ArticleSao Paulo medical journal = Revista paulista de medicina2007
Chronic use of diazepam in primary healthcare centers: user profile and usage pattern.
Article in Sao Paulo medical journal = Revista paulista de medicina, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Availability of two essential medicines for mental health in Bangladesh, the Democratic Republic of Congo, Haiti, Nepal, Malawi, Senegal, and Tanzania: Evidence from nationally representative samples of 7958 health facilities.Journal of global health · 2022Article
- Essential psychiatric medicines: wrong selection, high consumption and social problems.BMC public health · 2016Article
- Correlates of (inappropriate) benzodiazepine use: the Netherlands Study of Depression and Anxiety (NESDA).British journal of clinical pharmacology · 2011Article
- Psychotropic drug use among older people in general practice: discrepancies between opinion and practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
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Authors and funding
4 authors.
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Abstract
CONTEXT AND
objectiveChronic use of benzodiazepines is frequent in general practice. The aim of this study was to describe the usage pattern and profile of chronic users of diazepam who had been consuming this drug for a minimum of thirty-six months continuously. DESIGN AND
settingThis was a descriptive study (survey and clinical assessment) at five primary healthcare centers in Campinas, Brazil.
methodsPsychotropic drug control books revealed 48 eligible patients. Among these, 41 were assessed by means of the Schedule for Clinical Assessment in Neuropsychiatry (SCAN), the Hospital Anxiety and Depression scale (HAD) and a questionnaire on usage pattern.
resultsMost patients were women (85.4%). The patients' mean age was 57.6 years, and they were from the social strata C (39%), D (54%) and E (7%). The mean length of diazepam consumption was 10 years. The patients presented a lack of prescription compliance and had made frustrated attempts to stop using the drug. 55.5% said their doctor had never given any guidance on the effects of the drug. According to SCAN, 25 patients (61%) suffered from depressive disorders; only 12 cases of benzodiazepine dependence were detected by this instrument.
conclusionThere is a need to improve the detection and treatment of mental disorders, as well as to prevent inappropriate prescription and use of benzodiazepines. Diazepam dependence has distinctive characteristics that make it undetected by SCAN.
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