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01-03-2013

Prevalence of Psychotropic Drug Use in Adults with Intellectual Disability: Positive and Negative Findings from a Large Scale Study

Auteurs: John A. Tsiouris, Soh-Yule Kim, W. Ted Brown, Jill Pettinger, Ira L. Cohen

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 3/2013

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Abstract

The use of psychotropics by categories and the reason for their prescription was investigated in a large scale study of 4,069 adults with ID, including those with autism spectrum disorder, in New York State. Similar to other studies it was found that 58 % (2,361/4,069) received one or more psychotropics. Six percent received typical, 6 % received typical, while 39 % received atypical antipsychotics. There was greater use of antidepressants (23 %), mood stabilizers (19 %), and antianxiety agents (16 %) relative to other studies. The use of anti-impulsives, stimulants and hypnotics was rare (1–2 %). Half of the psychotropics were prescribed for treatment of major psychiatric disorders, 13 % for control of challenging behaviors, and 38 % for both. Results indicated that the major psychiatric disorders, except anxiety disorder and autism, influenced the use of psychotropics and the number of medication used. These findings imply that although practitioners still rely too heavily on the use of antipsychotics in this population, there is a welcome shift in the prescription patterns relative to other studies. The practitioners appeared to use psychotropics primarily to treat diagnosed psychiatric disorders and not just to control aggressive behavior which suggests that evidence-based practice of psychiatry is playing an increasing role in the ID population.
Voetnoten
1
Summary of the 8 MOAS items: attacks others causing mild to severe physical injury; throws or breaks objects, kicks furniture, tears or rips clothes, marks the wall in anger, sets fires; bangs head, hits fist into objects, throws self onto floor or into objects, small cuts or bruises, minor burns, mutilates self, makes deep cuts, bites that bleed, internal injury, fracture, loss of consciousness, loss of teeth.
 
2
More precisely, the odds of receiving psychotropic medications for those with bipolar disorder was 5 times the odds of getting the medication for those who did not have bipolar disorder.
 
3
Mainly sertraline, paroxetine, fluoxetine, citalopram, escitalopram, trazodone, venlafaxine, buproprion and duloxetine.
 
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Metagegevens
Titel
Prevalence of Psychotropic Drug Use in Adults with Intellectual Disability: Positive and Negative Findings from a Large Scale Study
Auteurs
John A. Tsiouris
Soh-Yule Kim
W. Ted Brown
Jill Pettinger
Ira L. Cohen
Publicatiedatum
01-03-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 3/2013
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-012-1617-6