DING-CHENG CHANKasper J.D.Black B.S.Rabins P.V.2020-11-302020-11-3020070891-9887https://www.scopus.com/inward/record.uri?eid=2-s2.0-33846902785&doi=10.1177%2f0891988706297088&partnerID=40&md5=6c75e854ce1b5c80066a52bad23b91b3https://scholars.lib.ntu.edu.tw/handle/123456789/523015Little 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.Behavioral and psychological symptoms of dementia; Community diagnosis; Dementia; Elderly; Psychotropic drug[SDGs]SDG3antidepressant 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 Drugsjournal article10.1177/0891988706297088173417712-s2.0-33846902785