scholarly journals Psychotropic drug use in community-dwelling elderly people—characteristics of persistent and incident users

2011 ◽  
Vol 67 (7) ◽  
pp. 731-739 ◽  
Author(s):  
Maria Rikala ◽  
Maarit Jaana Korhonen ◽  
Raimo Sulkava ◽  
Sirpa Hartikainen
Keyword(s):  
Drug Use ◽  
Elderly People ◽  
Psychotropic Drug ◽  
Community Dwelling ◽  
Psychotropic Drug Use

scholarly journals Change in psychotropic drug use among community-dwelling people aged 75 years and older in Finland: repeated cross-sectional population studies

2011 ◽  
Vol 23 (8) ◽  
pp. 1278-1284 ◽  
Author(s):  
Franciska Desplenter ◽  
Charlotte Caenen ◽  
Jolein Meelberghs ◽  
Sirpa Hartikainen ◽  
Raimo Sulkava ◽  
...  
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Adverse Drug Events ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Psychotropic Drug Use ◽  
Random Samples ◽  
Antidepressant Use ◽  
Status Differences ◽  
Compare And Contrast

ABSTRACTBackground: Older people are at high risk of experiencing psychotropic-related adverse drug events. The objective of this study was to compare and contrast the use of psychotropic drugs among community-dwelling people aged ≥75 years in 1998 and 2004.Methods: Comparable random samples of people aged ≥75 years were extracted from the population register in Kuopio, Finland, in 1998 (n = 700) and 2003 (n = 1000). In 1998 and 2004, 523 and 700 community-dwelling people respectively participated in nurse interviews, during which demographic, diagnostic and drug use data were elicited. Logistic regression was used to compute unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the prevalence of psychotropic drug use in 2004 compared to 1998.Results: The unadjusted prevalence of total psychotropic (37.3% and 38.4%, OR 1.05; 95% CI 0.83–1.33), anxiolytic, hypnotic and sedative (29.6% and 31.3%, OR 1.08, 95% CI 0.85–1.38), and antidepressant (10.7% and 11.9%, OR 1.12, 95% CI 0.78–1.61) use were similar in 1998 and 2004. There was a decrease in the unadjusted prevalence of antipsychotic use (9.2% and 5.7%, OR 0.60; 95% CI 0.39–0.93). After adjusting for socioeconomic and health status differences, there was an increase in the prevalence of total psychotropic (adjusted OR 1.31, 95% CI 1.01–1.70) and antidepressant (OR 1.59, 95% CI 1.06–2.40) use.Conclusion: The unadjusted prevalence of psychotropic drug use remained stable between 1998 and 2004. However, in adjusted analyses there was a small increase in the prevalence of any psychotropic drug use and antidepressant use specifically.

Prevalence and correlates of psychotropic drug use in community-dwelling people with young-onset dementia: the NeedYD-study

2014 ◽  
Vol 26 (12) ◽  
pp. 1983-1989 ◽  
Author(s):  
Raymond T.C.M. Koopmans ◽  
Renate Reinders ◽  
Deliane van Vliet ◽  
Frans R.J. Verhey ◽  
Marjolein E. de Vugt ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Unmet Needs ◽  
Community Dwelling ◽  
Young Onset ◽  
Disease Awareness ◽  
Psychotropic Drug Use ◽  
Young Onset Dementia

ABSTRACTBackground:Young-onset dementia (YOD) is defined as dementia that develops before the age of 65 years. The prevalence and type of neuropsychiatric symptoms (NPS) in YOD differ from patients with late onset dementia. NPS in dementia patients are often treated with psychotropic drugs. The aim of this study was to investigate psychotropic drug use (PDU) in Dutch community-dwelling YOD patients and the association between age, gender, dementia etiology and severity, symptoms of depression, disease awareness, unmet needs, and type of NPS.Methods:Psychotropic drug use in 196 YOD patients was registered. Drugs were categorized according to the Anatomical Therapeutical Chemical classification. The association between age, gender, dementia type, dementia stage, type of NPS, depressive symptoms, disease awareness, and amount of unmet needs on total PDU was analyzed using binomial logistic regression analysis.Results:Fifty-two percent of the patients were prescribed at least one psychotropic drug; 36.2% of patients used one drug, and 12.2% used two different drugs. Antidepressants (36.2%) and antipsychotic drugs (17.3%) were the most frequently prescribed psychotropic drugs. Anti-dementia drugs were prescribed in 51.5% of the patients. Increasing age and moderate to severe depressive symptoms were positively associated with the total use of psychotropic drugs.Conclusions:Community-dwelling YOD patients have a high prevalence of PDU. More research is needed to study the association between unmet needs, NPS, and PDU, and psychosocial interventions have to be developed to limit the use of psychotropic drugs in YOD.

