Title: A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia
year: 2017
Journal: Psychogeriatrics
Volume: 17
Issue: 6
Pages: 348-355
date: Nov
ISSN: 1479-8301 (Electronic);1346-3500 (Linking)
Article Number: 28429844
Keywords: Aged;Aged, 80 and over;Antidepressive Agents/*therapeutic use;Asia;Asian Continental Ancestry Group;Depression/*drug therapy;Drug Prescriptions/*statistics & numerical data;Female;*Hospitals, General;*Hospitals, Psychiatric;Humans;Male;Middle Aged;Psychotropic Drugs/*therapeutic use;Retrospective Studies;antidepressants;prescription patterns
Abstract: AIM: This study compared the demographics, clinical characteristics, and antidepressant prescription patterns between Asian patients aged 50 years and older attending psychiatric hospitals and those attending general hospitals. METHODS: In total, 955 patients (604 in general hospitals, 351 in psychiatric hospitals) aged 50 years or older treated with antidepressants in 10 Asian countries and territories were examined. Patients' demographics, clinical features, and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. RESULTS: Binary logistic regression revealed that high income and diagnosis of schizophrenia were independently associated with psychiatric hospital treatment, whereas outpatient care, diagnosis of anxiety disorders, and multiple major medical conditions were independently associated with general hospital treatment. In addition, tetracyclic and noradrenergic and specific serotonergic antidepressants were more likely to be prescribed in general hospitals. CONCLUSION: Older adults treated with antidepressants showed different demographic and clinical features between general hospitals and psychiatric hospitals in Asia.
Notes: Wang, Yuan-Yuan;Xiang, Yu-Tao;Ungvari, Gabor S;Ng, Chee H;Chiu, Helen F K;Yim, Larina C L;Si, Tian-Mei;Chee, Kok-Yoon;Avasthi, Ajit;Grover, Sandeep;Chong, Mian-Yoon;Sim, Kang;Kanba, Shigenobu;He, Yan-Ling;Lee, Min-Soo;Yang, Shu-Yu;Udomratn, Pichet;Kallivayalil, Roy A;Tanra, Andi J;Maramis, Margarita M;Shen, Winston W;Sartorius, Norman;Mahendran, Rathi;Teng, Jia-Ying;Tan, Chay-Hoon;Shinfuku, Naotaka;eng;Multicenter Study;England;2017/04/22 06:00;Psychogeriatrics. 2017 Nov;17(6):348-355. doi: 10.1111/psyg.12243. Epub 2017 Apr 21.
URL: https://www.ncbi.nlm.nih.gov/pubmed/28429844;http://onlinelibrary.wiley.com/doi/10.1111/psyg.12243/abstract
URI: https://open-access.imh.com.sg/handle/123456789/5088
Authors Address: Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Taipa, Macau.;Department of Psychiatry, Faculty of Public Health, Department of Epidemiology and Biostatistics, Wuhan University, Wuhan, China.;Department of Psychiatry, The University of Notre Dame Australia / Marian Centre, Perth, Western Australia, Australia.;Faculty of Medicine, Dentistry and Health, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Western Australia, Australia.;Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.;Department of Psychiatry, Chinese University of Hong Kong, Hong Kong.;Department of Psychiatry, The Key Laboratory of Mental Health, National Clinical Research Center for Mental Disorders, Peking University Institute of Mental Health (The Sixth Hospital), Ministry of Health (Peking University), Beijing, China.;Department of Psychiatry and Mental Health, Tunku Abdul Rahman Institute of Neurosciences, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.;Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.;Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital-Kaohsiung Medical Center and School of Medicine, Chang Gung University, Taoyuan, Taiwan.;Department of General Psychiatry, Institute of Mental Health, Singapore.;Department of Neuropsychiatry, Kyushu University, Fukuoka, Japan.;Department of Psychiatric Epidemiology, Shanghai Mental Health Center, Shanghai, China.;Department of Psychiatry, College of Medicine, Korea University, Seoul, Korea.;Department of Pharmacy, Taipei City Hospital, Taipei, Taiwan.;Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.;Department of Psychiatry, Pushpagiri Institute of Medical Sciences, Thiruvalla, India.;Faculty of Medicine, Department of Psychiatry, Hasanuddin University, Makassar, Indonesia.;Department of Psychiatry, Faculty of Medicine, Dr Soetomo Hospital, Airlangga University, Surabaya, Indonesia.;Department of Psychiatry, TMU-Wan Fang Medical Center and School of Medicine, Taipei Medical University, Taipei, Taiwan.;Association for the Improvement of Mental Health Programmes, Geneva, Switzerland.;Department of General Psychiatry, Department of Psychological Medicine, National University of Singapore, Singapore.;Department of Pharmacology, National University of Singapore, Singapore.;International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan.
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