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Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway

BACKGROUND: Although alcohol and prescribed psychotropic drug use has increased among older people, the usefulness of information provided about these substances in patients’ referrals to departments of old-age psychiatry (OAPsy) is unknown. AIMS: To examine whether patients’ self-reported elevated...

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Autores principales: Johannesen, Aud, Engedal, Knut, Larsen, Marianne, Lillehovde, Elin, Stelander, Line Tegner, Helvik, Anne-Sofie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450840/
https://www.ncbi.nlm.nih.gov/pubmed/32934467
http://dx.doi.org/10.1177/1455072516682642
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author Johannesen, Aud
Engedal, Knut
Larsen, Marianne
Lillehovde, Elin
Stelander, Line Tegner
Helvik, Anne-Sofie
author_facet Johannesen, Aud
Engedal, Knut
Larsen, Marianne
Lillehovde, Elin
Stelander, Line Tegner
Helvik, Anne-Sofie
author_sort Johannesen, Aud
collection PubMed
description BACKGROUND: Although alcohol and prescribed psychotropic drug use has increased among older people, the usefulness of information provided about these substances in patients’ referrals to departments of old-age psychiatry (OAPsy) is unknown. AIMS: To examine whether patients’ self-reported elevated use of alcohol and prescribed psychotropic drugs corresponds with information provided in the referrals to OAPsy departments and to explore the factors associated with elevated self-reported use of these substances. METHODS: We recorded the information provided in referrals about the elevated use of alcohol and psychotropic drugs in a sample of 206 patients (69 men) from 12 OAPsy departments. The Alcohol Use Disorders Identification Test (AUDIT) and Drug Use Disorders Identification Test (DUDIT) helped to assess self-reported use. We also collected demographic data, as well as information about cognitive functioning and symptoms of anxiety and depression. RESULTS: Seventy-three patients (35%) scored above the cut-off for alcohol use for women/men (AUDIT ≥ 3/4) or psychotropic drugs (DUDIT ≥ 6/8), if not both. Twenty patients (10%) reported an elevated use of both alcohol and psychotropic drugs, and the referrals for eight (40%) and ten (50%) of them, respectively, included information about this use. There was a significant association between self-reported use of alcohol above the cut-off and information about elevated use in the referrals. However, no such association was found between information in the referrals and self-reported use of prescribed psychotropic drugs. Elevated alcohol use was associated with more years of education, while elevated use of psychotropic drugs was associated with younger age and severe symptoms of anxiety and depression. CONCLUSION: The information reported in referrals about the elevated use of alcohol and psychotropic drugs demonstrated a trend in associations with self-reported use. However, the risk factors for elevated use of alcohol and psychotropic drugs in the elderly need to be examined further.
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spelling pubmed-74508402020-09-14 Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway Johannesen, Aud Engedal, Knut Larsen, Marianne Lillehovde, Elin Stelander, Line Tegner Helvik, Anne-Sofie Nordisk Alkohol Nark Research Reports BACKGROUND: Although alcohol and prescribed psychotropic drug use has increased among older people, the usefulness of information provided about these substances in patients’ referrals to departments of old-age psychiatry (OAPsy) is unknown. AIMS: To examine whether patients’ self-reported elevated use of alcohol and prescribed psychotropic drugs corresponds with information provided in the referrals to OAPsy departments and to explore the factors associated with elevated self-reported use of these substances. METHODS: We recorded the information provided in referrals about the elevated use of alcohol and psychotropic drugs in a sample of 206 patients (69 men) from 12 OAPsy departments. The Alcohol Use Disorders Identification Test (AUDIT) and Drug Use Disorders Identification Test (DUDIT) helped to assess self-reported use. We also collected demographic data, as well as information about cognitive functioning and symptoms of anxiety and depression. RESULTS: Seventy-three patients (35%) scored above the cut-off for alcohol use for women/men (AUDIT ≥ 3/4) or psychotropic drugs (DUDIT ≥ 6/8), if not both. Twenty patients (10%) reported an elevated use of both alcohol and psychotropic drugs, and the referrals for eight (40%) and ten (50%) of them, respectively, included information about this use. There was a significant association between self-reported use of alcohol above the cut-off and information about elevated use in the referrals. However, no such association was found between information in the referrals and self-reported use of prescribed psychotropic drugs. Elevated alcohol use was associated with more years of education, while elevated use of psychotropic drugs was associated with younger age and severe symptoms of anxiety and depression. CONCLUSION: The information reported in referrals about the elevated use of alcohol and psychotropic drugs demonstrated a trend in associations with self-reported use. However, the risk factors for elevated use of alcohol and psychotropic drugs in the elderly need to be examined further. SAGE Publications 2017-03-17 2017-02 /pmc/articles/PMC7450840/ /pubmed/32934467 http://dx.doi.org/10.1177/1455072516682642 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research Reports
Johannesen, Aud
Engedal, Knut
Larsen, Marianne
Lillehovde, Elin
Stelander, Line Tegner
Helvik, Anne-Sofie
Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway
title Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway
title_full Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway
title_fullStr Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway
title_full_unstemmed Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway
title_short Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway
title_sort alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in norway
topic Research Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450840/
https://www.ncbi.nlm.nih.gov/pubmed/32934467
http://dx.doi.org/10.1177/1455072516682642
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