Psychotropic use and associated neuropsychiatric symptoms among patients with dementia in the USA.

Abstract:

OBJECTIVE:To determine the national prevalence of psychotropic use and association with neuropsychiatric symptoms among patients with dementia. METHODS:Participants diagnosed with dementia (n = 414) in the Aging, Demographics, and Memory Study, a nationally representative survey of US adults >70 years old. Diagnosis was based on in-person clinical assessment and informant interview. Information collected included demographics, place of residence, 10-item Neuropsychiatric Inventory (NPI), and prescribed medications (antipsychotic, sedative-hypnotic, antidepressant, mood stabilizer). RESULTS:Of 414 participants with dementia, 41.4% were prescribed a psychotropic medication, including 84.0% of nursing home residents and 28.6% of community-dwellers. Of participants, 23.5% were prescribed an antidepressant. Compared with the total NPI score of those on no medication (4.5), those on antipsychotics and those on sedative-hypnotics had much higher scores (respectively: 12.6, p < 0.001; 11.8, p = 0.03), although those antidepressants did not (6.9, p = 0.15). A larger proportion of patients on antipsychotics exhibited psychosis and agitation compared with those on no medication, while those on antidepressants exhibited more depressive symptoms. In multivariable logistic regression that included dementia severity and nursing home residence, nursing home residence was the characteristic most strongly associated with psychotropic use (odds ratio ranging from 8.96 [p < 0.001] for antipsychotics to 15.59 [p < 0.001] for sedative-hypnotics). More intense psychotic symptoms and agitation were associated with antipsychotic use; more intense anxiety and agitation were associated with sedative-hypnotic use. More intense depression and apathy were not associated with antidepressant use. CONCLUSIONS:In this nationally representative sample, 41.4% of patients were taking psychotropic medication. While associated with neuropsychiatric symptoms, nursing home residence was most strongly tied to use. Copyright © 2016 John Wiley & Sons, Ltd.

authors

Maust DT,Langa KM,Blow FC,Kales HC

doi

10.1002/gps.4452

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

164-174

issue

2

eissn

0885-6230

issn

1099-1166

journal_volume

32

pub_type

杂志文章
  • Neuropsychiatric disturbance in Alzheimer's disease clusters into three groups: the Cache County study.

    abstract:OBJECTIVE:We investigated the frequency and inter-relationship of neuropsychiatric disturbances in a population sample of persons suffering from Alzheimer's disease (AD). METHOD:Screening 5,092 elderly residents (90% of the population aged 65 and older) of Cache County, Utah, for dementia, we identified 198 persons wi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.448

    authors: Lyketsos CG,Sheppard JM,Steinberg M,Tschanz JA,Norton MC,Steffens DC,Breitner JC

    更新日期:2001-11-01 00:00:00

  • TNF alpha inhibitors in Alzheimer's disease: A systematic review.

    abstract:OBJECTIVES:The objective of this study was to evaluate the effect of tumour necrosis factor-alpha inhibitors (TNF-αI) on Alzheimer's disease-associated pathology. DESIGN:A literature search of PubMed, Embase, PsychINFO, Web of Science, Scopus, and the Cochrane Library databases for human and animal studies that evalua...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4871

    authors: Ekert JO,Gould RL,Reynolds G,Howard RJ

    更新日期:2018-05-01 00:00:00

  • Geriatric characteristics in randomised controlled trials on antidepressant drugs for older adults: a systematic review.

    abstract:OBJECTIVE:Meta-analyses of antidepressant drug treatment trials have found that increasing age is associated with a less favourable outcome. Because the prevalence of geriatric characteristics, like disability, medical co-morbidity, malnutrition, cognitive (dys)function and frailty increase with age and are associated ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.4443

    authors: Benraad CE,Kamerman-Celie F,van Munster BC,Oude Voshaar RC,Spijker J,Olde Rikkert MG

    更新日期:2016-09-01 00:00:00

  • Mortality and causes of death in older patients with schizophrenia.

    abstract:OBJECTIVE:The aim of this study was to evaluate mortality and causes of death in older patients with schizophrenia in comparison with the general population. The mortality of patients experiencing relapse was also compared with those in remission. METHODS:The study sample consists of patients (n = 9461) over 65 years ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2833

    authors: Talaslahti T,Alanen HM,Hakko H,Isohanni M,Häkkinen U,Leinonen E

    更新日期:2012-11-01 00:00:00

  • Lifestyle for Brain Health (LIBRA): a new model for dementia prevention.

