Prescription Patterns of Antidepressants: The Effect of the Black Box Warning among Pediatric Patients

Introduction: Our aim was to investigate the prescription patterns of antidepressant in the southern Israel during the years 2000 to 2005, before and after the FDA black box warning issued regarding the prescription of antidepressants in children. Patients and methods: A cross sectional study. Data regarding prescription of anti-depressant drugs was examined retrospectively. All information was obtained from the computerized databases of the Clalit Health care services, southern county. Data was analyzed by using descriptive statistics, and analytical statistics. Multi-variate analysis was performed when applicable.Results: When comparing the prescription rate of fluoxetine and fluvoxamine versus other SSRI’s included in the health agencies warnings during the years mentioned, there was a gradual increase in the percentage of the other SSRI’s until 2003 from 12.2% in 2000 to 64.2% in 2003 and then a reversal of this trend from 51.9% in 2004 to 47.8% in 2005.Discussion and conclusions: This study shows that the CSM advice has not had a significant effect in reversing the rising prevalence of antidepressant prescribed to children and adolescents in primary care. It has however changed the choice of antidepressant medication chosen within the group of SSRI’s

Rightful resistance revisited

James Scott (1985) placed 'everyday forms of resistance' between quiescence and rebellion. Others have noted that defiance in unpromising circumstances need not be quiet, disguised and anonymous if the aggrieved use the language of power to mitigate the risks of confrontation. How does 'rightful resistance' (O'Brien and Li 2006) relate to Scott's everyday resistance and other types of protest in contemporary China? Are rightful resisters sincere or strategic? Is their contention reactive or proactive? Does rightful resistance suggest growing rights consciousness or only a familiar rules consciousness? Rightful resistance in rural China has been criticized for (1) lacking 'peasantness', (2) shortchanging history and culture, (3) focusing on elite allies and one pattern of protest and (4) being overly rationalist, state-centric and caught in 'developmental thinking'. How do I respond?. © 2013 © 2013 Taylor & Francis