Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-29T10:09:42.079Z Has data issue: false hasContentIssue false

Psychotropic prescription in non-psychiatric hospital settings

Published online by Cambridge University Press:  16 April 2020

Isabelle Gasquet*
Affiliation:
Department of Public Health, Paul Brousse Hospital (Assistance Publique-Hôpitaux de Paris), 12, avenue Paul Vaillant-Couturier, Villejuif 94804 cedex, France Department of Psychiatry, Paul Brousse Hospital (Assistance Publique-Hôpitaux de Paris), 12, avenue Paul Vaillant-Couturier, Villejuif 94804 cedex, France
J. Medioni
Affiliation:
INSERM U 472 (Epidemiology and Biostatistic), Villejuif, France
J. Lellouch
Affiliation:
Department of Public Health, Paul Brousse Hospital (Assistance Publique-Hôpitaux de Paris), 12, avenue Paul Vaillant-Couturier, Villejuif 94804 cedex, France INSERM U 472 (Epidemiology and Biostatistic), Villejuif, France
J.D. Guelfi
Affiliation:
Department of Psychiatry, Paul Brousse Hospital (Assistance Publique-Hôpitaux de Paris), 12, avenue Paul Vaillant-Couturier, Villejuif 94804 cedex, France Clinique des maladies mentales et de l’encéphale, Paris, France
*
*E-mail address:[email protected]. (I. Gasquet)
Get access

Summary

A study was conducted to assess differences in psychotropic prescription (PP) in various non-psychiatric hospital settings. After adjustment for demographic, medical and psychological status, rates of PP were significantly lower for surgical, intensive care and outpatients and higher for geriatric patients than for patients in other settings, suggesting inadequate consideration of psychiatric problems in certain contexts, in particular intensive care units.

