Nederlands tijdschrift voor geneeskunde · 1993
[Profiles of regular consumers of benzodiazepines in a family practice].
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Lagro-Janssen A L, Liberton I J
Аннотация
OBJECTIVE: To describe the profile of regular users of benzodiazepines in a general practice.
DESIGN: Case-control study.
SETTING: A duo general practice in Nijmegen.
METHOD: Of all regular users of benzodiazepines in a general practice, socio-demographic and morbidity data were collected and the use of benzodiazepines (duration, frequency, type of agent) was determined. By means of a semi-structured interview, the users' experiences and opinions were inventoried. Psychological and physical functioning were determined using the symptom checklist (SCL-90).
RESULTS: In the group of 99 users (3.1% of the practice population), 53 (1.6% of the practice population) used benzodiazepines every day and had done so for over one year. Most were women over 65 years of age, living alone and with a low educational level. Over 25% were patients with psychiatric/psychogeriatric disorders. Users had frequent chronic diseases, particularly articular disorders and chronic skin diseases. The SCL-90 results indicated a high degree of psychoneuroticism. Most patients felt the medication enabled them to cope better with difficult situations, and the side effects reported were limited in number and severity.
CONCLUSION: Users of benzodiazepines were in a high-risk position, both socio-economically and as regards health and mental well-being. Given a strict prescribing policy, the group of chronic users of benzodiazepines was small and easy to control in this practice.
DESIGN: Case-control study.
SETTING: A duo general practice in Nijmegen.
METHOD: Of all regular users of benzodiazepines in a general practice, socio-demographic and morbidity data were collected and the use of benzodiazepines (duration, frequency, type of agent) was determined. By means of a semi-structured interview, the users' experiences and opinions were inventoried. Psychological and physical functioning were determined using the symptom checklist (SCL-90).
RESULTS: In the group of 99 users (3.1% of the practice population), 53 (1.6% of the practice population) used benzodiazepines every day and had done so for over one year. Most were women over 65 years of age, living alone and with a low educational level. Over 25% were patients with psychiatric/psychogeriatric disorders. Users had frequent chronic diseases, particularly articular disorders and chronic skin diseases. The SCL-90 results indicated a high degree of psychoneuroticism. Most patients felt the medication enabled them to cope better with difficult situations, and the side effects reported were limited in number and severity.
CONCLUSION: Users of benzodiazepines were in a high-risk position, both socio-economically and as regards health and mental well-being. Given a strict prescribing policy, the group of chronic users of benzodiazepines was small and easy to control in this practice.