Sedative hypnotic use among veterans with a newly reported mental health disorder
Sedative hypnotic use among veterans with a newly reported mental health disorder
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DOI：
10.1017/s1041610216000521
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发表时间：
2016-08-01
影响因子：
7
通讯作者：
Kasckow, John
中科院分区：
文献类型：
--
作者：
DiNapoli, Elizabeth A.;Bramoweth, Adam D.;Kasckow, John
背景资料：这项研究比较了不同类型的精神健康诊断和确定的因素与老年退伍军人使用镇静催眠药方法：本研究使用的数据来自2007年1月1日至2011年12月31日在VA匹兹堡医疗保健系统（VAPHS）接受初级保健服务的退伍军人（n = 879）。在新报告的精神健康障碍（19.9%）后的12个月内，老年退伍军人通常使用镇静催眠药，特别是失眠症患者（41.7%）。新报告的精神健康障碍的数量是与镇静催眠药使用相关的重要因素，与新报告的精神健康障碍相比，有两种新报告的精神健康障碍的老年人使用镇静催眠药的几率增加了200%以上。需要继续努力，以提高提供者和患者对老年人使用镇静催眠药相关风险的认识，以及增加这一弱势群体获得和接受非药物精神健康治疗的机会。
Background: This study compared sedative hypnotic use by type of mental health diagnosis and determined factors associated with use among older veterans (65+ years) with a newly reported mental health disorder.Methods: This study used data from veterans who received primary care services at VA Pittsburgh Healthcare System (VAPHS) from January 1, 2007 to December 31, 2011 (n = 879).Results: Sedative hypnotics were commonly used in older veterans within 12-months following a newly reported mental health disorder (19.9%), particularly amongst those with insomnia (41.7%). The number of newly reported mental health disorders was a significant factor associated with sedative hypnotic use, with the odds of use increasing by more than 200% in older adults with two newly reported disorders compared to those with one newly reported mental health disorder.Conclusions: Continued efforts are needed to improve provider and patient awareness of the risks associated with sedative hypnotic use in older adults, as well as to increase access to and receipt of non-pharmacological mental health treatments for this vulnerable population.