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Frequency of and Determinants for Psychotropic Drug Use in an Institution for the Mentally Retarded

Published online by Cambridge University Press:  03 January 2018

Olav M. Linaker
Olav M. Linaker*
Affiliation:
Department of Psychiatry and Behavioural Medicine, University of Trondheim, PO Box 3008, N-7002 Trondheim, Norway
*
∗Mellomila 19, N-7018 Trondheim, Norway
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Abstract

The frequency of psychotropic and anticonvulsant drug use in 168 institutionalised mentally retarded adults was studied. Use of neuroleptics and anticonvulsants was more frequent and use of hypnotics and antidepressants less frequent than in the general population. Neuroleptics were given to 49% of the population. Clients with no psychiatric diagnosis consumed less neuroleptics than those with such a diagnosis, and there was a non-significant trend for those with a more serious diagnosis (e.g. schizophrenia) to take a higher dosage. The degree of disruptive behaviour and the availability of a physician were related to dosage of neuroleptics. The various psychiatric diagnoses given could explain only a small proportion of the variance in dosage.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 4 , April 1990 , pp. 525 - 530
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Aman, M. G. (1983) Psychoactive drugs in mental retardation. In Treatment Issues and Innovations in Mental Retardation (ed. Matson, J. L. & Andrasik, F.), pp. 455–513. New York: Plenum Press.Google Scholar
Aman, M. G. (1984) Drugs and learning in mentally retarded persons. In Advances in Human Psychopharmacology, vol. 3 (eds Burrows, G. D. & Werry, J. S.). Greenwich CT: JAI Press.Google Scholar
Aman, M. G. & Singh, N. N. (1986) A critical appraisal of recent drug research in mental retardation: the Coldwater studies. Journal of Mental Deficiency Research, 30, 203–216.Google Scholar
Aman, M. G., Watson, J. E., Singh, N. N., et al (1986a) Psychometric and demographic characteristics of the Psychometric Instrument for Mentally Retarded Adults. Psychopharmacology Bulletin, 22, 1072–1076.Google ScholarPubMed
Aman, M. G., White, A. J., Vaithianathan, C., et al (1986b) Preliminary study of imipramine in profoundly retarded residents. Journal of Autism and Developmental Disorders, 16, 263–273.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Benson, B. A. (1985) Behavior disorders and mental retardation: associations with age, sex and level of functioning in an outpatient clinic sample. Applied Research in Mental Retardation, 6, 79–85.CrossRefGoogle Scholar
Central Bureau Of Statistics (1987) Statistical Yearbook of Norway. Oslo: Central Bureau of Statistics.Google Scholar
Day, K. (1985) Psychiatric disorders in the middle-aged and elderly mentally handicapped. British Journal of Psychiatry, 147, 660–667.Google Scholar
Dewan, J. G. (1948) Intelligence and emotional stability. American Journal of Psychiatry, 104, 548–554.Google Scholar
Eaton, L. F. & Menolascino, F. J. (1982) Psychiatric disorders in the mentally retarded: types, problems, and challenges. American Journal of Psychiatry, 139, 1297–1303.Google Scholar
Eyman, R. K. & Widaman, K. F. (1987) Life-span development of institutionalized and community-based mentally retarded revisited. American Journal of Mental Deficiency, 91, 559–569.Google Scholar
Gillberg, C., Persson, E., Grufman, M., et al (1986) Psychiatric disorders in mildly and severely mentally retarded urban children and adolescents: epidemiological aspects. British Journal of Psychiatry, 149, 68–74.CrossRefGoogle ScholarPubMed
Gualtieri, C. T. & Keppel, J. M. (1985) Psychopharmacology in the mentally retarded and a few related issues. Psychopharmacology Bulletin, 21, 304–309.Google Scholar
Gualtieri, C. T., Schroeder, S. R., Hicks, R. E., et al (1986) Tardive dyskinesia in young mentally retarded individuals. Archives of General Psychiatry, 43, 335–340.Google Scholar
