Critical thinking about adverse drug effects: Lessons from the psychology of risk and medical decision-making for clinical psychopharmacology

被引:12
|
作者
Nierenberg, Andrew A. [1 ,2 ]
Smoller, Jordan W. [3 ]
Eidelman, Polina [1 ,2 ]
Wu, Yelena P. [1 ,2 ]
Tilley, Claire A. [1 ,2 ]
机构
[1] Harvard Univ, Depression Clin & Res Programs, Sch Med, Massachusetts Gen Hosp, Boston, MA 02114 USA
[2] Harvard Univ, Bipolar Clin & Res Program, Sch Med, Massachusetts Gen Hosp, Boston, MA 02114 USA
[3] Harvard Univ, Psychiat Genet Program Mood & Anxiety Disorders, Sch Med, Massachusetts Gen Hosp, Boston, MA 02114 USA
关键词
adverse drug effects; psychology of risk; psychopharmacology;
D O I
10.1159/000126071
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Systematic biases in decision-making have been well characterized in medical and nonmedical fields but mostly ignored in clinical psychopharmacology. The purpose of this paper is to sensitize clinicians who prescribe psychiatric drugs to the issues of the psychology of risk, especially as they pertain to the risk of side effects. Specifically, the present analysis focuses on heuristic organization and framing effects that create cognitive biases in medical practice. Our purpose is to increase the awareness of how pharmaceutical companies may influence physicians by framing the risk of medication side effects to favor their products. Copyright (c) 2008 S. Karger AG, Basel.
引用
收藏
页码:201 / 208
页数:8
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