Health management of older persons with chronically medicated psychotic disorders: the results of a survey in France

Arbus, Christophe; Clément, Jean‐Pierre; Bougerol, Thierry; Frémont, P.; Lancrenon, S.; Camus, Vincent

doi:10.1017/s1041610211001487

Cited by 15 publications

(10 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Older patients with long‐term use of antipsychotics were found to have a higher somatic comorbidity (Arbus et al . ), leading to reduced functioning, a high number of psychiatric and somatic admissions, and subsequently higher healthcare costs (Bartels ). Older adults with SMI are at significant risk of early nursing home placement (Andrews et al .…”

Section: Introductionmentioning

confidence: 99%

“…Most evidence shows that psychiatric care, particularly in older patients, is complicated by the cooccurrence of somatic and psychiatric morbidities, cognitive decline, polypharmacy, and impaired lifestyle (Bartels 2004;Dols et al 2014). Older patients with long-term use of antipsychotics were found to have a higher somatic comorbidity (Arbus et al 2012), leading to reduced functioning, a high number of psychiatric and somatic admissions, and subsequently higher healthcare costs (Bartels 2004). Older adults with SMI are at significant risk of early nursing home placement (Andrews et al 2009;Aschbrenner et al 2011).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

Houben

Janssen

Hendriks

et al. 2018

Int J Mental Health Nurs

View full text Add to dashboard Cite

The objective was to use various somatic parameters as basis for investigating the physical health of older adults with severe mental illnesses (SMI). A cross‐sectional study design is performed by using baseline data from the Physical Health in SMI‐elderly (PHiSMI‐E) study. Data were collected using the Nursing Monitoring of Somatic Status and Lifestyle – Mental Health instrument in adults aged over 60 with SMI in a large Dutch mental health institute. Ninety‐nine elderly SMI patients were included. Somatic comorbidity (84.8%), use of somatic medication (77.7%) and polypharmacy (67.7%) were prevalent. Extrapyramidal symptoms were experienced by 51% of patients, mainly in the subgroup with psychotic disorders (75.6%). Unhealthy diet was reported in 16.2%, obesity in 27.3%, and physical inactivity in 57.6%. Fatigue (67.7%) and dry mouth (66.6%) were the commonest reported physical symptoms. Mean VAS score (scale 0–10) indicating participants’ self‐perceived physical health was 6.7 (SD ± 1.6). After division of the total patient group into tertiles based on the VAS scores, the lowest tertile was characterized by less physical activity, unhealthier diet, more use of medication, more fatigue, somnolence, and inner agitation. In conclusion, impaired physical health status was common in these older patients with SMI. Although they had more psychiatric and somatic comorbidity than adult SMI patients described in the literature, they had a healthier lifestyle. To reduce morbidity and premature mortality in these frail patients, it is essential that healthcare providers are aware of the high prevalence of somatic comorbidity and symptoms, and of their interactions with the psychiatric disorders. This study improves our understanding of differences in vulnerability factors of older patients with SMI. The (early) detection of somatic comorbidities may improve long‐term health outcomes of these patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

Houben

Janssen

Hendriks

et al. 2018

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…In a study that verified the adherence and difficulties of the elderly with bipolar affective disorder in relation to the medicine therapy, low adherence to pharmacological treatment, lack of knowledge, difficulties in self-administration and desire for treatment discontinuation were identified (15) . Among the relatives, there was also a low level of knowledge, as well as difficulties in relation to patient's non-adherence, overload with care responsibility and concern with access to health services (16) . Concern about the use of psychotropic medicines was revealed in a study with 930 elderly people with mental disorder, with average age of 70.4 years, most of whom were diagnosed with schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

Elderly people with mental disorders: experiencing the use of psychotropic medicines

