지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Depressive disorders are the most common psychiatric problem in the elderly. Most depression treatment guidelines emphasize treatment with antidepressant medication and recommend that benzodiazepine use be minimized for limited period, particularly to elderly patients. In order to evaluate appropriate use of antidepressants and benzodiazepine, retrospective review of prescriptions was performed. The study population are older than 65 years who had been newly diagnosed with major depressive disorder in specialty mental health at a community general hospital from January $1^{st}$, 2007 to October $31^{th}$, 2012 (N=373). Initial antidepressant accounted for 89.5% with SSRI, and escitalopram accounted for 60.9% of SSRI group. 79% or more of the patients were prescribed the recommended dosage. The maintenance rate for 4 weeks of initial antidepressant was 48% and 6 weeks was 39%. Treatment-discontinuation rate was 68% at 3 month. Alprazolam (short acting benzodiazepine) was prescribed the most, followed by clonazepam (long acting benzodiazepine) and then diazepam. 55% of patients received a duplicated prescription for short acting plus long acting benzodiazepine. 61% of patients used long acting benzodiazepines. Prescribed dosages of benzodiazepines were commonly within a recommended range, while no one was prescribed a appropriate period (up to 2 weeks) except for the early discontinued patients. Appropriate use of zolpidem was only 16.2%. The depressed elderly treated in specialty mental health mostly received long-term treatment with benzodiazepines in combination with antidepressants, guideline recommendations was not followed. Multidisciplinary interventions like audit and feedback of benzodiazepine use are needed and education for the elderly is needed to properly maintain antidepressant treatment.
목차
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참고문헌 (34)
참고문헌 신청
김남순 / 2008 / 우울증 환자의 의료이용 및 질 수준
Blazer, D / 1989 / Depression in the elderly / N. Eng. J. Med 320:164
Conwell, Y / 2002 / Theme issue: Suicidal behaviors in older adults (Edt.) / American Journal of Geriatric Psychiatry 10:359
통계청 / 2010 / 2009년 사망원인결과
Organization for Economic Co-operation Development / 2010 / OECD health data : Statistic Indicators for 30 Countries / Organization for Economic Co-operation Development
Blazer, D / 1989 / Depression in the elderly / N. Eng. J. Med 320:164
Conwell, Y / 2002 / Theme issue: Suicidal behaviors in older adults (Edt.) / American Journal of Geriatric Psychiatry 10:359
통계청 / 2010 / 2009년 사망원인결과
Organization for Economic Co-operation Development / 2010 / OECD health data : Statistic Indicators for 30 Countries / Organization for Economic Co-operation Development
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