全科医疗患者长期使用精神药物的情况发展。
Development of long term use of psychotropic drugs by general practice patients.
作者信息
Mant A, Duncan-Jones P, Saltman D, Bridges-Webb C, Kehoe L, Lansbury G, Chancellor A H
机构信息
General Practice and Primary Care Research Unit, Royal Australian College of General Practitioners, Sydney.
出版信息
Br Med J (Clin Res Ed). 1988 Jan 23;296(6617):251-4. doi: 10.1136/bmj.296.6617.251.
Abstract
From 1984 to 1986 a prospective study was conducted of 104 general practice patients who started treatment with a benzodiazepine or an antidepressant drug. The duration of reported use of the drugs was two months for 45% of patients, four months for 17% of patients, and six months for 15%. Type of drug, age, and level of education were found to be predictive of continuing use. General practitioners have a significant effect on their patients' use of drugs and, with careful selection and review when prescribing, may help to prevent dependence on psychotropic drugs.
摘要
1984年至1986年，对104名开始使用苯二氮䓬类药物或抗抑郁药物进行治疗的全科医疗患者进行了一项前瞻性研究。据报告，45%的患者用药时间为两个月，17%的患者为四个月，15%的患者为六个月。研究发现，药物类型、年龄和教育程度可预测持续用药情况。全科医生对患者的用药情况有重大影响，在开处方时仔细筛选和复查，可能有助于防止对精神药物产生依赖。
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本文引用的文献
1
The path to prescription: sex differences in psychotropic drug prescribing for general practice patients.
Soc Psychiatry. 1983;18(4):185-92. doi: 10.1007/BF00583529.
2
Psychotropic drug prescribing.
J R Coll Gen Pract. 1984 Apr;34(261):216-20.
3
Prescribing psychotropic drugs in general practice: three year study.
Br Med J (Clin Res Ed). 1984 Oct 20;289(6451):1045-8. doi: 10.1136/bmj.289.6451.1045.
4
Do minor affective disorders need medication?
Br Med J (Clin Res Ed). 1984 Sep 29;289(6448):783. doi: 10.1136/bmj.289.6448.783.
5
Factor influencing the duration of treatment with psychotropic drugs in general practice: a survival analysis approach.
Psychol Med. 1983 Aug;13(3):623-33. doi: 10.1017/s0033291700048030.
6
Antidepressants: a clinical update for medical practitioners.
Mayo Clin Proc. 1984 May;59(5):330-7. doi: 10.1016/s0025-6196(12)61429-3.
7
Benzodiazepine withdrawal: an unfinished story.
Br Med J (Clin Res Ed). 1984 Apr 14;288(6424):1135-40. doi: 10.1136/bmj.288.6424.1135.
8
Prevalence and correlates of the long-term regular use of anxiolytics.
JAMA. 1984 Jan 20;251(3):375-9.
9
Gradual withdrawal of diazepam after long-term therapy.
Lancet. 1983 Jun 25;1(8339):1402-6. doi: 10.1016/s0140-6736(83)92355-3.
10
Withdrawal from long-term benzodiazepine treatment.
Br Med J (Clin Res Ed). 1981 Sep 5;283(6292):643-5. doi: 10.1136/bmj.283.6292.643.
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