The effects of medication assessment on psychotropic drug use in the community-dwelling elderly

2010 ◽  
Vol 23 (3) ◽  
pp. 473-484 ◽  
Author(s):  
Maria Rikala ◽  
Maarit Jaana Korhonen ◽  
Raimo Sulkava ◽  
Sirpa Hartikainen
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
P Value ◽  
Control Groups ◽  
Psychotropic Drug Use ◽  
And Control

ABSTRACTBackground:The study evaluated the effects of an annual medication assessment conducted as part of a Comprehensive Geriatric Assessment (CGA) on the prevalence of psychotropic drug use in community-dwelling elderly people.Methods:Randomly selected persons (n = 1000) aged ≥75 years living in the city of Kuopio, Finland were randomized to intervention and control groups. The intervention group underwent an annual (2004–2006) medication assessment as part of a CGA by physicians. Data on drug use were gathered by interviews at baseline (2004) and in three following years (2005–2007). Generalized estimating equations (GEE) were applied to explore whether the prevalence of psychotropic drug use differed between the community-dwelling participants of the intervention (n = 361) and control groups (n = 339) over time.Results:At baseline, nearly 40% of the participants used psychotropic drugs in each group. In the intervention group, the study physicians implemented 126 psychotropic drug-related changes, 39% of which were persistent after one year. The prevalence of use of psychotropic drugs, antipsychotics and anxiolytic/hypnotics did not differ between the groups over time. The prevalence of antidepressant use remained constant in the intervention group, but increased in the control group (p-value for interaction = 0.039). The prevalence of concomitant use of psychotropic drugs decreased non-significantly in the intervention group, but increased in the control group (p-value for interaction = 0.009).Conclusions:Conducting an annual medication assessment outside the usual primary health care system does not appear to reduce the prevalence of psychotropic drug use in community-dwelling elderly people. However, it may prevent concomitant use of psychotropic drugs.

scholarly journals Psychotropic drug use in community-dwelling people with young-onset dementia: two-year course and determinants

2019 ◽  
Vol 25 (1) ◽  
pp. 179-186
Author(s):  
Adrie A. J. Gerritsen ◽  
Christian Bakker ◽  
Esther Bruls ◽  
Frans R. J. Verhey ◽  
Yolande A. L. Pijnenburg ◽  
...  
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Community Dwelling ◽  
Young Onset ◽  
Psychotropic Drug Use ◽  
Young Onset Dementia

Psychotropic drug use and alcohol drinking in community-dwelling older Australian men: the CHAMP study

2012 ◽  
Vol 32 (2) ◽  
pp. 218-222 ◽  
Author(s):  
Jenni Ilomäki ◽  
Danijela Gnjidic ◽  
Sarah N. Hilmer ◽  
David G. Le Couteur ◽  
Vasi Naganathan ◽  
...  
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Alcohol Drinking ◽  
Community Dwelling ◽  
Psychotropic Drug Use

Prevalence and appropriateness of psychotropic drug use in old age: results from the Berlin Aging Study (BASE)

2004 ◽  
Vol 16 (4) ◽  
pp. 461-480 ◽  
Author(s):  
Michael Linden ◽  
Thomas Bär ◽  
Hanfried Helmchen
Keyword(s):  
Drug Use ◽  
Elderly People ◽  
Old Age ◽  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Psychiatric Morbidity ◽  
Very Old ◽  
Psychotropic Drug Use ◽  
Aging Study ◽  
Study Base

Background: The aim of this epidemiological study is to examine the prevalence and correlates of psychotropic drug use in the very old and to evaluate the appropriateness of psychotropic drug use in very old age.Methods: Data from the Berlin Aging Study (BASE), a multidisciplinary study of an age- and gender-stratified, randomly selected sample of elderly people living in Berlin are presented. Over-sampling, especially very old men, allows for powerful analyses of this population. All participants went through extensive psychiatric and somatic examinations. Medication intake was assessed by different data sources (interviewing patients and their family physicians, drug inspection at home). Results were brought together in a consensus-conference and research physicians gave operationalized ratings of medication appropriateness.Results: The prevalence of elderly people who were taking at least one psychotropic medication within the 14 days immediately preceding investigation was 29.8%. Of these medications, 68.4% had been taken for longer than one year. There was no effect of age or gender on the scope of psychotropic drug use. Benzodiazepines were taken by 19.8% of the elderly. Antidepressants, neuroleptics and anti-dementia drugs were taken by about 3–4% each. People taking psychotropic drugs had significantly higher levels of psychiatric morbidity, as measured by syndromes and specified diagnoses. Psychotropic drugs were significantly less often judged to be indicated than somatic medications. This is mostly due to benzodiazepines.Conclusions: Psychotropic drug use is common in old age, but there is no additional increase in usage beyond the age of 70. Intake of psychotropics is mostly oriented at symptoms or syndromes, which explains why benzodiazepines are still the most commonly prescribed psychotropics

Psychotropic drug use in elderly people with and without dementia

2001 ◽  
Vol 16 (9) ◽  
pp. 900-906 ◽  
Author(s):  
Maria Stella T. Giron ◽  
Yvonne Forsell ◽  
Cecilia Bernsten ◽  
Mats Thorslund ◽  
Bengt Winblad ◽  
...  
Keyword(s):  
Drug Use ◽  
Elderly People ◽  
Psychotropic Drug ◽  
Psychotropic Drug Use
Sign in / Sign up

Export Citation Format

Share Document