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Physical comorbidities in older adults receiving antidepressants in Asia. | LitMetric

AI Article Synopsis

  • - The study examined the prevalence of physical health issues among older psychiatric patients in Asia who are taking antidepressants, finding a 44% rate of comorbidities.
  • - Analysis highlighted significant factors linked to these comorbidities, including older age, more depressive symptoms, specific treatment settings, higher income regions, benzodiazepine use, and other psychiatric diagnoses.
  • - The findings suggest that it's crucial to incorporate physical health care into the treatment plans for older adults with psychiatric conditions to improve overall patient outcomes.

Article Abstract

Background: The present study explored the patterns of physical comorbidities and their associated demographic and clinical factors in older psychiatric patients prescribed with antidepressants in Asia.

Methods: Demographic and clinical information of 955 older adults were extracted from the database of the Research on Asian Psychotropic Prescription Patterns for Antidepressants (REAP-AD) project. Standardized data collection procedure was used to record demographic and clinical data.

Results: Proportion of physical comorbidities in this cohort was 44%. Multiple logistic regression analyses showed that older age (OR = 1.7, P < 0.001), higher number of depressive symptoms (OR = 1.09, P = 0.016), being treated in psychiatric hospital (OR = 0.5, P = 0.002), living in high income countries/territories (OR = 2.4, P = 0.002), use of benzodiazepines (OR = 1.4, P = 0.013) and diagnosis of 'other psychiatric disorders' (except mood, anxiety disorders and schizophrenia) (OR = 2.7, P < 0.001) were significantly associated with physical comorbidities.

Conclusions: Physical comorbidities in older patients prescribed with antidepressants were common in Asia. Integrating physical care into the treatment of older psychiatric patients should be urgently considered.

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Source
http://dx.doi.org/10.1111/psyg.12327DOI Listing

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