The prevalence of psychiatric symptoms and behavioural disturbances and the use of psychotropic drugs in Norwegian nursing homes

2007 ◽  
Vol 22 (9) ◽  
pp. 843-849 ◽  
Author(s):  
Geir Selbæk ◽  
Øyvind Kirkevold ◽  
Knut Engedal
Keyword(s):  
Nursing Homes ◽  
Psychotropic Drugs ◽  
Psychiatric Symptoms

Characteristics Associated With Use of Homeopathic Drugs for Psychiatric Symptoms in the General Population

2011 ◽  
Vol 28 (2) ◽  
pp. 110-116 ◽  
Author(s):  
A. Grolleau ◽  
B. Bégaud ◽  
H. Verdoux
Keyword(s):  
General Population ◽  
Anxiety Disorders ◽  
Psychotropic Drugs ◽  
Psychiatric Symptoms ◽  
Female Gender ◽  
Patient Characteristics ◽  
Population Characteristics ◽  
High Educational Level ◽  
Homeopathic Treatment ◽  
Younger Age

AbstractObjectiveTo explore which patient characteristics are associated in naturalistic conditions with the lifetime use of homeopathic treatment for psychiatric symptoms.MethodLifetime use of psychotropic treatment was explored in a sample of 36,785 persons, participating in the Mental Health Survey in the General Population. Characteristics associated with use of homeopathic treatments, associated or not with conventional psychotropic drugs, were explored using multivariate analyses.ResultsUse of homeopathic treatment for psychiatric symptoms was reported by 1.3% of persons. Younger age, female gender and high educational level were associated with use of homeopathy. Half of homeopathy users presented at least one Mini International Neuropsychiatric Interview (MINI) diagnosis, most frequently anxiety disorders. Their diagnostic profile was similar to that of persons reporting use of anxiolytics or hypnotics. Compared to persons with no lifetime use of psychotropic drugs, persons using homeopathy were more likely to present with a diagnosis of mood disorder or anxiety disorder. Compared to those using conventional psychotropic drugs, they presented less frequently with psychiatric disorders, with the exception of anxiety disorders.ConclusionHomeopathic treatment for psychiatric symptoms appears to be used mainly to reduce anxiety symptoms in the general population.

scholarly journals The Outcomes of a Person-centered, Non-Pharmacological Intervention in Reducing Behavioral and Psychiatric Symptoms in Residents With Advanced Dementia in Australian Rural Nursing Homes

2020 ◽  
Author(s):  
Vivian Isaac ◽  
Abraham Kuot ◽  
Mohammad Hamiduzzaman ◽  
Edward Strivens ◽  
Jennene Greenhill
Keyword(s):  
Nursing Homes ◽  
Psychiatric Symptoms ◽  
Trial Registration ◽  
Advanced Dementia ◽  
Aggressive Behaviors ◽  
Rural Nursing ◽  
Stress Threshold ◽  
Progressively Lowered Stress Threshold ◽  
Stress Inventory ◽  
Rural Australia

Abstract BackgroundThere is limited best- practice evidence to address behavioral and psychiatric symptoms for those with advanced dementia in Australian rural nursing homes. This study aims to evaluate the outcomes of a person-centered, non-pharmacological dementia care model, ‘Harmony in the Bush’, based on the Progressively Lowered Stress Threshold principles and person-centered music in rural Australia.MethodsA quasi-experimental study was conducted in five rural nursing homes in Queensland and South Australia. Seventy-four residents with advanced dementia participated in this intervention study, which yielded a sample power of 80%. Eighty-seven staff completed the Caregiver Stress Inventory at pre-post four-weeks of intervention. Staff training workshops focusing on the theory and delivery of the Progressively Lowered Stress Threshold principles and a music intervention. We used reported changes in agitation of the residents, measured using Cohen- Mansfield Agitation Inventory, and staff’s caregiving stress, using Caregivers Stress Inventory. Triangulation using post- intervention qualitative evaluation from 13 focus group discussion and 38 staff interviews. This study adheres to the CONSORT guidelines.ResultsMean age of residents with advanced dementia was 82.4 (7.7) years and 69% were females. The mean age of admission was 80.1(8.4) years. Baseline measures indicated that 32.7% had mild- severe pain and 30.5% reported mild-severe sadness. The results showed statistically significant decline in aggressive behaviors, physically non-aggressive behaviors, verbally agitated behavior and hiding and hoarding. There was comparable reduction in staff stress in the domains of aggressive behaviors, inappropriate behaviors, resident safety, and resource deficiency.ConclusionsThe Harmony in the Bush model is effective in reducing behavioral and psychiatric symptoms in advanced dementia with significant reduction in staff stress levels in nursing homes in rural Australia.Trial Registration: Australian and New Zealand Clinical Trials Registry (ANZCTR) on 20/2/2018 (Registration No: ACTRN12618000263291p). https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=374458

scholarly journals Treating psychiatric symptoms and disorders with non-psychotropic medications

