Attitudes towards deprescribing in geriatric psychiatry: A survey among older psychiatric outpatients

Carina Lundby*, Marianne Nielsen, Trine Simonsen, Stine Galsgaard, Maija Bruun Haastrup, Lene Vestergaard Ravn-Nielsen, Anton Pottegård

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Understanding the patient perspective is a significant part of the deprescribing process. This study aimed to explore the attitudes of older patients with psychiatric disorders towards deprescribing. A total of 72 of psychiatric outpatients (68% women; median age 76 years) completed the validated Danish version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire. Patients used a median of eight medications (interquartile range 6–12), with 88%, 49% and 24% using antidepressants, antipsychotics and anxiolytics, respectively. Fifty-one percent of patients reported an intrinsic desire to stop one of their medications, while 92% would be willing to stop one on their physician's advice. Seventy-five percent of patients would be worried about missing out on future benefits following deprescribing and 37% had previous bad deprescribing experiences. Use of ≥8 regular medications was associated with more concerns about stopping medication and greater perceived burden of using medication, while use of antipsychotics was not associated with any differences in rPATD factor scores. It is crucial for health care professionals to be aware of patients' specific concerns and past experiences to promote a patient-centred deprescribing approach that takes into account the needs and preferences of older patients with psychiatric disorders.

Original languageEnglish
JournalBasic and Clinical Pharmacology and Toxicology
Volume134
Issue number1
Pages (from-to)97-106
ISSN1742-7835
DOIs
Publication statusPublished - Jan 2024

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Basic & Clinical Pharmacology & Toxicology published by John Wiley & Sons Ltd on behalf of Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society).

Keywords

  • attitudes
  • deprescribing
  • geriatric psychiatry
  • older people
  • psychotropics
  • Humans
  • Male
  • Geriatric Psychiatry
  • Outpatients
  • Polypharmacy
  • Deprescriptions
  • Female
  • Surveys and Questionnaires
  • Aged

Fingerprint

Dive into the research topics of 'Attitudes towards deprescribing in geriatric psychiatry: A survey among older psychiatric outpatients'. Together they form a unique fingerprint.

Cite this