 27, 2016

AMERICAN ROULETTE Murder-Suicide in the USA November 2, 2015

Antidepressant-Induced Suicidal Ideation July 29, 2016

Antidepressants doubles the risk of suicide January 29, 2016

Psych drug link to violent episodes analysed May 24, 2016

Antidepressants doubles the risk of suicide January 29, 2016

The FDA Is Hiding Reports Linking Psych Drugs to Homicides MAY 8, 2016

Letters from Generation Rx May 4, 2016

Le stragi e le cure farmaco psichiatriche July 25, 2016

Why Kids Kill Inside the Minds of School Shooters July 24, 2016

Violence Caused by Antidepressants: An Update July 27, 2016

The Start of America’s Mass School Shooting Epidemic August 11, 2016

Mass Shooting Media Contagion August 11, 2016

Rifles of Choice for Mass Killers August 11, 2016

IL MONDO NUOVO March 31, 2016


Ti piace?

No comments:

Post a Comment

Related Posts Plugin for WordPress, Blogger...