2019 ◽  
Vol 21 (2) ◽  
pp. 193-201
Keyword(s):  
Internal Medicine ◽  
Psychotropic Drugs ◽  
Psychiatric Symptoms ◽  
Neuropsychiatric Disorders ◽  
Psychotropic Medications ◽  
Point Of View ◽  
Evidence Based ◽  
Sufficient Data ◽  
Level Of Evidence ◽  
Based Medicine

A few drugs prescribed in internal medicine, ie, non-psychotropic drugs, can be used to treat certain neuropsychiatric disorders. For most of these situations, the level of evidence remains low. But when sufficient data becomes available, these molecules are then included in official guidelines for the treatment of neuropsychiatric disorders. In this article we review interesting drugs which may be relevant from an evidence-based medicine point of view, and could become part of psychiatric practice in the future.

A quality improvement initiative on the use of psychotropic drugs in nursing homes in Flanders

2017 ◽  
Vol 72 (3) ◽  
pp. 163-171 ◽  
Author(s):  
Majda Azermai ◽  
Maarten Wauters ◽  
Dirk De Meester ◽  
Lisa Renson ◽  
Danny Pauwels ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Nursing Homes ◽  
Psychotropic Drugs ◽  
Quality Improvement Initiative

scholarly journals Current Pattern of Psychiatric Comorbidity and Psychotropic Drug Prescription in Child and Adolescent Patients

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 159 ◽  
Author(s):  
Mengühan Araz Altay ◽  
Leyla Bozatlı ◽  
Begüm Demirci Şipka ◽  
Işık Görker
Keyword(s):  
Adolescent Psychiatry ◽  
Outpatient Clinic ◽  
Psychotropic Drugs ◽  
Psychiatric Symptoms ◽  
Drug Prescription ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Multiple Drug ◽  
Psychiatric Diagnoses ◽  
Diagnostic Features

Background: In recent years, patterns of the use of psychotropic drugs vary with increasing rates of psychiatric presentation and diagnosis in children and adolescents. Purpose: In this study, we aimed to investigate distributions of current psychiatric symptoms and diagnosis, patterns of the use of psychotropic drugs, and differences according to age and gender in patients presented to a child and adolescent outpatient clinic. Methods: All patients aged between 0 and 18 years presenting to a child and adolescent psychiatry outpatient clinic between November 1, 2017 and November 1, 2018 were included in the study. Files of all patients were examined in detail, and patients’ demographic characteristics, symptoms, psychiatric diagnoses established according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), psychotropic drugs initiated, and side effect profiles were recorded. Psychiatric symptoms and diagnostic features of the patients were determined, and the differences were investigated according to gender. Clinical characteristics were compared between diagnosed and undiagnosed patients, and between patients with and without drug initiation. Results: Of the 2066 patients, 1298 (62.8%) were male and the mean age was 10.14 ± 4.42 years. The most common symptoms were hyperactivity (23.8%) and inattention (21.6%) in males, inattention (15.1%) and irritability (14.2%) in females, and 79% of the patients received one or more psychiatric diagnoses. The most common psychiatric diagnoses in both genders were attention-deficit hyperactivity disorder (ADHD), specific learning disorder (SLD), and conduct disorder, respectively. Of the patients who received a psychiatric diagnosis, 61.8% were using psychotropic drugs, with the majority of them (71.3%) receiving monotherapy. The most frequently initiated drugs included psychostimulants, antipsychotics, and antidepressants, with 28.7% of the drug user patients receiving multiple drug therapy. Conclusion: Our study indicates that rate of presentation to child and adolescent psychiatry outpatient clinics is increasing, and rates of diagnosis and initiation of psychiatry drugs are high among the presented children. The prevalence of ADHD shows an increase in males and females in our country, and psychiatric polypharmacy has reached significant rates.

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