2018

View full text Add to dashboard Cite

Approval: 10-16-2017 ABSTRACT Objective: To interpret the experience of the elderly with mental disorder in the use of psychotropic medicines. Method: Qualitative study in the interpretative modality, supported by the Grounded Theory. It was carried out from interviews with 16 elderly people with mental disorder and six relatives, totaling 22 participants. Results: In the experience of the use of psychotropic medicines, the elderly with mental disorders become aware of their condition, attribute meaning and establish strategies for the correct use. On the other hand, they express their dissatisfaction with being dependent on psychotropic medicines to live without symptoms, face their side effects and do not always use them correctly. Conclusion: The use of psychotropic medicines is a priority in the life of the elderly and, in view of the fragilities found, it is necessary a continuous monitoring of health professionals. Descriptors: Elderly; Mental Health; Psychotropic Medicines; Use of Medications; Mental Disorders. RESUMO Objetivo: Interpretar a vivência de idosos com transtorno mental na utilização de psicofármacos. Método: Estudo qualitativo na modalidade interpretativa, apoiado pela Teoria Fundamentada nos Dados. Foi realizado a partir de entrevistas com 16 idosos com transtorno mental e seis familiares, totalizando 22 participantes. Resultados: Na vivência do uso de psicofármacos, os idosos com transtornos mentais tomam consciência da sua condição, atribuem signifi cado e estabelecem estratégias para o uso correto. Em contrapartida, eles expressam o descontentamento por depender dos psicofármacos para viver sem sintomas, enfrentam seus efeitos colaterais e nem sempre os utilizam de forma correta. Conclusão: O uso de psicofármacos se constitui em prioridade na vida dos idosos e, frente às fragilidades encontradas, é necessário um acompanhamento contínuo dos profi ssionais de saúde. Descritores: Idoso; Saúde Mental; Psicotrópicos; Uso de Medicamentos; Transtornos Mentais. RESUMEN Objetivo: Interpretar la vivencia de ancianos con trastorno mental en la utilización de psicofármacos. Método: Estudio cualitativo en la modalidad interpretativa, apoyado por la Teoría Fundamentada en los Datos. Se realizó a partir de entrevistas con 16 ancianos con trastorno mental y seis familiares, totalizando 22 participantes. Resultados: En la vivencia del uso de psicofármacos, los ancianos con trastornos mentales toman conciencia de su condición, atribuyen signifi cado y establecen estrategias para el uso correcto. En cambio, ellos expresan su descontento por depender de los psicofármacos para vivir sin síntomas, enfrentan sus efectos colaterales y ni siempre los utilizan de forma correcta. Conclusión: El uso de psicofármacos se constituye en prioridad en la vida de los ancianos y, frente a las fragilidades encontradas, es necesario un acompañamiento continuo de los profesionales de la salud.

show abstract

“…Patients suffering from schizophrenic disorders exhibit an increased mortality rate due to cardiovascular conditions and are often incapable of dealing with the risk factors appropriately [16,17]. Various studies claim that the management of cardiovascular risks in patients with severe mental illness needs to be improved [18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Der Einfluss eines elektronischen Erinnerungssystems auf die leitlinientreue Behandlung von psychotischen Erkrankungen

2016

View full text Add to dashboard Cite

Participants appreciated the idea of supporting guideline adherence with an IT-system, but there seemed to be major obstacles to implementation: caregivers appear to be concerned of being exposed or questioned, technical difficulties might lead to avoidance, and there seems to be a lack of knowledge and awareness about the health risks for individuals with psychotic disorders. Possibly guidelines adapted for the chronically ill would find more acceptance. Technical simplifications and better information should be considered prior to further attempts to implement IT-supported guidelines in order to increase acceptance.

show abstract

Health management of older persons with chronically medicated psychotic disorders: the results of a survey in France

Abstract: Antipsychotic and antiparkinsonian drug prescriptions in French aged psychotic patients follow only partially the clinical guidelines and recommendations of consensus conferences. Moreover, cognitive, cardiac and metabolic aspects are not fully managed as expected.

Cited by 15 publications

References 28 publications

Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

Elderly people with mental disorders: experiencing the use of psychotropic medicines

Der Einfluss eines elektronischen Erinnerungssystems auf die leitlinientreue Behandlung von psychotischen Erkrankungen

Contact Info

Product

Resources

About