Harper D C, Wadsworth J S
Department of Pediatrics, University Hospital School, University of Iowa, Iowa City 52242.
Ment Retard. 1993 Apr;31(2):97-103.
Although psychotropic medications are commonly used with older adults who have mental retardation, patterns of medication use for this group are not easily determined. Our objective was to explore relations between prescribed psychoactive treatments and rated behavioral difficulties. Adults with moderate mental retardation living in congregate and group care settings were rated by care providers using a standard behavior rating instrument. Older adults demonstrated a tendency toward higher medication utilization. Results indicated higher drug utilization in the larger setting despite the fact that behavior problems and cognitive level was matched across all settings. Medication utilization appears to be related to multiple factors, not only the behavioral or cognitive characteristics of adults with mental retardation.
尽管精神药物常用于患有智力障碍的老年人,但该群体的用药模式并不容易确定。我们的目标是探讨处方精神活性治疗与行为困难评分之间的关系。居住在集体照料和团体照料环境中的中度智力障碍成年人由护理人员使用标准行为评分工具进行评分。老年人表现出用药率较高的趋势。结果表明,尽管所有环境中的行为问题和认知水平相当,但在规模较大的环境中药物使用率更高。药物使用似乎与多种因素有关,而不仅仅是智力障碍成年人的行为或认知特征。