Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000

2008 ◽  
Vol 23 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Hugo Lövheim ◽  
Per-Olof Sandman ◽  
Kristina Kallin ◽  
Stig Karlsson ◽  
Yngve Gustafson
2013 ◽  
Vol 25 (9) ◽  
pp. 1415-1423 ◽  
Author(s):  
Maria Gustafsson ◽  
Per-Olof Sandman ◽  
Stig Karlsson ◽  
Yngve Gustafson ◽  
Hugo Lövheim

ABSTRACTBackground:Behavioral and psychological symptoms are common among cognitively impaired individuals and psychotropic drugs are widely used for their treatment. The aim of this study was to describe the prevalence and associated factors of psychotropic and anti-dementia drug use among old people with cognitive impairment living in geriatric care settings.Methods:The study comprised 2,019 cognitively impaired people living in geriatric care units in the county of Västerbotten, Sweden. Data concerning psychotropic and anti-dementia drug use, function in activities of daily living, cognitive function, and prevalence of behavioral and psychological symptoms were collected, using the Multi-Dimensional Dementia Assessment Scale.Results:Of the study population, 1,442 individuals (71%) were prescribed at least one psychotropic drug (antidepressants (49%), anxiolytics, hypnotics, and sedatives (36%), antipsychotics (25%)). Furthermore, 363 individuals (18%) received anti-dementia drugs. Associations between various behavioral and psychological symptoms were found for all psychotropic drug classes and anti-dementia drugs. Verbally disruptive/attention-seeking behavior was associated with all psychotropic drugs. Use of antipsychotics was associated with several behavioral and psychological symptoms, including aggressive behavior.Conclusion:The associations between behavioral and psychological symptoms and psychotropic drug use found in this study indicate that these drugs are prescribed to treat behavioral and psychological symptoms among cognitively impaired individuals despite limited evidence of their efficacy. Given the significant risk of adverse effects among old people with cognitive impairment, it is important to ensure that any medication used is both appropriate and safe.


2015 ◽  
Vol 35 (4) ◽  
pp. 241-248 ◽  
Author(s):  
Anne Kjersti Myhrene Steffenak ◽  
Bodil Wilde-Larsson ◽  
Ingeborg Hartz ◽  
Gun Nordström

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Jon Brännström ◽  
Gustaf Boström ◽  
Erik Rosendahl ◽  
Peter Nordström ◽  
Håkan Littbrand ◽  
...  

2011 ◽  
Vol 31 (2) ◽  
pp. 259-259
Author(s):  
Cathrine Hansen ◽  
Hedvig Nordeng ◽  
Susan Garthus-Niegel ◽  
Malin Eberhard-Gran

2001 ◽  
Vol 5 (3) ◽  
pp. 225-234 ◽  
Author(s):  
G. Pérodeau ◽  
S. Lauzon ◽  
L. Lévesque ◽  
L. Lachance

2014 ◽  
Vol 4 (2) ◽  
pp. 1-33
Author(s):  
Veerle Buffel ◽  
Elien Colman ◽  
Piet Bracke

Deze studie vergelijkt het zorg‐ en psychofarmacagebruik omwille van psychische klachten van gescheiden personen (met een nieuwe partner of alleenstaand) met gehuwden. Binnen het theoretisch kader van de crowding‐in/out hypothesen, stellen wij ons de vraag of de beschikbaarheid van informele steun professioneel zorggebruik aanmoedigt of substitueert. Logistische regressieanalyses werden uitgevoerd afzonderlijk voor mannen (N=3020) en vrouwen (N=3450) met het contacteren van een huisarts, psychiater, psycholoog en psychofarmacagebruik als afhankelijke variabelen. Gescheiden alleenstaanden rapporteren het hoogste zorg‐ en psychofarmacagebruik.  Gescheiden vrouwen (en vooral alleenstaande) contacteren vaker een huisarts, psychiater en psycholoog, ongeacht hun mentale gezondheid, informele steun en sociaaleconomische achtergrond. Vrouwen die kunnen rekenen op emotionele steun van familie en niet‐familieleden zijn meer geneigd om een huisarts te contacteren. Bij mannen beïnvloedt de aanwezigheid van emotionele steun van leden buiten de familie het contacteren van elk type van zorgverlener. Deze bevindingen zijn in lijn van de crowding‐in hypothese. Abstract : This study compares mental health care and psychotropic drug use of the divorced (re‐partnered or single) to the married. Within the theoretical framework of crowding in/out thesis, we question whether the availability of informal support, facilitates or substitutes formal care seeking. Logistic regression analyses were performed for women (N=3450) and men (N=3020) to determine the correlates of contacting a GP, a psychiatrist, a psychologist and taking psychotropic drugs. Divorced singles report the highest mental health care and psychotropic drug use. Divorced women (especially singles) contact more often each type of health care provider, regardless of their mental health, informal support and socio‐economic background. Women who can rely on the support of family and non‐family members are more inclined to contact a GP. With regard to men, informal support of non‐family members positively influences each type of care seeking. These findings are in line with the crowding‐in thesis.


2020 ◽  
Author(s):  
Kei Fujita ◽  
Tomomi Kotani ◽  
Yoshinori Moriyama ◽  
Takafumi Ushida ◽  
Kenji Imai ◽  
...  

Abstract Background: Mental illness commonly occurs in reproductive age, and its adverse effects on mothers and children are a major public health concern. However, the extent to which the perinatal mental health care system in Japan is functioning adequately remains unexplored. This study aimed to identify the issues that exist within the perinatal mental health care system in Japan. Methods: A cross-sectional survey was conducted across medical facilities in Aichi prefecture in central Japan. Questionnaires were mailed to the head physicians of all 128 maternity care units, 21 neonatal intensive care units (NICUs), and 40 assisted reproductive technology (ART) units. The following data were collected: the number of admissions to mental health care units and admissions of neonates born to mothers with mental illness during the perinatal period between 2016 and 2018. Perspectives on psychotropic drug use during pregnancy were compared across different types of maternity care units, including maternal-fetal (MF) centers and private clinics by Fisher’s exact test. The multidisciplinary team system was also compared across different types of maternity care units by Fisher’s exact test. Results: The number of admissions to mental health care units was 82 (52.8 per 10 000 births), and 158 (1.0 per 1000 births) neonates born to mothers with mental illness were admitted to NICUs during the aforementioned period. With regard to the multidisciplinary team system, 84 (71.1 %) and 76 (64.4 %) maternity care units did not have any psychiatrists or social workers. Moreover, only 5 % of the head physicians in MF centers endorsed the discontinuation of psychotropic drug use during pregnancy. The corresponding figures were 20–35 % among those in general hospitals, private clinics, and ART units. Conclusions: Multidisciplinary system resources were perceived to be limited. Perspectives on psychotropic drug use during pregnancy differed significantly based on the type of units in which the doctors were working. There is a need for resources that will facilitate the admission of perinatal women with mental illnesses to mental health care units in Japan.


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