Older primary care patients' willingness to consider discontinuation of chronic benzodiazepines
Older primary care patients' willingness to consider discontinuation of chronic benzodiazepines
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DOI：
10.1016/j.genhosppsych.2007.07.001
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发表时间：
2007-09-01
影响因子：
7
通讯作者：
Coyne, James C.
中科院分区：
文献类型：
--
作者：
Cook, Joan M.;Biyanova, Tatyana;Coyne, James C.
目的：研究与老年初级保健患者愿意考虑逐渐减少/停止长期使用苯二氮卓类药物相关的因素。方法：46名长期服用抗焦虑药物的苯二氮卓类药物的患者，年龄在61-95岁之间，采用半结构化定性访谈和标准化焦虑自评问卷通过电话进行评估（贝克焦虑量表），睡眠质量（匹兹堡睡眠质量指数），抑郁症（流行病学研究中心抑郁量表），对苯二氮卓类药物的心理依赖（依赖严重程度量表）和焦虑敏感性结果：每日苯二氮卓类药物摄入频率和焦虑敏感性显著有助于尝试逐渐减少/停用苯二氮卓类药物的意愿。许多老年长期苯二氮卓类药物使用者及其医生认为逐渐减少使用是一项艰巨、低优先级、时间密集的任务。这些发现强调了一些因素，可以帮助确定老年患者的亚群，他们可能更容易参与停药过程。(C)2007年爱思唯尔公司All rights reserved.
Objective: To examine factors related to older primary care patients' willingness to consider tapering/discontinuation of long-term benzodiazepine use.Method: Forty-six long-term anxiolytic benzodiazepine users, aged 61-95 years, were assessed over the telephone using a semi-structured qualitative interview and standardized self-report questionnaires for anxiety (Beck Anxiety Inventory), sleep quality (Pittsburgh Sleep Quality Index), depression (Center for Epidemiological Studies Depression Scale), psychological dependence on benzodiazepines (Severity of Dependence Scale), and anxiety sensitivity (Anxiety Sensitivity Index).Results: Frequency of daily benzodiazepine intake and anxiety sensitivity significantly contributed to willingness to attempt taper/discontinuation of benzodiazepines.Conclusion: Many older long-term benzodiazepine users and their physicians perceive tapering of use an arduous, low priority, time-intensive task. These findings highlight factors that can help identify a subpopulation of older patients who may be easier to engage in the discontinuation process. (C) 2007 Elsevier Inc. All rights reserved.