A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia

Yuan Yuan Wang; Yu Tao Xiang; Gabor S. Ungvari; Chee H. Ng; Helen F.K. Chiu; Larina C.L. Yim; Tian Mei Si; Kok Yoon Chee; Ajit Avasthi; Sandeep Grover; Mian Yoon Chong; Kang Sim; Shigenobu Kanba; Yan Ling He; Min Soo Lee; Shu Yu Yang; Pichet Udomratn; Roy A. Kallivayalil; Andi J. Tanra; Margarita M. Maramis; Winston W. Shen; Norman Sartorius; Rathi Mahendran; Jia Ying Teng; Chay Hoon Tan; Naotaka Shinfuku

doi:10.1111/psyg.12243

A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia

Yuan Yuan Wang, Yu Tao Xiang, Gabor S. Ungvari, Chee H. Ng, Helen F.K. Chiu, Larina C.L. Yim, Tian Mei Si, Kok Yoon Chee, Ajit Avasthi, Sandeep Grover, Mian Yoon Chong, Kang Sim, Shigenobu Kanba, Yan Ling He, Min Soo Lee, Shu Yu Yang, Pichet Udomratn, Roy A. Kallivayalil, Andi J. Tanra, Margarita M. MaramisWinston W. Shen, Norman Sartorius, Rathi Mahendran, Jia Ying Teng, Chay Hoon Tan, Naotaka Shinfuku

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Aim: This study compared the demographics, clinical characteristics, and antidepressant prescription patterns between Asian patients aged 50 years and older attending psychiatric hospitals and those attending general hospitals. Methods: In total, 955 patients (604 in general hospitals, 351 in psychiatric hospitals) aged 50 years or older treated with antidepressants in 10 Asian countries and territories were examined. Patients’ demographics, clinical features, and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. Results: Binary logistic regression revealed that high income and diagnosis of schizophrenia were independently associated with psychiatric hospital treatment, whereas outpatient care, diagnosis of anxiety disorders, and multiple major medical conditions were independently associated with general hospital treatment. In addition, tetracyclic and noradrenergic and specific serotonergic antidepressants were more likely to be prescribed in general hospitals. Conclusion: Older adults treated with antidepressants showed different demographic and clinical features between general hospitals and psychiatric hospitals in Asia.

Original language	English
Pages (from-to)	348-355
Number of pages	8
Journal	Psychogeriatrics
Volume	17
Issue number	6
DOIs	https://doi.org/10.1111/psyg.12243
Publication status	Published - Nov 2017

Keywords

antidepressants
Asia
prescription patterns

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/psyg.12243

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Wang, Y. Y., Xiang, Y. T., Ungvari, G. S., Ng, C. H., Chiu, H. F. K., Yim, L. C. L., Si, T. M., Chee, K. Y., Avasthi, A., Grover, S., Chong, M. Y., Sim, K., Kanba, S., He, Y. L., Lee, M. S., Yang, S. Y., Udomratn, P., Kallivayalil, R. A., Tanra, A. J., ... Shinfuku, N. (2017). A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia. Psychogeriatrics, 17(6), 348-355. https://doi.org/10.1111/psyg.12243

Wang, YY, Xiang, YT, Ungvari, GS, Ng, CH, Chiu, HFK, Yim, LCL, Si, TM, Chee, KY, Avasthi, A, Grover, S, Chong, MY, Sim, K, Kanba, S, He, YL, Lee, MS, Yang, SY, Udomratn, P, Kallivayalil, RA, Tanra, AJ, Maramis, MM, Shen, WW, Sartorius, N, Mahendran, R, Teng, JY, Tan, CH & Shinfuku, N 2017, 'A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia', Psychogeriatrics, vol. 17, no. 6, pp. 348-355. https://doi.org/10.1111/psyg.12243

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abstract = "Aim: This study compared the demographics, clinical characteristics, and antidepressant prescription patterns between Asian patients aged 50 years and older attending psychiatric hospitals and those attending general hospitals. Methods: In total, 955 patients (604 in general hospitals, 351 in psychiatric hospitals) aged 50 years or older treated with antidepressants in 10 Asian countries and territories were examined. Patients{\textquoteright} demographics, clinical features, and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. Results: Binary logistic regression revealed that high income and diagnosis of schizophrenia were independently associated with psychiatric hospital treatment, whereas outpatient care, diagnosis of anxiety disorders, and multiple major medical conditions were independently associated with general hospital treatment. In addition, tetracyclic and noradrenergic and specific serotonergic antidepressants were more likely to be prescribed in general hospitals. Conclusion: Older adults treated with antidepressants showed different demographic and clinical features between general hospitals and psychiatric hospitals in Asia.",

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T1 - A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia

AU - Wang, Yuan Yuan

AU - Xiang, Yu Tao

AU - Ungvari, Gabor S.

AU - Ng, Chee H.

AU - Chiu, Helen F.K.

AU - Yim, Larina C.L.

AU - Si, Tian Mei

AU - Chee, Kok Yoon

AU - Avasthi, Ajit

AU - Grover, Sandeep

AU - Chong, Mian Yoon

AU - Sim, Kang

AU - Kanba, Shigenobu

AU - He, Yan Ling

AU - Lee, Min Soo

AU - Yang, Shu Yu

AU - Udomratn, Pichet

AU - Kallivayalil, Roy A.

AU - Tanra, Andi J.

AU - Maramis, Margarita M.

AU - Shen, Winston W.

AU - Sartorius, Norman

AU - Mahendran, Rathi

AU - Teng, Jia Ying

AU - Tan, Chay Hoon

AU - Shinfuku, Naotaka

PY - 2017/11

Y1 - 2017/11

N2 - Aim: This study compared the demographics, clinical characteristics, and antidepressant prescription patterns between Asian patients aged 50 years and older attending psychiatric hospitals and those attending general hospitals. Methods: In total, 955 patients (604 in general hospitals, 351 in psychiatric hospitals) aged 50 years or older treated with antidepressants in 10 Asian countries and territories were examined. Patients’ demographics, clinical features, and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. Results: Binary logistic regression revealed that high income and diagnosis of schizophrenia were independently associated with psychiatric hospital treatment, whereas outpatient care, diagnosis of anxiety disorders, and multiple major medical conditions were independently associated with general hospital treatment. In addition, tetracyclic and noradrenergic and specific serotonergic antidepressants were more likely to be prescribed in general hospitals. Conclusion: Older adults treated with antidepressants showed different demographic and clinical features between general hospitals and psychiatric hospitals in Asia.

AB - Aim: This study compared the demographics, clinical characteristics, and antidepressant prescription patterns between Asian patients aged 50 years and older attending psychiatric hospitals and those attending general hospitals. Methods: In total, 955 patients (604 in general hospitals, 351 in psychiatric hospitals) aged 50 years or older treated with antidepressants in 10 Asian countries and territories were examined. Patients’ demographics, clinical features, and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. Results: Binary logistic regression revealed that high income and diagnosis of schizophrenia were independently associated with psychiatric hospital treatment, whereas outpatient care, diagnosis of anxiety disorders, and multiple major medical conditions were independently associated with general hospital treatment. In addition, tetracyclic and noradrenergic and specific serotonergic antidepressants were more likely to be prescribed in general hospitals. Conclusion: Older adults treated with antidepressants showed different demographic and clinical features between general hospitals and psychiatric hospitals in Asia.

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A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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