Parental attitudes and opinions on the use of psychotropic medication in mental disorders of childhood

Helen Lazaratou¹ , Dimitris C Anagnostopoulos¹ , Elias V Alevizos² , Fotini Haviara¹ and Dimitris N Ploumpidis¹

¹Department of Psychiatry, Community Mental Health Center Byron-Kesariani, University of Athens, 14 Dilou St.,16121 Athens, Greece

²Department of Neurology, Children's General Hospital of Athens "Agia Sofia", Thivon & Papadiamantopoulou St., 11527 Athens, Greece

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Annals of General Psychiatry 2007, 6:32doi:10.1186/1744-859X-6-32


Published:	15 November 2007

Abstract

Background

The limited number of systematic, controlled studies that assess the safety and efficacy of psychotropic medications for children reinforce the hesitation and reluctance of parents to administer such medications. The aim of this study was to investigate the attitudes of parents of children with psychiatric disorders, towards psychotropic medication.

Methods

A 20-item questionnaire was distributed to 140 parents during their first contact with an outpatient child psychiatric service. The questionnaire comprised of questions regarding the opinions, knowledge and attitudes of parents towards children's psychotropic medication. Sociodemographic data concerning parents and children were also recorded. Frequency tables were created and the chi-square test and Fisher's exact tests were used for the comparison of the participants' responses according to sex, educational level, age and gender of the child and use of medication.

Results

Respondents were mostly mothers aged 25–45 years. Children for whom they asked for help with were mostly boys, aged between 6 and 12 years old. A total of 83% of the subjects stated that they knew psychotropic drugs are classified into categories, each having a distinct mechanism of action and effectiveness. A total of 40% believe that there is a proper use of psychotropic medication, while 20% believe that psychiatrists unnecessarily use high doses of psychotropic medication. A total of 80% fear psychotropic agents more than other types of medication. Most parents are afraid to administer psychotropic medication to their child when compared to any other medication, and believe that psychotherapy is the most effective method of dealing with every kind of mental disorders, including childhood schizophrenia (65%). The belief that children who take psychotropic medication from early childhood are more likely to develop drug addiction later is correlated with the parental level of education.

Conclusion

Parents' opinions and beliefs are not in line with scientific facts. This suggests a need to further inform the parents on the safety and efficacy of psychotropic medication in order to improve treatment compliance.