https://scholars.lib.ntu.edu.tw/handle/123456789/523015
標題: | Clinical diagnosis of dementia, not presence of behavioral and psychological symptoms, is associated with psychotropic use in community-dwelling elders classified as having dementia | 作者: | DING-CHENG CHAN Kasper J.D. Black B.S. Rabins P.V. |
關鍵字: | Behavioral and psychological symptoms of dementia; Community diagnosis; Dementia; Elderly; Psychotropic drug | 公開日期: | 2007 | 卷: | 20 | 期: | 1 | 起(迄)頁: | 50-57 | 來源出版物: | Journal of Geriatric Psychiatry and Neurology | 摘要: | Little is known about the prevalence and correlates of psychotropic use in community-dwelling elders with dementia. Baseline data from 285 community-dwelling elders with a research classification of dementia (based on a neuropsychological battery of 4 tests) and their knowledgeable informants enrolled in the observational Memory and Medical Care Study were analyzed. A total of 33.3% of subjects with a research classification of dementia were clinically diagnosed, 28.8% used at least 1 psychotropic drug, and 61.8% had at least 1 behavioral or psychological symptom of dementia (BPSD). Presence of BPSD was associated with a higher likelihood of a clinical diagnosis of dementia. Multivariate logistic regression showed a clinical diagnosis of dementia, not BPSD, was associated with psychotropic use; clinical recognition of dementia appears to be an intermediate step between presence of BPSD and prescription of psychotropics. In addition, most community-dwelling elders meeting the research criteria for dementia were not clinically diagnosed, despite contact with a physician (89%) in the previous year. ? 2007 Sage Publications. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33846902785&doi=10.1177%2f0891988706297088&partnerID=40&md5=6c75e854ce1b5c80066a52bad23b91b3 https://scholars.lib.ntu.edu.tw/handle/123456789/523015 |
ISSN: | 0891-9887 | DOI: | 10.1177/0891988706297088 | SDG/關鍵字: | antidepressant agent; anxiolytic agent; benzodiazepine derivative; gabapentin; hypnotic agent; neuroleptic agent; nootropic agent; psychotropic agent; trazodone; valproate semisodium; aged; article; behavior disorder; community living; controlled study; dementia; disease classification; drug use; female; gerontopsychiatry; human; major clinical study; male; mental disease; multivariate logistic regression analysis; neuropsychological test; prescription; prevalence; priority journal; symptom; Activities of Daily Living; Aged; Aged, 80 and over; Comorbidity; Cross-Sectional Studies; Dementia; Diagnosis, Differential; Drug Utilization; Female; Health Surveys; Humans; Likelihood Functions; Male; Maryland; Mental Disorders; Mental Status Schedule; Multivariate Analysis; Psychotropic Drugs |
顯示於: | 醫學系 |
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