ArticleBMC psychiatry2012
Specialist prescribing of psychotropic drugs to older persons in Sweden--a register-based study of 188,024 older persons.
Article in BMC psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 26 citations in OpenAlex.
- Specialty care after transition to long-term care in nursing home.Journal of the American Geriatrics Society · 2023Article
- Benzodiazepine-Receptor Agonist Utilization in Outpatients with Anxiety Disorder: A Retrospective Study Based on Electronic Healthcare Data from a Large General Tertiary Hospital.Healthcare (Basel, Switzerland) · 2023Article
- Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review.Frontiers in psychiatry · 2022Review
- Benzodiazepine Use and Risk of Acute Angle-Closure Glaucoma: A Population-Based Case-Crossover Study.Drug safety · 2020Article
- Problematic Medication With Benzodiazepines, "Z-drugs", and Opioid Analgesics.Deutsches Arzteblatt international · 2019Article
- Characterisation of Benzodiazepine Use in an Older Population Registered in Family Health Units in the Region of Minho, Portugal.Geriatrics (Basel, Switzerland) · 2019Article
- Home care assistants' perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity.Journal of multidisciplinary healthcare · 2016Article
- Deprescribing benzodiazepines and Z-drugs in community-dwelling adults: a scoping review.BMC pharmacology & toxicology · 2015Article
- Socioeconomic inequalities in access to specialized psychotropic prescribing among older Swedes: a register-based study.European journal of public health · 2014Article
- Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
- Benzodiazepine (BZD) use in community-dwelling older adults: Longitudinal associations with mobility, functioning, and pain.Archives of gerontology and geriatricsObservational
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe situation for older persons with mental disorders other than dementia disorders has scarcely been studied. The older population is increasing worldwide and along with this increase the prevalence of mental disorders will also rise. The treatment of older persons with mental disorders entails complex challenges, with drugs constituting the major medical treatment. Knowledge of geriatric psychiatry is essential for providing older persons with appropriate treatment and care. This study aimed to evaluate the prescription of drugs for mental disorders to older persons (≥ 65) in Sweden, focused on the medical specialties of the prescribing physicians.
methodsData concerning drug treatment for older persons from 2006 to 2008 was gathered from the Swedish Prescribed Drug Register. Mental disorders, defined as affective, psychotic and anxiety disorders (ICD-10 F20-42) were evaluated in order to identify associated drugs. Included was a total of 188,024 older individuals, who collectively filled 2,013,079 prescriptions for the treatment of mental disorders. Descriptive analyses were performed, including frequency distribution and 95% CI. The competence of the prescribers was analyzed by subdividing them into five groups: geriatricians, psychiatrists, general practitioners (GPs), other specialists, and physicians without specialist education.
resultsGPs represented the main prescribers, whereas geriatricians and psychiatrists rarely prescribed drugs to older persons. Benzodiazepines and tricyclic antidepressants were the most commonly prescribed drugs. Women were prescribed drugs from geriatricians and psychiatrists to a greater extent than men.
conclusionsThis study examined the prescription of psychotropic drugs to older persons. Physicians specialized in older persons' disorders and mental health were rarely the prescribers of these drugs. Contrary to clinical guidelines, benzodiazepines and tricyclic antidepressants were commonly prescribed to older persons, emphasizing the need for continuous examination of pharmaceutical treatment for older persons. The results indicate a future need of more specialists in geriatrics and psychiatry.
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