hh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • 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
Trends in treatment with antipsychotic medication in relation to national directives, in people with dementia - a review of the Swedish context
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Lund University, Lund, Sweden.ORCID iD: 0000-0002-6624-9963
Lund University, Lund, Sweden.
Lund University, Lund, Sweden.
Blekinge Centre of Competence, Karlskrona, Sweden & Linnaeus University, Kalmar, Sweden.
2017 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, no 1, 251Article in journal (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. © 2017 The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central, 2017. Vol. 17, no 1, 251
Keyword [en]
Dementia, Antipsychotic medication, Drug utilization, Directive
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-34830DOI: 10.1186/s12888-017-1409-9ISI: 000405824700002PubMedID: 28705243Scopus ID: 2-s2.0-85023633758OAI: oai:DiVA.org:hh-34830DiVA: diva2:1137255
Available from: 2017-08-30 Created: 2017-08-30 Last updated: 2017-11-29Bibliographically approved

Open Access in DiVA

fulltext(2087 kB)34 downloads
File information
File name FULLTEXT01.pdfFile size 2087 kBChecksum SHA-512
2de8177e71a8d78ebad66598aa91a55c777bcc0021cf8ac38a8970be76656274082dffe5f57b21936d0c6f30b03c5cbb90b547ed932cc92811230c572aa0e330
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records BETA

Karlsson, Staffan

Search in DiVA

By author/editor
Karlsson, Staffan
By organisation
Health and Nursing
In the same journal
BMC Psychiatry
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 34 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 110 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • 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