Parental attitudes toward children's use of antidepressants and psychotherapy.
OBJECTIVE
We assessed parental perceptions of benefits and risks of pediatric antidepressant use relative to another common treatment option, psychotherapy. We also explored sociodemographic and treatment variables that might influence these perceptions.


METHODS
A total of 501 caregivers of children presenting to community mental health centers completed a questionnaire assessing demographic characteristics, treatment history, and attitudes toward psychotherapy and antidepressant medications.


RESULTS
Counseling was perceived as beneficial and having few risks, whereas antidepressant medications were perceived as both beneficial and risky. Fifty two percent of parents believed "somewhat" to "strongly" that antidepressants could make children want to harm themselves. African-American parents had less favorable views of antidepressants relative to parents of other ethnicities. Parental perceptions of benefits and risks of antidepressants predicted future medication visits, but only benefits predicted when controlling for other variables. A slight majority of all parents expected their children to see the physician at least every few weeks if prescribed an antidepressant.


CONCLUSIONS
When educating parents about medication, prescribers should be aware that African American parents may hold more negative perceptions than other parents, and that many caregivers may expect a higher level of physician monitoring of pediatric antidepressant use than is available in most communities.
Stevens
Jack
J
Department of Pediatrics, The Ohio State University, Columbus, Ohio 43205, USA. Jack.Stevens@nationwidechildrens.org
Wang
Wei
W
Fan
Ling
L
Edwards
Michael C
MC
Campo
John V
JV
Gardner
William
W
D001741:Black or African American / Q000523:psychology; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D001294:Attitude to Health; D002648:Child; D003156:Community Mental Health Services / Q000379:methods; D005006:Ethnicity / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D010290:Parents / Q000523:psychology*; D011613:Psychotherapy / Q000379:methods*; D011795:Surveys and Questionnaires
D000928:Antidepressive Agents