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Trends in treatment with antipsychotic medication in relation to national directives, in people with dementia: a review of the Swedish context
Lund University ; Halmstad University.
Lund University.
Lund University.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge Centre of Competence.
2017 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, 1-9 p., 251Article, review/survey (Refereed) Published
Abstract [en]

Background: The aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care in nursing homes as reported in the most recent empirical studies on the topic, and to relate these trends to directives from the national authorities. Methods: The study included two scoping review studies based on searches of electronic databases as well as the Swedish directives in the field. Results: During the past decade, directives have been developed for antipsychotic medication in Sweden. These directives were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and in those with moderate cognitive impairment and living in nursing homes for people with dementia. A decreasing trend in antipsychotic use has been seen over the last 15 years. Conclusions: Directives from the authorities in Sweden may have had an impact on treatment with antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while treatment with combinations of psychotropic medications is common. National directives may possibly be even more effective, if applied in combination with systematic follow-ups.

Place, publisher, year, edition, pages
BioMed Central, 2017. Vol. 17, 1-9 p., 251
Keyword [en]
Dementia, Antipsychotic medication, Drug utilization, Directive
National Category
Psychiatry
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-67400DOI: 10.1186/s12888-017-1409-9ISI: 000405824700002PubMedID: 28705243OAI: oai:DiVA.org:lnu-67400DiVA: diva2:1135911
Available from: 2017-08-24 Created: 2017-08-24 Last updated: 2017-08-28Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf