Factors Associated With Benzodiazepine Dependence Among Community-Dwelling Seniors

Abstract

Nurses should be better positioned to identify those elderly users of BZDs who are more likely to be dependent and to address the problem through BZD withdrawal program.

Substance use disorders and psychiatric comorbidity in mid and later life: a review

“…Suspected risk might include personal or family history of substance abuse, changes in life events (retirement, loss of family members or bereavements) and mental or medical conditions (depression, anxiety, pain related conditions). 14,15,33,34,51,52 Substance use has been reported to cope with mental and medical conditions (e.g. pain), and older adults with mental/ medical conditions are likely to receive and use prescribed psychoactive medications (opioids, benzodiazepines) that may further increase the chance of nonmedical use or addiction.…”

“…pain), and older adults with mental/ medical conditions are likely to receive and use prescribed psychoactive medications (opioids, benzodiazepines) that may further increase the chance of nonmedical use or addiction. 14,51,53 Further, treatment encounters data from admissions to emergency departments (ED) of non-Federal hospitals (Drug Abuse Warning Network) and substance abuse treatment facilities that received public funding (TEDS) indicate an increased trend in drug-related admissions among older adults. Between 2004 and 2009, ED visits involving pharmacological use or misuse (e.g.…”

“…Substance use may trigger or intensify medical conditions, such as diabetes and cardiovascular disease, 6,13 Use of psychoactive medications also can lead to nonmedical use or even dependence. 12,14 Here, we review the extent of SUD (abuse of or dependence on alcohol or drugs) and comorbid psychiatric conditions among adults aged 50þ years to gauge the problems and identify venues for research and intervention. Adults aged 50-64 years, approximately the baby-boom population, are included in this review, because they use more alcohol and illicit/nonmedical drugs than adults 65þ years of age, represent a large proportion of the population and place increasing demands for SUD treatment as they continue to age.…”

Une chute inexpliquée chez une patiente de 65 ans

“…La dépendance chez les sujets âgés n'est pas un phénomène rare. Les études estiment que celle-ci toucherait environ 9,5 % des usagers de benzodiazépines et apparentés âgés de plus de 60 ans [6]. HAXAIRE et TERRIEN ont mené dans une pharmacie de Rennes une étude sur le profil des usagers de benzodiazépines.…”

Uma revisão sistemática e metanálise sobre os eventos adversos decorrentes do uso de benzodiazepínicos pos idosos.

“…Vale ainda frisar que a utilização ininterrupta de BDZ em idosos provoca reações adversas de alto grau de significância desde simples sonolência diurna à perda de memória, função cognitiva debilitada, aumento da incidência de quedas e as superveniências associadas (BALESTRIERI et al, 2005;BERDOT et al, 2009;BERNIK, 1996;LADER, 1999;O'BRIEN, 2005 O uso de BDZs por mulheres é de 2 a 3 vezes superior quando comparada aos homens, prevalecendo o aumento conforme a idade (BENDTSEN et al, 1999;GONZÁLEZ RUBIO et al, 1995;JOHNELL;FASTBOM, 2011;LESÉN et al, 2010;STRAAND;ROKSTAD, 1997;VOYER et al, 2009 Portanto, dentre os estudos apresentados, observa-se o predomínio da prescrição do princípio diazepam, sendo a prevalência do uso de BDZs uma prática crescente no território brasileiro e em vários países. Vale ainda mencionar um similar comportamento em Cuba (HERRERA et al, 2002), no Chile (GALLEGUILLOS et al, 2003 e no México (FRÉSAN et al, 2011).…”