Yuan-Yuan Wang, Yuan and Yu-Tao Xiang, Yu and Gabor S Ungvari, Gabor and Chee H Ng, Chee and Helen F K Chiu, Helen and Larina C L Yim, Larina and Tian-Mei Si, Tian and Kok-Yoon Chee, Kok and Ajit Avasthi, Ajit and Sandeep Grover, Sandeep and Mian-Yoon Chong, Mian and Kang Sim, Kang and Shigenobu Kanba, Shigenobu and Yan-Ling He, Yan and Min-Soo Lee, Min and Shu-Yu Yang, Shu and Pichet Udomratn, Pichet and Roy A Kallivayalil, Roy and Andi J Tanra, Andi and Margarita M Maramis, Margarita and Winston W Shen, Winston and Norman Sartorius, Norman and Rathi Mahendran, Rathi and Jia-Ying Teng, Jia and Chay-Hoon Tan, Chay and Naotaka Shinfuku, Naotaka A comparison of clinical characteristics of older adults treated with antidepressants in general and psychiatric hospitals in Asia. PSYCHOGERIATRICS, 17. pp. 348-355. ISSN ISSN:1346-3500E-ISSN:1479-830

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Abstract

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.

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