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Please use this identifier to cite or link to this item:
http://ir.nhri.org.tw/handle/3990099045/15347
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| Title: | Patterns, predictors, and patient-reported reasons for antidepressant discontinuation in the WHO World Mental Health Surveys |
| Authors: | Kazdin, AE;Harris, MG;Hwang, I;Sampson, NA;Stein, DJ;Viana, MC;Vigo, DV;Wu, CS;Aguilar-Gaxiola, S;Alonso, J;Benjet, C;Bruffaerts, R;Caldas-Almeida, JM;Cardoso, G;Caselani, E;Chardoul, S;Cía, A;De Jonge, P;Gureje, O;Haro, JM;Karam, EG;Kovess-Masfety, V;Navarro-Mateu, F;Piazza, M;Posada-Villa, J;Scott, KM;Stagnaro, JC;Ten Have, M;Torres, Y;Vladescu, C;Kessler, RC;on behalf of the WHO World Mental Health Survey collaborators |
| Contributors: | National Center for Geriatrics and Welfare Research |
| Abstract: | Background Despite their documented efficacy, substantial proportions of patients discontinue antidepressant medication (ADM) without a doctor's recommendation. The current report integrates data on patient-reported reasons into an investigation of patterns and predictors of ADM discontinuation. Methods Face-to-face interviews with community samples from 13 countries (n = 30 697) in the World Mental Health (WMH) Surveys included n = 1890 respondents who used ADMs within the past 12 months. Results 10.9% of 12-month ADM users reported discontinuation-based on recommendation of the prescriber while 15.7% discontinued in the absence of prescriber recommendation. The main patient-reported reason for discontinuation was feeling better (46.6%), which was reported by a higher proportion of patients who discontinued within the first 2 weeks of treatment than later. Perceived ineffectiveness (18.5%), predisposing factors (e.g. fear of dependence) (20.0%), and enabling factors (e.g. inability to afford treatment cost) (5.0%) were much less commonly reported reasons. Discontinuation in the absence of prescriber recommendation was associated with low country income level, being employed, and having above average personal income. Age, prior history of psychotropic medication use, and being prescribed treatment from a psychiatrist rather than from a general medical practitioner, in comparison, were associated with a lower probability of this type of discontinuation. However, these predictors varied substantially depending on patient-reported reasons for discontinuation. Conclusion Dropping out early is not necessarily negative with almost half of individuals noting they felt better. The study underscores the diverse reasons given for dropping out and the need to evaluate how and whether dropping out influences short- or long-term functioning. |
| Date: | 2024-01 |
| Relation: | Psychological Medicine. 2024 Jan;54(1):67-78. |
| Link to: | http://dx.doi.org/10.1017/S0033291723002507 |
| JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0033-2917&DestApp=IC2JCR |
| Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:001065526200001 |
| Cited Times(Scopus): | https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85171738518 |
| Appears in Collections: | [吳其炘] 期刊論文
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Size | Format | |
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| SCP85171738518.pdf | | 348Kb | Adobe PDF | 65 | View/Open |
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