Type
Short communication
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alran, C.Damaze-Michel, C.Celotto, N.Durand, M.C.Montastruc, J.L.Consumption of benzodiazepines in a French university hospital between 1980 and 1991. Fundam Clin Pharmacol 1993;7:319–23.CrossRefGoogle Scholar
Avorn, J.Dreyer, P.Connelly, K.Soumerai, S.B.Use of psychoactive medication and the quality of care in rest homes. Findings and policy implications of a state wide study. N Engl J Med 1989;320:227-232.CrossRefGoogle Scholar
Bouhassira, M.Allicar, M.P.Blachier, C.Nouveau, A.Rouillon, F.Which patients receive antidepressants? A ‘real world’ telephone study. J Affect Dis 1998;49:19-26.CrossRefGoogle ScholarPubMed
Callies, A.L.Popkin, M.K.Antidepressant treatment of medical surgical inpatients by nonpsychiatric physicians. 44:157–60. Arch Gen Psychiatr 1987;44.CrossRefGoogle ScholarPubMed
Davidson, J.R.T.Raft, D.Lewis, B.F.Gebhardt, M.Psychotropic drugs on general medical and surgical wards of a teaching hospital. Arch Gen Psychiatr 1975;32:507–11.CrossRefGoogle ScholarPubMed
Edwards, C.Buschnelle, J.L.et alHospital prescribing and usage of hypnotics and anxiolytics. Br J Clin Pharmacol 1991;31:190–2.CrossRefGoogle ScholarPubMed
Elliot, D.Comparison of three instruments for measuring patient anxiety in a coronary care unit. Intens Crit Care Nurs 1993;9:195-200CrossRefGoogle Scholar
Evans, D.L.McCartney, C.F.Nemeroff, C.B.Raft, D.Quade, D.Golden, R.N.et alDepression in women treated for gynecological cancer: clinical and neuroendocrine assessment. Am J Psychiatr 1986;143:447–52.Google ScholarPubMed
Fleischhacker, W.W.Barnas, C.Stuppäck, C.Benzodiazepines: utilization and patterns of use in a university hospital. Pharmacopsychiatry 1989;22:111–4.CrossRefGoogle ScholarPubMed
Haggerty, J.J.Evans, D.L.McCartney, C.F.Raft, D.Psychotropic prescribing patterns of nonpsychiatric residents in a general hospital in 1973 and 1982. Hosp Commun Psychiatr 1986:357–61.Google Scholar
Halfens, R.J.Lendfers, M.L.Cox, K.Sleep medication in Dutch hospitals. J Adv Nurs 1991;16:1422-27.CrossRefGoogle ScholarPubMed
Hardman, A.Howell, A.Maguire, P.The recognition of psychiatric morbidity on a medical oncology ward. J Psychosom Res 1989;33:235–9.CrossRefGoogle ScholarPubMed
Hopwood, P.Howell, A.Maguire, P.Screening for psychiatric morbidity in patients with advanced breast cancer: validation of two self-report questionnaires. Br J Cancer 1991; 64:353–6.CrossRefGoogle ScholarPubMed
Howes, J.B.Ryan, J.Fairbrother, G.O’Neill, K.Howes, L.G.Benzodiazepine prescribing in a Sydney teaching hospital. MJA 1996;165:305–8.Google Scholar
Koenig, H.G.George, L.K.Meador, K.G.Use of antidepressants by nonpsychiatrists in the treatment of medically ill hospitalized depressed elderly patients. Am J Psychiatr 1997; 154: 1369-75.Google ScholarPubMed
Lepine, J.P.Hospital anxiety and depression scaleGuelfi, J.DL’évaluation clinique standardisée en psychiatrie. Boulogne: P. Fabre; 1993. 367–74.Google Scholar
Lloyd, G.G.Psychological problems and the intensive care unit. BMJ 1993; 307: 458–9.CrossRefGoogle ScholarPubMed
Manière, D.D'Athy, P.Rossignol, S.Consumption of psychotropic agents in geriatric care institutions: correlation with cognitive status and dependence. Rev Geriatr 1995; 20: 505–12.Google Scholar
Maruta, T.Depression associated with chronic pain: incidence, characteristics, and long-term outcome. Keio J M 1989; 38: 403–12.CrossRefGoogle ScholarPubMed
Mascia, A.Frank, S.Berkman, A.Stern, L.Lampl, L.Davies, M.et alMortality versus improvement in severe chronic asthma: physiologic and psychological factors. Annals Allergy 1989; 62: 311–7.Google Scholar
Moldin, S.O.Scheftner, W.A.Rice, J.P.Nelson, E.Knesevich, M.A.Akiskal, H.Association between major depressive disorder and physical illness. Psychol M 1993; 23: 755–61.CrossRefGoogle ScholarPubMed
Noble, T.Spiroulias, M.White, J.M.Determinants of benzodiazepine prescribing and administration in a public hospital. Pharmacopsychiatry 1993; 26: 11-14.CrossRefGoogle ScholarPubMed
Pariente, P.Lépine, J.Lellouch, J.Self-reported psychotropic drug use and associated factors in a French community sample. Psychol M 1992; 22: 181–90CrossRefGoogle Scholar
Salzman, C.Van Der Kolk, B.Psychotropic drug prescriptions for elderly patients in a general hospital. J Am Geriatr Soc 1980; 28: 18-22.CrossRefGoogle ScholarPubMed
Shan, K.Nolan, J.A.Turner, P.Jackson, S.H.D.Prescription of benzodiazepines in a London teaching hospital. J R Soc M 1990; 83: 306–7.CrossRefGoogle Scholar
Snyder, S.Reyner, A.Schmeidler, J.Bogursky, E.Gomez, H.Strain, J.J.Prevalence of mental disorders in newly admitted medical inpatients with AIDS. Psychosomatics 1992; 33: 166–70.CrossRefGoogle ScholarPubMed
Vandel, S.Nezelof, S.Bonin, B.Consumption of benzodiazepines in a university hospital center. Encephale 1992; 18: 401–5.Google Scholar
Wise, T.N.Mann, L.S.Jani, N.Kass, E.B.Goldwater, S.Sonnenschein, K.Haloperidol prescribing practices in the general hospital. Gen Hosp Psychiatr 1989; 11: 368–71.CrossRefGoogle ScholarPubMed
Woods, J.H.Katz, J.L.Winger, G.Benzodiazepines: use, abuse and consequences. Pharmacol Rev 1992; 44: 150-347.Google ScholarPubMed
Yuen, E.J.Zisselman, M.H.Louis, D.Z.Rovner, B.W.Sedative-hypnotic use by the elderly: effects on hospital length of stay and costs. J Ment Health Adm 1997; 24: 90–7.Google ScholarPubMed
Zigmond, A.S.Snaith, R.P.The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361–70.CrossRefGoogle ScholarPubMed
Zisselman, M.H.Rovner, B.W.Kelly, K.G.Woods, C.Benzodiazepine utilization in a university hospital. Am J Med Qual 1994; 9:138–41.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.