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A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in A sia
Author(s) -
Wang YuanYuan,
Xiang YuTao,
Ungvari Gabor S.,
Ng Chee H.,
Chiu Helen F.K.,
Yim Larina C.L.,
Si TianMei,
Chee KokYoon,
Avasthi Ajit,
Grover Sandeep,
Chong MianYoon,
Sim Kang,
Kanba Shigenobu,
He YanLing,
Lee MinSoo,
Yang ShuYu,
Udomratn Pichet,
Kallivayalil Roy A.,
Tanra Andi J.,
Maramis Margarita M.,
Shen Winston W.,
Sartorius Norman,
Mahendran Rathi,
Teng JiaYing,
Tan ChayHoon,
Shinfuku Naotaka
Publication year - 2017
Publication title -
psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.647
H-Index - 32
eISSN - 1479-8301
pISSN - 1346-3500
DOI - 10.1111/psyg.12243
Subject(s) - medical prescription , medicine , demographics , psychiatry , schizophrenia (object oriented programming) , logistic regression , antidepressant , anxiety , general hospital , family medicine , demography , sociology , pharmacology
Aim This study compared the demographics, clinical characteristics, and antidepressant prescription patterns between A sian patients aged 50 years and older attending psychiatric hospitals and those attending general hospitals. Methods In total, 955 patients (604 in general hospitals, 351 in psychiatric hospitals) aged 50 years or older treated with antidepressants in 10 A sian countries and territories were examined. Patients’ demographics, clinical features, and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. Results Binary logistic regression revealed that high income and diagnosis of schizophrenia were independently associated with psychiatric hospital treatment, whereas outpatient care, diagnosis of anxiety disorders, and multiple major medical conditions were independently associated with general hospital treatment. In addition, tetracyclic and noradrenergic and specific serotonergic antidepressants were more likely to be prescribed in general hospitals. Conclusion Older adults treated with antidepressants showed different demographic and clinical features between general hospitals and psychiatric hospitals in A sia.