Issues in mental health nursing · 2025
Supportive Interventions for Deprescribing in Adult Mental Healthcare: A Narrative Review.
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Tchijevitch Olga, Gildberg Frederik Alkier, Birkeland Søren
Аннотация
BACKGROUND: Mental health disorders are prevalent and often treated with psychotropic drugs; however, concerns remain regarding their efficacy and long-term benefits. Likewise, there has been increasing attention on limiting psychotropic drug use to the minimum necessary level. Several studies have focused on deprescribing, often supported by various non-pharmacological interventions (NPIs). This study aimed to explore recent literature on the use of NPIs to support psychotropic drug deprescribing in adults.
METHODS: We conducted a narrative review and performed literature search in major electronic databases, including Embase, Medline, PsycInfo, and CINAHL, covering a period of 6 years. The results were screened and selected based on pre-defined eligibility criteria.
RESULTS: We identified eight studies; the majority explored deprescribing of antidepressant medication and benzodiazepines for mood and anxiety disorder. One study focused on deprescribing of antipsychotics. Shared Decision Making, Mindfulness-Based Cognitive Therapy, Cognitive Behavioral Therapy and personal tapering strips for gradual drug reduction were identified as strategies aiming at supporting deprescribing.
CONCLUSION: This review identified research on NPIs supporting deprescribing in mental health disorders. It highlights the need for individual approaches and strong clinician-patient collaboration. Further rigorous and well-designed research is needed to better understand the benefits, challenges, and role of NPIs in deprescribing.
METHODS: We conducted a narrative review and performed literature search in major electronic databases, including Embase, Medline, PsycInfo, and CINAHL, covering a period of 6 years. The results were screened and selected based on pre-defined eligibility criteria.
RESULTS: We identified eight studies; the majority explored deprescribing of antidepressant medication and benzodiazepines for mood and anxiety disorder. One study focused on deprescribing of antipsychotics. Shared Decision Making, Mindfulness-Based Cognitive Therapy, Cognitive Behavioral Therapy and personal tapering strips for gradual drug reduction were identified as strategies aiming at supporting deprescribing.
CONCLUSION: This review identified research on NPIs supporting deprescribing in mental health disorders. It highlights the need for individual approaches and strong clinician-patient collaboration. Further rigorous and well-designed research is needed to better understand the benefits, challenges, and role of NPIs in deprescribing.