    abstract:OBJECTIVE:Modifiable risk factors for dementia were recently identified and compiled in a systematic review. The 'Lifestyle for Brain Health' (LIBRA) score, reflecting someone's potential for dementia prevention, was studied in a large longitudinal population-based sample with respect to predicting cognitive change ove...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4700

    authors: Schiepers OJG,Köhler S,Deckers K,Irving K,O'Donnell CA,van den Akker M,Verhey FRJ,Vos SJB,de Vugt ME,van Boxtel MPJ

    更新日期:2018-01-01 00:00:00

  • A Bayesian model of psychosis symptom trajectory in Alzheimer's disease.

    abstract:OBJECTIVE:Psychosis, like other neuropsychiatric symptoms of dementia, has many features that make predictive modeling of its onset difficult. For example, psychosis onset is associated with both the absolute degree of cognitive impairment and the rate of cognitive decline. Moreover, psychotic symptoms, while more like...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4326

    authors: Seltman HJ,Mitchell S,Sweet RA

    更新日期:2016-02-01 00:00:00

  • Effects of modified 8-week reminiscence therapy on the older spouse caregivers of stroke survivors in Chinese communities: A randomized controlled trial.

    abstract:OBJECTIVE:Our aim was to evaluate the effectiveness of a modified 8-week reminiscence therapy on the burden, positive experience, and life satisfaction of older spouse caregivers and the life satisfaction of stroke survivors. METHODS:We conducted a randomized controlled trial by using 75 older stroke couples recruited...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/gps.4833

    authors: Mei Y,Lin B,Li Y,Ding C,Zhang Z

    更新日期:2018-04-01 00:00:00

  • Depression and hypertension among Chinese nonagenarians and centenarians.

    abstract:PURPOSE:In this study, we explored association between hypertension and depression in the very elderly using a sample ranged in age from 90 to 108 years. METHODS:A cross-sectional study. RESULTS:The sample included 687 unrelated Chinese nonagenarians/centenarians (67.4% women, mean age 93.51 years). The mean depressi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2364

    authors: Wen Z,Bi-Rong D,Chang-Quan H,Zhen-Chan L,Yuan Z,Hong-Mei W,Yan-Ling Z,Hui W,Ping H

    更新日期:2010-06-01 00:00:00

  • Short-term safety and pharmacokinetic profile of asenapine in older patients with psychosis.

    abstract:OBJECTIVES:The aim of this study was to assess the short-term tolerability of two titration schedules of sublingual asenapine in older patients with psychosis, not associated with organic brain disease, and to compare asenapine pharmacokinetics in older patients versus younger adults with schizophrenia. METHODS:Patien...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/gps.2737

    authors: Dubovsky SL,Frobose C,Phiri P,de Greef R,Panagides J

    更新日期:2012-05-01 00:00:00

  • The symptomatology of post-stroke depression: comparison of stroke and myocardial infarction patients.

    abstract:BACKGROUND:Depression is a frequent problem in stroke patients but, all too often, the problem goes unrecognized. How depression-like symptoms in post-stroke depression (PSD) should be interpreted is still subject to debate. If PSD has a distinct symptom profile of depression accompanying other chronic vascular somatic...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2236

    authors: Bour A,Rasquin S,Aben I,Strik J,Boreas A,Crijns H,Limburg M,Verhey F

    更新日期:2009-10-01 00:00:00

  • Evaluating the caregiver's intervention in the elder's task performance: capacity versus actual behavior.

    abstract::As an elder's functional impairment increases, so in general does the tendency for the caregiver to intervene in the elder's daily activities and initiatives. To a certain extent, such intervention is necessary to compensate for the elder's loss of independent ability, and without such intervention, adverse outcomes f...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199709)12:9<920::aid-gps66

    authors: Fulmer T,Gurland B

    更新日期:1997-09-01 00:00:00

  • Relationship of exercise and other risk factors to depression of Alzheimer's disease: the LASER-AD study.

    abstract:BACKGROUND:Depression is common in Alzheimer's disease (AD; 5-35%). It is associated with increased disability, cost of care and carer burden. Exercise is known to be associated with a lower prevalence of depression across the age range but little is known about its relationship to depression in AD. AIMS:To investigat...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1278

    authors: Regan C,Katona C,Walker Z,Livingston G

    更新日期:2005-03-01 00:00:00

  • Characteristics of help-seeking behaviour in subjects with subjective memory complaints at a memory clinic: a case-control study.

    abstract:OBJECTIVE:Memory complaints in the absence of objective test impairments are common. Only a subset of these subjects seeks medical attention for these complaints. The aim of the present study was to investigate which factors determine why people with subjective memory complaints (SMC) seek medical attention. METHODS:T...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2092

    authors: Ramakers IH,Visser PJ,Bittermann AJ,Ponds RW,van Boxtel MP,Verhey FR

    更新日期:2009-02-01 00:00:00

  • Does admission to a specialist geriatric medicine ward lead to improvements in aspects of acute medical care for older patients with dementia?

