Titre : | Use of psychotropic medication in the general population of France, Germany, Italy, and the United Kingdom (2002) |
Auteurs : | M. M. OHAYON ; M. H. LADER |
Type de document : | Article : Périodique |
Dans : | Journal of Clinical Psychiatry (Vol.63, n°9, September 2002) |
Article en page(s) : | 817-825 |
Note générale : | Journal of Clinical Psychiatry, 2002, 63(9), 817-825 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique FRANCE ; ALLEMAGNE ; ITALIE ; ROYAUME-UNIThésaurus mots-clés PSYCHOTROPES ; MEDICAMENTS ; POPULATION GENERALE ; CONSOMMATION ; HYPNOTIQUES ; ANXIOLYTIQUES ; ANTIDEPRESSEURS ; COMORBIDITE |
Résumé : |
BACKGROUND: The use of psychotropic medications and its association with sleep and psychiatric and physical illnesses were studied in the general population.
METHOD: A cross-sectional telephone survey was carried out using the Sleep-EVAL knowledge-base system. A representative sample of the noninstitutionalized general populations of France, Germany, Italy, and the United Kingdom, aged 15 years or over, was interviewed (N = 18,679; participation rate: 78.8%; target population: 204,605,391 inhabitants). Questions were asked about psychotropic medication intake (name of medication, indication, dosage, duration of intake, prescriber), sociodemographics, physical illnesses, and DSM-IV mental disorders. RESULTS: At the time of the interview, 6.4% of the subjects took a psychotropic medication. Anxiolytics were reported by 4.3% of the sample, hypnotics by 1.5%, antidepressants by 1.0%, and neuroleptics and other psychotropics by less than 1.0%. Hypnotics and anxiolytics were mostly used as a sleep disorder treatment. Antidepressants were taken appropriately for a depressive illness in only 44.1% of cases. Low doses of hypnotics and anxiolytics were found in about 10% of cases and low doses of antidepressants in 31.7% of cases. Subjects with a psychiatric disorder received a psychotropic treatment only infrequently (between 10% to 40.4%, depending on the disorder). All psychiatric disorders, including mood disorders, were treated mainly with an anxiolytic. A concomitant physical illness increased the likelihood of using a psychotropic treatment and was a strong predictor of adequate psychotropic dosage. CONCLUSION: Psychiatric pathology and sleep disorders remained mostly untreated or inadequately managed in the general population. Depression is underdiagnosed by the physicians and is treated with antidepressant in only 7% of cases. By contrast, anxiolytics are extensively prescribed, especially in France and Italy. The co-occurrence of organic and psychiatry disorders increases the frequency of medical consultations and the likelihood of being given a prescription for the mental disorder. (Author's abstract) |
Domaine : | Hors addiction / No addiction |
Affiliation : | Stanford University School of Medicine, CA, USA |
Centre Emetteur : | 13 OFDT |
Cote : | A02045 |
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