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Chronic Psychotropic Drug Use Among Frail Elderly Women Receiving Home Care Services
Abstract
Over the years, psychotropic drugs have been prescribed for symptoms of anxiety and/or insomnia. Elderly women are especially at risk of chronic use and ensuing side-effects. We examined psychosocial processes associated with long-term psychotropic drug use. We conducted in-depth interviews with 21 frail elderly women in a home care program and 14 of their primary caregivers. Results yielded a descriptive model of chronic use that takes into account antecedents of use, initial and subsequent prescription processes, individual contextual circumstances, the effect of the social context, and the women's cognitive strategies employed to make prolonged use coherent with their self-image.
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The most frequent indications for psychotropic prescribing were depression in nine studies, sleeping disorders in seven and anxiety in six.
“The most frequent indications for psychotropic prescribing were depression in nine studies [50, 51, 55, 56, 60, 62, 73, 74, 82], sleeping disorders in seven [54–56, 59, 63, 74, 82] and anxiety in six [54–56, 73, 74, 82].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Ageing was seen as a negative experience by many participants, commonly associated with social, physical and emotional decline such as ill-health, loss of autonomy and bereavement.
“Ageing was seen as a negative experience by many participants; being commonly associated with social, physical and emotional decline such as ill-health, loss of autonomy and bereavement [50, 56, 74, 82].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Patients were of the view that they trusted prescribers and had confidence in them that if they prescribed medication it was appropriate for them.
“Meanwhile, patients were of the view that they trusted prescribers and had confidence in them that if they prescribed medication it was appropriate for them [55, 56, 74].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Both doctors and older people expressed the view that psychotropic medication was at times used as a 'crutch', where taking the medication, even at a very low dose, provided emotional comfort and helped keep the patient on an 'even keel'.
“Both doctors and older people expressed the view that psychotropic medication was at times used as a ‘crutch’, where taking the medication, even at a very low dose, provided emotional comfort and helped keep the patient on an ‘even keel’ [56, 74].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Negative effects experienced by patients during prior attempts to discontinue were reported to discourage further attempts.
“Negative effects experienced by patients during prior attempts to discontinue were also reported to discourage further attempts [54–56, 74].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Side effects associated with psychotropic medication were also minimised by some older people, doctors and family members.
“However, side effects associated with psychotropic medication were also minimised by some older people, doctors and family members [54–56, 59, 63, 65, 74, 81, 82].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Some doctors were of the view that older people had a low potential for abuse and minimised or accepted the risks of addiction.
“Some doctors were also of the view that older people had a low potential for abuse and minimised or accepted the risks of addiction [54, 59, 74, 82].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Some older people felt medication did not address the root of their problem and was only a 'partial fix'.
“Some older people felt medication did not address the root of their problem and was only a ‘partial fix’ [50, 51, 56, 60, 74].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
Family events, loneliness, ill health or bereavement were commonly at the root of these issues.
“Family events, loneliness, ill health or bereavement were commonly at the root of these issues [56, 74].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [74]
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Stakeholders' views on the use of psychotropic medication in older people: a systematic review
Bednarczyk, E., Cook, S., Brauer, R., & Garfield, S. (2022) · Age and Ageing · doi:10.1093/ageing/afac060 · Cited by 22
“Family events, loneliness, ill health or bereavement were commonly at the root of these issues [56, 74].”
BackgroundInfluential
Metadata
- Authors
- Pérodeau, G., Paradis, I., Grenier, S., O'Connor, K., & Grenon, É.
- Affiliations
- Université du Québec en Outaouais (CA)
- Université du Québec à Montréal (CA)
- Canadian Society for International Health (CA)
- Corresponding author
- Pérodeau, Guilhème
- ORCID
- Grenier, Sébastien
- Venue
- Journal of Women & Aging
- Publisher
- Informa UK Limited
- Published
- 2011-10
- Volume
- 23
- Issue
- 4
- Pages
- 321-341
- ISSN
- 0895-2841 (ISSN-L)
- 1540-7322
- OpenAlex
- W2016364619
- Cited by
- 7
- References
- 48
- Citations by year
- 2022: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Women & Aging (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- frail elderly women, home care, anxiety, insomnia, primary caregivers, psychosocial processes, cognitive strategies, self-image, social environment, adverse drug reactions
- MeSH terms
- Aged, Aged, 80 and over, Anxiety, Attitude of Health Personnel, Depression, Female, Home Care Services, Humans, Sleep Initiation and Maintenance Disorders, Life Change Events, Practice Patterns, Physicians', Psychotropic Drugs, Frail Elderly
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