    abstract:OBJECTIVE:The objective of this study is to clarify if admission to a specialist geriatric medicine ward leads to improvements in aspects of acute medical care for patients with dementia. METHODS:We analysed combined data involving 900 patients from the Irish and Northern Irish audits of dementia care. Data on baselin...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4501

    authors: Briggs R,O'Shea E,de Siún A,O'Neill D,Gallagher P,Timmons S,Kennelly S

    更新日期:2017-06-01 00:00:00

  • An exploration of nursing home managers' knowledge of and attitudes towards the management of pain in residents with dementia.

    abstract:BACKGROUND:The aims of this study were to explore the knowledge, attitudes and beliefs that nursing home managers hold with regard to the assessment and management of pain in residents with dementia and to determine how these may be affected by the demographic characteristics of the respondents. METHODS:A questionnair...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.3770

    authors: Barry HE,Parsons C,Peter Passmore A,Hughes CM

    更新日期:2012-12-01 00:00:00

  • Spiritual struggle and affective symptoms among geriatric mood disordered patients.

    abstract:OBJECTIVES:We explored relationships between general religiousness, positive religious coping, negative religious coping (spiritual struggle), and affective symptoms among geriatric mood disordered outpatients, in the northeastern USA. METHODS:We assessed for general religiousness (religious affiliation, belief in God...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4052

    authors: Rosmarin DH,Malloy MC,Forester BP

    更新日期:2014-06-01 00:00:00

  • Temporal precedence of cognitive function and functional abilities: A latent difference score model of the Chinese community-dwelling elders.

    abstract:OBJECTIVES:Little research has explored how cognitive function and activities of daily living (ADL) affect each other over time. In addition, no current finding provides a clear hint to the temporal precedence between them. The present study tries to address these limitations of prior studies by utilizing a longitudina...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5206

    authors: Wang J,Zhu WH,Li YF,Zhu WW

    更新日期:2019-12-01 00:00:00

  • The utility of EEG in dementia: a clinical perspective.

    abstract:BACKGROUND:Despite being simple and cheap, the EEG is not often used in clinical practice. METHODOLOGY:Literature search using PUBMED and Medline. RESULTS:Quantitative EEG can help to identify mild dementia and mild cognitive impairment and can increase diagnostic accuracy when used with other imaging techniques. EEG...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.1393

    authors: Adamis D,Sahu S,Treloar A

    更新日期:2005-11-01 00:00:00

  • Prescription opioid and benzodiazepine misuse is associated with suicidal ideation in older adults.

    abstract:OBJECTIVES:Suicide in older adults is a major public health issue. Past research across the US adult population has linked prescription medication misuse with suicidal ideation. No work has evaluated associations between prescription opioid or benzodiazepine misuse and suicidal ideation in older adults, and this work a...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4999

    authors: Schepis TS,Simoni-Wastila L,McCabe SE

    更新日期:2019-01-01 00:00:00

  • Structural correlates of apathy in Alzheimer's disease: a multimodal MRI study.

    abstract:OBJECTIVE:Apathy is one of the most frequent symptoms of dementia, whose underlying neurobiology is not well understood. The objective was to analyze the correlations of apathy and its dimensions with gray and white matter damage in the brain of patients with advanced Alzheimer's disease (AD). METHODS:The setting of t...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4548

    authors: Agüera-Ortiz L,Hernandez-Tamames JA,Martinez-Martin P,Cruz-Orduña I,Pajares G,López-Alvarez J,Osorio RS,Sanz M,Olazarán J

    更新日期:2017-08-01 00:00:00

  • Adverse events of repetitive transcranial magnetic stimulation in older adults with depression, a systematic review of the literature.

    abstract:OBJECTIVE:In the last decade, repetitive transcranial magnetic stimulation (rTMS) has been introduced as a non-invasive neuromodulation therapy for depression. Little is known, however, about (serious) adverse events (AE) of rTMS in older adults with a depression. In this article, we want to study what is known about (...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.5440

    authors: Overvliet GM,Jansen RAC,van Balkom AJLM,van Campen DC,Oudega ML,van der Werf YD,van Exel E,van den Heuvel OA,Dols A

    更新日期:2020-10-09 00:00:00

  • A cross cultural review of the ethical issues in dementia care in Kerala, India and The Netherlands.

