Advanced

Perceived anxiety, depression, and sleeping problems in relation to psychotropic drug use among elderly in assisted-living facilities.

Holmquist, Ing-Britt LU ; Svensson, Bengt LU and Höglund, Peter LU (2005) In European Journal of Clinical Pharmacology 61(3). p.215-224
Abstract
Objective: The aim of the present study was to

investigate the perceived anxiety, depression, sleeping

habits, and participation in social activities in relation to

psychotropic drug use among elderly in assisted-living

facilities and to identify factors of importance for the use

of these drugs.

Method: The study had a cross-sectional design and included

93 residents living in old-age homes or in nursing

homes in a municipality in southern Sweden. Data

regarding medication was obtained from medical records

and included all psychoactive drugs. The perceived

anxiety, depression and sleeping habits of the residents

were assessed using a... (More)
Objective: The aim of the present study was to

investigate the perceived anxiety, depression, sleeping

habits, and participation in social activities in relation to

psychotropic drug use among elderly in assisted-living

facilities and to identify factors of importance for the use

of these drugs.

Method: The study had a cross-sectional design and included

93 residents living in old-age homes or in nursing

homes in a municipality in southern Sweden. Data

regarding medication was obtained from medical records

and included all psychoactive drugs. The perceived

anxiety, depression and sleeping habits of the residents

were assessed using a structured interview questionnaire.

Results: Many of the residents had sleeping problems

and also reported problems concerning anxiety and

depression. Of the study population, 65 (70%) used one

or more psychoactive drug; 9 were prescribed neuroleptics

(10%), 29 anxiolytics (31%), 43 hypnotics (43%)

and 31 were prescribed anti-depressants (33%). The

most commonly used psychotropic drugs as it related to

the residents’ problems were: benzodiazepines (oxazepam)

against anxiety, benzodiazepine-related agents

(zoldipem and zopiclon) against insomnia and serotonin

reuptake inhibitors (SSRI; citalopram) against depression.

The residents who had been treated with psychotropic

drugs at home continued this treatment after

moving to assisted-living facilities and approximately

30% of the residents were prescribed new psychotropic

drugs. Of those that perceived anxiety, insomnia or felt

depressed, between 58% and 69%, respectively, had

spoken to neither a nurse nor a physician about these

problems. Of those that had talked to a nurse/physician

about these problems, a majority had been prescribed

psychotropic drugs. Factors of importance for treatment

with psychotropic drugs against anxiety, insomnia and

depression were: prior treatment with these drugs at

home and discussing their problems with a physician.

Conclusion: The communication between the residents

and the nurses/physicians appears to be insufficient as

the residents state that they have not discussed their

problems with a nurse or a physician and that the prescription

of psychotropic drugs does not seem to be in

proportion to the residents’ perceived problems. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Elderly, Nursing homes, Old-age homes, Psychotropic drugs
in
European Journal of Clinical Pharmacology
volume
61
issue
3
pages
215 - 224
publisher
Springer
external identifiers
  • pmid:15761757
  • wos:000229266300009
  • scopus:20044362794
ISSN
1432-1041
DOI
10.1007/s00228-004-0857-6
language
English
LU publication?
yes
id
0230b877-2281-48e3-b66b-cb04369f6476 (old id 135042)
date added to LUP
2007-07-25 09:37:45
date last changed
2017-01-01 06:47:57
@article{0230b877-2281-48e3-b66b-cb04369f6476,
  abstract     = {Objective: The aim of the present study was to<br/><br>
investigate the perceived anxiety, depression, sleeping<br/><br>
habits, and participation in social activities in relation to<br/><br>
psychotropic drug use among elderly in assisted-living<br/><br>
facilities and to identify factors of importance for the use<br/><br>
of these drugs.<br/><br>
Method: The study had a cross-sectional design and included<br/><br>
93 residents living in old-age homes or in nursing<br/><br>
homes in a municipality in southern Sweden. Data<br/><br>
regarding medication was obtained from medical records<br/><br>
and included all psychoactive drugs. The perceived<br/><br>
anxiety, depression and sleeping habits of the residents<br/><br>
were assessed using a structured interview questionnaire.<br/><br>
Results: Many of the residents had sleeping problems<br/><br>
and also reported problems concerning anxiety and<br/><br>
depression. Of the study population, 65 (70%) used one<br/><br>
or more psychoactive drug; 9 were prescribed neuroleptics<br/><br>
(10%), 29 anxiolytics (31%), 43 hypnotics (43%)<br/><br>
and 31 were prescribed anti-depressants (33%). The<br/><br>
most commonly used psychotropic drugs as it related to<br/><br>
the residents’ problems were: benzodiazepines (oxazepam)<br/><br>
against anxiety, benzodiazepine-related agents<br/><br>
(zoldipem and zopiclon) against insomnia and serotonin<br/><br>
reuptake inhibitors (SSRI; citalopram) against depression.<br/><br>
The residents who had been treated with psychotropic<br/><br>
drugs at home continued this treatment after<br/><br>
moving to assisted-living facilities and approximately<br/><br>
30% of the residents were prescribed new psychotropic<br/><br>
drugs. Of those that perceived anxiety, insomnia or felt<br/><br>
depressed, between 58% and 69%, respectively, had<br/><br>
spoken to neither a nurse nor a physician about these<br/><br>
problems. Of those that had talked to a nurse/physician<br/><br>
about these problems, a majority had been prescribed<br/><br>
psychotropic drugs. Factors of importance for treatment<br/><br>
with psychotropic drugs against anxiety, insomnia and<br/><br>
depression were: prior treatment with these drugs at<br/><br>
home and discussing their problems with a physician.<br/><br>
Conclusion: The communication between the residents<br/><br>
and the nurses/physicians appears to be insufficient as<br/><br>
the residents state that they have not discussed their<br/><br>
problems with a nurse or a physician and that the prescription<br/><br>
of psychotropic drugs does not seem to be in<br/><br>
proportion to the residents’ perceived problems.},
  author       = {Holmquist, Ing-Britt and Svensson, Bengt and Höglund, Peter},
  issn         = {1432-1041},
  keyword      = {Elderly,Nursing homes,Old-age homes,Psychotropic drugs},
  language     = {eng},
  number       = {3},
  pages        = {215--224},
  publisher    = {Springer},
  series       = {European Journal of Clinical Pharmacology},
  title        = {Perceived anxiety, depression, and sleeping problems in relation to psychotropic drug use among elderly in assisted-living facilities.},
  url          = {http://dx.doi.org/10.1007/s00228-004-0857-6},
  volume       = {61},
  year         = {2005},
}