Older patient perspectives on long-term anxiolytic benzodiazepine use and discontinuation: A qualitative study

Journal of General Internal Medicine

Volumn 22, Issue 8, 2007, Pages 1094-1100

  Cook, Joan M ^a   Biyanova, Tatyana ^a   Masci, Christina ^b   Coyne, James C ^b  

^a NEW YORK STATE PSYCHIATRIC INSTITUTE   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Benzodiazepines; Geriatrics; Primary care; Qualitative research

Indexed keywords

BENZODIAZEPINE;

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; DRUG DEPENDENCE; DRUG USE; DRUG WITHDRAWAL; FEMALE; HUMAN; MALE; PRIMARY MEDICAL CARE; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; UNITED STATES;

AGE FACTORS; AGED; ANTI-ANXIETY AGENTS; ATTITUDE TO HEALTH; BENZODIAZEPINES; DRUG UTILIZATION; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MIDDLE AGED; SUBSTANCE-RELATED DISORDERS;

EID: 34447116928     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-007-0205-5     Document Type: Article

References (29)

1. Hanlon JT, Horner RD, Schmader KE, et al. Benzodiazepine use and cognitive function among community-dwelling elderly. Clin Pharmacol Ther. 1998;64:684-92.
2. Hemmelgarn B, Suissa S, Huang A, Boivin JF, Pinard G. Benzodiazepine use and the risk of motor vehicle crash in the elderly. JAMA. 1997;278:27-31.
3. Pomara N, Tun H, DaSilva D, Hernando R, Deptula D, Greenblatt DJ. The acute and chronic performance effects of alprazolam and lorazepam in the elderly: relationship to duration of treatment and self-rated sedation. Psychopharmacol Bull. 1998;34:139-53.
4. Ried LD, Johnson RE, Gettman DA. Benzodiazepine exposure and functional status in older people. J Am Geriatr Soc. 1998;46:71-6.
5. Wang PS, Bohn RL, Glynn RJ, Mogun H, Avorn J. Hazardous benzodiazepine regimens in the elderly: effects of half-life, dosage, and duration on risk of hip fracture. Am J Psychiatry. 2001;158:892-8.
6. Hanlon JT, Schmader KE, Boult C, et al. Use of inappropriate prescription drugs by older people. J Am Geriatr Soc. 2002;50:26-34.
7. Oude Voshaar RC, Couvée JE, Van Balkom AJLM, Zitman FG. Strategies to discontinue long-term benzodiazepine use: a meta-analysis. Br J Psychiatry. 2006;189:213-20.
8. Voyer P, Cappeliez P, Pérodeau G, Préville M. Mental health for older adults and benzodiazepine use. J Community Health Nurs. 2005;22:213-29.
9. American Psychiatric Association Task Force on Benzodiazepine Dependency. Benzodiazepine dependence, toxicity, and abuse. Washington, DC: Author; 1990.
10. Maletta G, Mattox KM, Dyksen M. Guidelines for prescribing psychoactive drugs in the elderly. Geriatrics. 1991;46:40-7.
11. NIH Consensus Development Conference. Drugs and insomnia: the use of medications to promote sleep. JAMA. 1984;251:2410-4.
12. Llorente MD, David S, Golden AG, Silverman MA. Defining patterns of benzodiazepine use in older adults. J Geriatr Psychiatry Neurol. 2000;13:150-60.
13. Gleason PP, Schulz R, Smith NL, et al. Correlates and prevalence of benzodiazepine use in community-dwelling elderly. J Gen Intern Med. 1998;13:243-50.
14. Baillargeon L, Landreville P, Verreault R, Beauchemin JP, Gregoire JP, Morin CM. Discontinuation of benzodiazepines among older insomniac adults treated with cognitive-behavioural therapy combined with gradual tapering: a randomized trial. CMAJ. 2003;169:1015-20.
15. Morin CM, Bastien C, Guay B, Radouco-Thomas M, Leblanc J, Vallières A. Randomized clinical trial of supervised tapering and cognitive behavior therapy to facilitate benzodiazepine discontinuation in older adults with chronic insomnia. Am J Psychiatry. 2004;162:332-42.
16. Otto MW, Pollack MH, Sachs GS, Reiter SR, Meltzer-Brody S, Rosenbaum JF. Discontinuation of benzodiazepine treatment: efficacy of cognitive-behavioral therapy for patients with panic disorder. Am J Psychiatry. 1993;150:1485-90.
17. Spiegel DA, Bruce TJ, Gregg SF, Nuzzarello A. Does cognitive behavior therapy assist slow-taper alprazolam discontinuation in panic disorder? Am J Psychiatry. 1994;151:876-81.
18. Cook JM, Marshall R, Masci C, Coyne JC. Physician perspectives on benzodiazepine prescription to older adults: a qualitative study. J Gen Intern Med. 2007;22(3):303-7.
19. Katzman R, Brown T, Fuld P, Peck A, Schechter R, Schimmel H. Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. Am J Psychiatry. 1983;140:734-9.
20. King M, Gabe J, Williams R, Rodrigo EK. Long term use of benzodiazepines: the views of patients. Br J Gen Psychiatry. 1990;40:194-6.
21. Pinsker H, Suljaga-Petchel K. Use of benzodiazepines in primary-care geriatric patients. JAGS. 1984;32:595-7.
22. Denzin NK, Lincoln YS. Handbook of qualitative research (2nd ed.). Thousand Oaks (CA): Sage Publications; 2000.
23. Patton MQ. Qualitative research & evaluation methods (3rd ed.). Thousand Oaks (CA): Sage Publications; 2002.
24. Linden M, Bar T, Geiselmann B. Patient treatment insistence and medication craving in long-term low-dosage benzodiazepine prescriptions. Psychol Med. 1998;28:721-9.
25. Barter G, Cormack M. The long-term use of benzodiazepines: patients' views, accounts and experiences. Fam Pract. 1996;13:491-7.
26. Gallo JJ, Lebowitz BD. The epidemiology of common late-life mental disorders in the community: themes for the new century. Psychiatr Serv. 1999;50:1158-66.
27. Flottorp S, Oxman AD, Havelsrud K, Treweek S, Herrin J. Cluster randomized controlled trial of tailored interventions to improve the management of urinary tract infections in women and sore throat. BMJ. 2002;325:367-70.
28. Nutting PA, Rost K, Dickinson M, et al. Barriers to initiating depression treatment in primary care practice. J Gen Intern Med. 2002;17:103-11.
29. Paredes P, De La Pena M, Flores-Guerra E, Diaz J, Trostle J. Factors influencing physicians' prescribing behaviour in the treatment of childhood diarrhoea: knowledge may not be the clue. Soc Sci Med. 1996;42:1141-53.