Prevalence, frequency and duration of hypnotic drug use among elderly living at home

Department of Health Care of the Elderly, University of Nottingham Medical School, Queen's Medical Centre.
British medical journal (Clinical research ed.) 03/1988; 296(6622):601-2. DOI: 10.1136/bmj.296.6622.601
Source: PubMed


Details of consumption of hypnotic drugs derived from a nationally representative sample of elderly people were analysed in terms of the prevalence, duration, and likely frequency of use. Of 1020 randomly selected subjects aged 65 and over 16% (166) reported using (mainly benzodiazepine) hypnotic drugs, and of these 89% reported having taken such a drug the night before the interview. Most of these users (73%) had been taking hypnotic drugs for more than one year, with 25% reporting drug use for more than 10 years. These results suggest that for most elderly users of hypnotic drugs, patterns of consumption encourage the development of cumulative effects and benzodiazepine dependence.

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    • "Comparing this to other reports, the prevalence of sleep medication use in the community setting was about 6.5–19% [11] [12] [13], in the psychogeriatric outpatient setting was 37.3% [14], and in the residential care centers it varied from 2.3 to 56.5% [15]. The results of use in this study were quite high as the study setting was a tertiary care hospital; subjects were likely to have multiple medical illnesses of more severity than in the general or community setting. "
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    ABSTRACT: Objective: To demonstrate patients’ strategies for insomnia, prevalence of sleep medication usage, and to determine factors associated with daytime function. Methods: Subjects who were aged > 60 years and who attended the internal medicine outpatient clinic of Srinagarind Hospital, Thailand were randomly interviewed from March 2012 to August 2013. Information on baseline characteristics and sleep variables were collected. Descriptive statistics were used to analyze baseline data, univariate and multiple logistic regression were used to analyze associated factors on poorly perceived impacts on daily life. Results: One hundred participants were recruited. The majority of them were female (74%). Self-help technique was used by 45%. The prevalence of sleep medication use was 45% without gender differences (P = 0.66). Using multiple logistic analysis, only 3 factors: diabetes with an adjusted odds ratio (OR) 5.40, being female (adjusted OR 0.28), and non-pharmacological management (adjusted OR 0.23) were independent factors of poorly perceived impacts on daily life. Conclusion: Frequent use of sleep medication and self-help strategy among older adults with chronic medical illnesses with insomnia was high. Diabetes and male sex were risk factors of poorly perceived impacts on daily life while self-help strategy with non-pharmacological use was a protective factor.
    Full-text · Article · Dec 2013 · European geriatric medicine
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    • "En revanche, les symptômes liés à la dépendance et à l'abus seraient de moins bon indicateurs d'un usage à risque au sein de cette population (Egan et al., 2000 ;Morgan et al., 1988 ;Whitcup et Miller, 1987). De ce fait, certains auteurs ciblent le nombre ainsi que la fréquence de renouvellement des prescriptions sur une période donnée (Morgan et al., 1988 ;Whitcup et Miller, 1987), alors que d'autres renvoient à une durée déterminée à un minimum de 135 jours sur les 180 jours suivant la prescription initiale de la BZD (Egan et al., 2000). Certains auteurs fixent enfin un seuil de 180 jours par année pour pouvoir identifier un usage chronique et ils réduisent à 30 jours la limite critique entre l'usage approprié et l'usage prolongé (Alfano et al., 2007 ;Luijendijk et al, 2008 ;Tamblyn et al., 1994). "

    Full-text · Article · Jan 2011 · Sante mentale au Quebec
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    • "Although a reduction of benzodiazepine use had been demonstrated in community settings (Schmidt 1998), improved recognition of anxiety disorder and reduction in the use of atypical antipsychotics have led to a renewed increase in the use of benzodiazepines. In a nationally representative British sample of people aged 65 or older (Morgan 1988), the prevalence of hypnotic drug use was 16%. The rate of use was 13% among people aged 65–74 and 20% among those aged 75 or older. "
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    ABSTRACT: Very little attention has been paid to the invisible epidemic of substance misuse among older people in the UK. This article looks at the prevalence of substance misuse in the people over the age of 60. The reasons for difficulty in diagnosing substance misuse are explored and ways to improve diagnostic ability are discussed. Substance misuse leads to severe physical and psychiatric morbidity that is being managed by meagre resources. The article provides recommendations on specific issues related to interventions, biological and psychosocial, and training of psychiatrists.
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