PRESCRIBING PRACTICES FOR PATIENTS WITH BORDERLINE PERSONALITY DISORDER DURING PSYCHIATRIC HOSPITALIZATIONS

被引:3
|
作者
Romanowicz, Magdalena [1 ]
Schak, Kathryn M. [1 ]
Vande Voort, Jennifer L. [1 ]
Leung, Jonathan G. [2 ]
Larrabee, Beth R. [3 ]
Palmer, Brian A. [1 ]
机构
[1] Mayo Clin, Dept Psychiat & Psychol, 200 First St SW, Rochester, MN 55905 USA
[2] Mayo Clin, Serv Pharm, Rochester, MN USA
[3] Mayo Clin, Div Biomed Stat & Informat, Rochester, MN USA
关键词
acute care; evidence-based treatment; polypharmacy; psychopharmacology; II COMPARISON SUBJECTS; PHARMACOTHERAPY; DEPRESSION;
D O I
10.1521/pedi_2019_33_405
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This study aimed to understand prescribing practices during acute psychiatric hospitalization in a large cohort of patients (N = 569) with borderline personality disorder (BPD) at a tertiary care psychiatry unit from January 1, 2013, through January 1, 2015. The mean number of hospitalizations per patient was 1.5 (range, 1-7). The odds of being prescribed antidepressants, antipsychotics, mood stabilizers, hypnotics, or anxiolytics were higher at discharge than at admission. The rate of psychotropic prescriptions was also higher at discharge than at admission (incidence rate ratio, 1.9). This pattern was true for the combined psychotropic and nonpsychotropic ("medical") prescriptions. Further guidelines are needed regarding optimal psychosocial, medical, and psychopharmacological care of patients with BPD during acute psychiatric hospitalizations.
引用
收藏
页码:736 / 749
页数:14
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