Prevalence and correlates of psychotropic drug use in Dutch nursing home patients with young-onset dementia

Ans J M J Mulders*, Sytse U Zuidema, Renée Leeuwis, Hans Bor, Frans R J Verhey, Raymond T C M Koopmans

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

ObjectivesNeuropsychiatric symptoms (NPSs) in dementia patients in nursing homes are common and often treated with psychotropic drugs. Thus far, studies on psychotropic drug use (PDU) mainly focused on elderly patients with dementia. It is important to know the prevalence and correlates of PDU in patients with young-onset dementia (YOD) to optimize NPS treatment and reduce excess PDU in this group.

DesignThe Behavior and Evolution in Young-Onset Dementia (BEYOnD) study is a cross-sectional study in 230 residents with YOD in eight nursing homes providing specialized YOD care. PDU was registered from medical charts. The influence of age, gender, severity, and type of dementia, NPS, and agitation on PDU was analyzed.

ResultsEighty-seven percent of the residents used psychotropic drugs, and 47% used two or more psychotropic drugs. No significant associations with age, gender, dementia subtype, and dementia severity were found. Depressive symptoms showed an association with the use of antidepressants, nighttime behavior with use of hypnotics, and verbal agitation with antipsychotics. Apathy was strongly associated with lower PDU.

ConclusionsNursing home patients with YOD have a high prevalence of PDU. The association with NPS raises questions of efficacy of these drugs in managing NPS. Patients with apathy had a lower chance of using psychotropics. More research on indications and effects of psychotropic drugs is needed, as well as on (nonpharmacological) alternatives for managing challenging behavior in YOD.

Original languageEnglish
Pages (from-to)1185-1193
Number of pages9
JournalInternational Journal of Geriatric Psychiatry
Volume34
Issue number8
Early online date9-Apr-2019
DOIs
Publication statusPublished - Aug-2019

Keywords

  • long-term care
  • nursing home
  • psychotropic drug use
  • young-onset dementia
  • NEUROPSYCHIATRIC SYMPTOMS
  • PSYCHOLOGICAL SYMPTOMS
  • ANTIPSYCHOTIC-DRUGS
  • RESIDENTS
  • RISK
  • CARE
  • PEOPLE
  • METAANALYSIS
  • INVENTORY
  • AGITATION

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