挪威一家老年精神病科收治患者的酒精及处方精神药物使用情况
Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway.
作者信息
Johannesen Aud, Engedal Knut, Larsen Marianne, Lillehovde Elin, Stelander Line Tegner, Helvik Anne-Sofie
机构信息
Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Norway.
Diakonhjemmet Hospital, Norway.
出版信息
Nordisk Alkohol Nark. 2017 Feb;34(1):57-71. doi: 10.1177/1455072516682642. Epub 2017 Mar 17.
BACKGROUND
Although alcohol and prescribed psychotropic drug use has increased among older people, the usefulness of information provided about these substances in patients' referrals to departments of old-age psychiatry (OAPsy) is unknown.
AIMS
To examine whether patients' self-reported elevated use of alcohol and prescribed psychotropic drugs corresponds with information provided in the referrals to OAPsy departments and to explore the factors associated with elevated self-reported use of these substances.
METHODS
We recorded the information provided in referrals about the elevated use of alcohol and psychotropic drugs in a sample of 206 patients (69 men) from 12 OAPsy departments. The Alcohol Use Disorders Identification Test (AUDIT) and Drug Use Disorders Identification Test (DUDIT) helped to assess self-reported use. We also collected demographic data, as well as information about cognitive functioning and symptoms of anxiety and depression.
RESULTS
Seventy-three patients (35%) scored above the cut-off for alcohol use for women/men (AUDIT ≥ 3/4) or psychotropic drugs (DUDIT ≥ 6/8), if not both. Twenty patients (10%) reported an elevated use of both alcohol and psychotropic drugs, and the referrals for eight (40%) and ten (50%) of them, respectively, included information about this use. There was a significant association between self-reported use of alcohol above the cut-off and information about elevated use in the referrals. However, no such association was found between information in the referrals and self-reported use of prescribed psychotropic drugs. Elevated alcohol use was associated with more years of education, while elevated use of psychotropic drugs was associated with younger age and severe symptoms of anxiety and depression.
CONCLUSION
The information reported in referrals about the elevated use of alcohol and psychotropic drugs demonstrated a trend in associations with self-reported use. However, the risk factors for elevated use of alcohol and psychotropic drugs in the elderly need to be examined further.
背景
尽管老年人中酒精和处方精神药物的使用有所增加，但在转诊至老年精神病科（OAPsy）的患者中，关于这些物质的信息的有用性尚不清楚。
目的
研究患者自我报告的酒精和处方精神药物使用增加情况是否与转诊至OAPsy科室时提供的信息相符，并探讨与自我报告的这些物质使用增加相关的因素。
方法
我们记录了来自12个OAPsy科室的206例患者（69名男性）的转诊信息中关于酒精和精神药物使用增加的情况。酒精使用障碍识别测试（AUDIT）和药物使用障碍识别测试（DUDIT）有助于评估自我报告的使用情况。我们还收集了人口统计学数据，以及有关认知功能以及焦虑和抑郁症状的信息。
结果
73例患者（35%）的酒精使用（女性/男性AUDIT≥3/4）或精神药物使用（DUDIT≥6/8）得分高于临界值，若不是两者都高于临界值的话。20例患者（10%）报告酒精和精神药物使用均增加，其中分别有8例（40%）和10例（50%）的转诊信息包含了这种使用情况。自我报告的酒精使用高于临界值与转诊信息中关于使用增加的信息之间存在显著关联。然而，在转诊信息与自我报告的处方精神药物使用之间未发现此类关联。酒精使用增加与受教育年限较长有关，而精神药物使用增加与年龄较小以及焦虑和抑郁的严重症状有关。
结论
转诊信息中报告的关于酒精和精神药物使用增加的情况显示出与自我报告的使用之间存在关联趋势。然而，老年人酒精和精神药物使用增加的危险因素需要进一步研究。
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