Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000
Abstract Background Some major changes have occurred in the care of older people in institutions providing geriatric care from a few decades ago to today. How these changes regarding organization, diagnosis and pharmacological treatment, have affected the mental health of the population in general r...
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crwiley:10.1002/gps.1876 2024-06-02T08:12:12+00:00 Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 Lövheim, Hugo Sandman, Per‐Olof Kallin, Kristina Karlsson, Stig Gustafson, Yngve 2007 http://dx.doi.org/10.1002/gps.1876 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fgps.1876 https://onlinelibrary.wiley.com/doi/pdf/10.1002/gps.1876 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor International Journal of Geriatric Psychiatry volume 23, issue 3, page 289-294 ISSN 0885-6230 1099-1166 journal-article 2007 crwiley https://doi.org/10.1002/gps.1876 2024-05-03T11:44:28Z Abstract Background Some major changes have occurred in the care of older people in institutions providing geriatric care from a few decades ago to today. How these changes regarding organization, diagnosis and pharmacological treatment, have affected the mental health of the population in general remains unclear. Method The prevalence of symptoms of mental health in two comparable cross‐sectional surveys from 1982 and 2000 were studied. The study population consisted of all the people aged 65 years or older living in geriatric care units in the county of Västerbotten, in northern Sweden. Multivariate regression was used to correct for the effect of change in demographic structure. Results Six out of 14 symptoms showed a significant decrease, correcting for demographical changes. These were, expressed as descriptions of behaviours, Sad (OR 0.72), Crying (OR 0.67), Fearful (OR 0.73), Disturbed and restless (OR 0.84), Lacking initiative (OR 0.67) and Does not cooperate (OR 0.67). Two symptoms showed a significant increase, Overactive/manic (OR 1.44) and Hallucinates visually (OR 1.27). The use of antidepressants had increased from 6.3% 1982 to 39.9% 2000. The use of minor tranquillizers had increased from 13.2% to 39.2% and the prevalence of antipsychotic use had decreased from 25.1% to 20.5%. Conclusion This article clearly shows that the prevalence of several important symptoms and behaviours in a geriatric care population have decreased over the course of eighteen years, correcting for demographical changes. This might at least partly be accounted for by today's more widespread use of antidepressants and benzodiazepines. Copyright © 2007 John Wiley & Sons, Ltd. Article in Journal/Newspaper Northern Sweden Wiley Online Library International Journal of Geriatric Psychiatry 23 3 289 294 |
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Abstract Background Some major changes have occurred in the care of older people in institutions providing geriatric care from a few decades ago to today. How these changes regarding organization, diagnosis and pharmacological treatment, have affected the mental health of the population in general remains unclear. Method The prevalence of symptoms of mental health in two comparable cross‐sectional surveys from 1982 and 2000 were studied. The study population consisted of all the people aged 65 years or older living in geriatric care units in the county of Västerbotten, in northern Sweden. Multivariate regression was used to correct for the effect of change in demographic structure. Results Six out of 14 symptoms showed a significant decrease, correcting for demographical changes. These were, expressed as descriptions of behaviours, Sad (OR 0.72), Crying (OR 0.67), Fearful (OR 0.73), Disturbed and restless (OR 0.84), Lacking initiative (OR 0.67) and Does not cooperate (OR 0.67). Two symptoms showed a significant increase, Overactive/manic (OR 1.44) and Hallucinates visually (OR 1.27). The use of antidepressants had increased from 6.3% 1982 to 39.9% 2000. The use of minor tranquillizers had increased from 13.2% to 39.2% and the prevalence of antipsychotic use had decreased from 25.1% to 20.5%. Conclusion This article clearly shows that the prevalence of several important symptoms and behaviours in a geriatric care population have decreased over the course of eighteen years, correcting for demographical changes. This might at least partly be accounted for by today's more widespread use of antidepressants and benzodiazepines. Copyright © 2007 John Wiley & Sons, Ltd. |
format |
Article in Journal/Newspaper |
author |
Lövheim, Hugo Sandman, Per‐Olof Kallin, Kristina Karlsson, Stig Gustafson, Yngve |
spellingShingle |
Lövheim, Hugo Sandman, Per‐Olof Kallin, Kristina Karlsson, Stig Gustafson, Yngve Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 |
author_facet |
Lövheim, Hugo Sandman, Per‐Olof Kallin, Kristina Karlsson, Stig Gustafson, Yngve |
author_sort |
Lövheim, Hugo |
title |
Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 |
title_short |
Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 |
title_full |
Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 |
title_fullStr |
Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 |
title_full_unstemmed |
Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 |
title_sort |
symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000 |
publisher |
Wiley |
publishDate |
2007 |
url |
http://dx.doi.org/10.1002/gps.1876 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fgps.1876 https://onlinelibrary.wiley.com/doi/pdf/10.1002/gps.1876 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
International Journal of Geriatric Psychiatry volume 23, issue 3, page 289-294 ISSN 0885-6230 1099-1166 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1002/gps.1876 |
container_title |
International Journal of Geriatric Psychiatry |
container_volume |
23 |
container_issue |
3 |
container_start_page |
289 |
op_container_end_page |
294 |
_version_ |
1800758572495142912 |