    abstract:BACKGROUND:The paper explores the diverse ethical issues in the care of persons with dementia, in the Netherlands and Kerala, India. These cross-cultural data are used to suggest newer ways for addressing the ethical issues in a mutually enhancing manner. METHODS:A thorough review of the literature focusing on ethical...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.2127

    authors: Sowmini CV,De Vries R

    更新日期:2009-04-01 00:00:00

  • Executive functioning in Alzheimer's disease and vascular dementia.

    abstract:OBJECTIVE:To compare performance of patients with mild-moderate Alzheimer's disease (AD) and vascular dementia (VaD) on tests of executive functioning and working memory. METHODS:Patients with AD (n = 76) and VaD (n = 46) were recruited from a memory clinic along with dementia free participants (n = 28). They underwen...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2375

    authors: McGuinness B,Barrett SL,Craig D,Lawson J,Passmore AP

    更新日期:2010-06-01 00:00:00

  • Does patient expectancy account for the cognitive and clinical benefits of mindfulness training in older adults?

    abstract:OBJECTIVES:Patient expectations of treatment effects could influence neuropsychological and clinical outcomes in clinical trials of behavioral and lifestyle interventions, which could potentially confound the interpretation of findings. Our aim was to examine whether patient expectancy mediated effectiveness of Mindful...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5279

    authors: Haddad R,Lenze EJ,Nicol G,Miller JP,Yingling M,Wetherell JL

    更新日期:2020-06-01 00:00:00

  • Antidepressant use and orthostatic hypotension in older adults living with mild-to-moderate Alzheimer disease.

    abstract:OBJECTIVES:Antidepressant use is often reported as a risk factor for Orthostatic Hypotension (OH), however this relationship has never been explored in those with mild/moderate Alzheimer Disease (AD), who may represent a particularly vulnerable cohort. METHODS:We performed a cross-sectional analysis of baseline data f...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5377

    authors: Dyer AH,Murphy C,Briggs R,Lawlor B,Kennelly SP,NILVAD Study Group.

    更新日期:2020-11-01 00:00:00

  • Medication use in nursing homes for elderly people.

    abstract::Residents of nursing and residential homes are often prescribed medication for physical and mental ill-health with resultant polypharmacy and the possibility of iatrogenic disorders. Sometimes drugs are prescribed inappropriately and a number of studies have highlighted the overuse of psychotropic drugs. Legislation i...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/(sici)1099-1166(199807)13:7<433::aid-gps79

    authors: Furniss L,Craig SK,Burns A

    更新日期:1998-07-01 00:00:00

  • Biomarkers for apoptosis in Alzheimer's disease.

    abstract::Alzheimer's disease (AD) affects millions of people worldwide and the number of AD cases will increase with increased life expectancy. Today there is no cure for this devastating and always lethal disease and therefore it is of great interest for patients, relatives and societies to find new drugs that can hinder the ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.1260

    authors: Ankarcrona M,Winblad B

    更新日期:2005-02-01 00:00:00

  • Quetiapine indication shift in the elderly: diagnosis and dosage in 208 psychogeriatric patients from 2000 to 2006.

    abstract:RATIONALE:Quetiapine was approved in Germany as an atypical antipsychotic for treatment of schizophrenia in 2000, followed by the approval as an antipsychotic for treatment of bipolar mania in 2003. The approval of quetiapine for treatment of bipolar depression is expected. We hypothesized that the psychogeriatric pres...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1687

    authors: Hilwerling L,Juckel G,Schröder SG

    更新日期:2007-05-01 00:00:00

  • Impairment of activities of daily living requiring memory or complex reasoning as part of the MCI syndrome.

    abstract:BACKGROUND:Mild Cognitive Impairment (MCI) is a borderline state between age-associated cognitive decline and mild dementia. MCI is separated from mild dementia by an absence of global intellectual deterioration and the preservation of activities of daily living (ADL). However, even mild degrees of cognitive deteriorat...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1444

    authors: Perneczky R,Pohl C,Sorg C,Hartmann J,Tosic N,Grimmer T,Heitele S,Kurz A

    更新日期:2006-02-01 00:00:00

  • The SAGES telephone neuropsychological battery: correlation with in-person measures.

    abstract:OBJECTIVE:Neuropsychological test batteries are administered in person to assess cognitive function in both clinical and research settings. However, in-person administration holds a number of logistical challenges that makes it difficult to use in large or remote populations or for multiple serial assessments over time...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4558

    authors: Bunker L,Hshieh TT,Wong B,Schmitt EM,Travison T,Yee J,Palihnich K,Metzger E,Fong TG,Inouye SK

    更新日期:2017-09-01 00:00:00