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Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea

BACKGROUND: Previous pharmaco-epidemiological studies have reported increases in the prescription of psychotropic medications after a disaster, reflecting post-disaster changes in psychiatric conditions and mental health service utilization. We investigated changes in the prescription of psychotropi...

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Autores principales: Han, Kyu-Man, Kim, Kyoung-Hoon, Lee, Mikyung, Lee, Sang-Min, Ko, Young-Hoon, Paik, Jong-Woo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112638/
https://www.ncbi.nlm.nih.gov/pubmed/28505500
http://dx.doi.org/10.1016/j.jad.2017.05.026
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author Han, Kyu-Man
Kim, Kyoung-Hoon
Lee, Mikyung
Lee, Sang-Min
Ko, Young-Hoon
Paik, Jong-Woo
author_facet Han, Kyu-Man
Kim, Kyoung-Hoon
Lee, Mikyung
Lee, Sang-Min
Ko, Young-Hoon
Paik, Jong-Woo
author_sort Han, Kyu-Man
collection PubMed
description BACKGROUND: Previous pharmaco-epidemiological studies have reported increases in the prescription of psychotropic medications after a disaster, reflecting post-disaster changes in psychiatric conditions and mental health service utilization. We investigated changes in the prescription of psychotropic medications in the Danwon district of Ansan city (Ansan Danwon) compared to a control community before and after the Sewol Ferry disaster on April 16, 2014. METHODS: Data was collected from the Korean Health Insurance Review and Assessment Service database. We analyzed the prescription rates of psychotropic medications including antidepressants, anxiolytics, and sedatives/hypnotics, and investigated whether the time-series pattern of monthly prescriptions per 100,000 people was different in Ansan Danwon compared to that in Cheonan city after the Sewol Ferry disaster through difference-in-differences regression analysis. RESULTS: Ansan Danwon showed a significantly greater increase (5.6%) in the prescription rate of antidepressants compared to Cheonan city following the Sewol Ferry disaster. There were no significant differences in changes in the prescription rates of anxiolytics or sedatives/hypnotics. In the secondary analysis, a significantly greater increase in the prescription rate of antipsychotics was observed in Ansan Danwon compared to a control community after the disaster. LIMITATIONS: We could not exclude the possibility that other events influenced changes in the prescription rates of psychotropic medications during the study period. CONCLUSIONS: Pharmaco-epidemiological studies on psychotropic medication prescription after a disaster provide important information about population-level mental health. Our results suggest that the Sewol Ferry disaster exerted a harmful effect on the mental health status of the affected community.
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spelling pubmed-71126382020-04-02 Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea Han, Kyu-Man Kim, Kyoung-Hoon Lee, Mikyung Lee, Sang-Min Ko, Young-Hoon Paik, Jong-Woo J Affect Disord Research Paper BACKGROUND: Previous pharmaco-epidemiological studies have reported increases in the prescription of psychotropic medications after a disaster, reflecting post-disaster changes in psychiatric conditions and mental health service utilization. We investigated changes in the prescription of psychotropic medications in the Danwon district of Ansan city (Ansan Danwon) compared to a control community before and after the Sewol Ferry disaster on April 16, 2014. METHODS: Data was collected from the Korean Health Insurance Review and Assessment Service database. We analyzed the prescription rates of psychotropic medications including antidepressants, anxiolytics, and sedatives/hypnotics, and investigated whether the time-series pattern of monthly prescriptions per 100,000 people was different in Ansan Danwon compared to that in Cheonan city after the Sewol Ferry disaster through difference-in-differences regression analysis. RESULTS: Ansan Danwon showed a significantly greater increase (5.6%) in the prescription rate of antidepressants compared to Cheonan city following the Sewol Ferry disaster. There were no significant differences in changes in the prescription rates of anxiolytics or sedatives/hypnotics. In the secondary analysis, a significantly greater increase in the prescription rate of antipsychotics was observed in Ansan Danwon compared to a control community after the disaster. LIMITATIONS: We could not exclude the possibility that other events influenced changes in the prescription rates of psychotropic medications during the study period. CONCLUSIONS: Pharmaco-epidemiological studies on psychotropic medication prescription after a disaster provide important information about population-level mental health. Our results suggest that the Sewol Ferry disaster exerted a harmful effect on the mental health status of the affected community. Elsevier B.V. 2017-09 2017-05-10 /pmc/articles/PMC7112638/ /pubmed/28505500 http://dx.doi.org/10.1016/j.jad.2017.05.026 Text en © 2017 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Research Paper
Han, Kyu-Man
Kim, Kyoung-Hoon
Lee, Mikyung
Lee, Sang-Min
Ko, Young-Hoon
Paik, Jong-Woo
Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea
title Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea
title_full Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea
title_fullStr Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea
title_full_unstemmed Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea
title_short Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea
title_sort increase in the prescription rate of antidepressants after the sewol ferry disaster in ansan, south korea
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112638/
https://www.ncbi.nlm.nih.gov/pubmed/28505500
http://dx.doi.org/10.1016/j.jad.2017.05.026
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