Gostason, R. (1985) Psychiatric illness among the mentally retarded. Acta Psychiatrica Scandinavica, 71 (suppl. 318).Google Scholar
Hayman, M. (1939) The interrelations of mental defect and mental disorder. Journal of Mental Sciences, 85, 1183–1193.Google Scholar
Hill, B. K., Balow, E. A. & Bruininks, R. H. (1985) A national study of prescribed drugs in institutions and community residential facilities for mentally retarded people. Psychopharmacology Bulletin, 21, 279–284.Google Scholar
Intagliata, J. & Rinck, C. (1985) Psychoactive drug use in public and community residential facilities for mentally retarded persons. Psychopharmacology Bulletin, 21, 268–278.Google ScholarPubMed
Kazdin, A. E., Matson, J. L. & Senatore, V. (1983) Assessment of depression in the mentally retarded adult. American Journal of Psychiatry, 140, 1040–1043.Google Scholar
Lipman, R. S. (1986) Overview of research in psychopharmacological treatment in the mentally ill/mentally retarded. Psychopharmacology Bulletin, 22, 1046–1056.Google ScholarPubMed
Lund, J. (1985) The prevalence of psychiatric morbidity in mentally retarded adults. Acta Psychiatrica Scandinavica, 72, 563–570.Google Scholar
Lund, J. (1986) Behavioural symptoms and autistic psychosis in the mentally retarded adult. Acta Psychiatrica Scandinavica, 73, 420–428.CrossRefGoogle ScholarPubMed
Matson, J. L., Kazdin, A. E. & Senatore, V. (1984) Diagnosis and drug use in mentally retarded, emotionally disturbed adults. Applied Research in Mental Retardation, 5, 513–519.Google Scholar
McQueen, P. A., Spence, M. W., Garner, J. B., et al (1987) Prevalence of major mental retardation and associated disabilities in the Canadian maritime provinces. American Journal of Mental Deficiency, 91, 460–466.Google Scholar
Mouchka, S. (1985) Issues in psychopharmacology with the mentally retarded. Psychopharmacology Bulletin, 21, 262–267.Google Scholar
Myers, B. A. (1986) Psychopathology in hospitalized develop-mentally disabled individuals. Comprehensive Psychiatry, 27, 115–126.CrossRefGoogle Scholar
Norsk Medisinaldepot (1986) Drug Consumption in Norway 1981–1985. Oslo: Norsk Medisinaldepot.Google Scholar
Ollendick, T. H. & Ollendick, D. G. (1982) Anxiety disorders. In Psychopathology in the Mentally Retarded (ed. Matson, J. L. & Barrett, R. P.), pp. 77–119. New York: Grune & Stratton.Google Scholar
Petersen, S. B. (1978) Analyses of Care Needs among the Mentally Retarded. (Behovsanalyser i Omsorgen for Psykisk Utviklingshemmede.) Report from Norwegian Institute for Hospital Research, Trondheim.Google Scholar
Phelps, R. M. (1897) Imbecility as an element in insanity. Northwestern Lancet, December, 283–285.Google Scholar
Reid, A. H. (1983) Psychiatry of mental handicap: a review. Journal of the Royal Society of Medicine, 76, 587–592.CrossRefGoogle ScholarPubMed
Reid, A. H. & Ballinger, B. R. (1987) Personality disorders in mental handicap. Psychological Medicine, 17, 983–987.Google Scholar
Reiss, S. (1982) Psychopathology and mental retardation: survey of a developmental disabilities mental health program. Mental Retardation, 20, 128–132.Google ScholarPubMed
Russel, A. T. & Tanguay, P. E. (1981) Mental illness and mental retardation: cause or coincidence? American Journal of Mental Deficiency, 85, 570–574.Google Scholar
Senatore, V., Matson, J. L. & Kazdin, A. E. (1985) An inventory to assess psychopathology of mentally retarded adults. American Journal of Mental Deficiency, 89, 459–466.Google ScholarPubMed
Sovner, R. (1986) Limiting factors in the use of DSM–III criteria with mentally retarded persons. Psychopharmacology Bulletin, 22, 1055–1059.Google ScholarPubMed
Sovner, R. & Hurley, A. D. (1983) Do the mentally retarded suffer from affective illness? Archives of General Psychiatry, 40, 61–67.Google Scholar
Tredgold, A. F. (1908) A Textbook of Mental Deficiency (1st edn). London: Bailliere, Tindall & Cox.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
World Health Organization (1979) Studies in Drug Utilization, Methods and Applications. Copenhagen: WHO Report Publication, European Series.Google Scholar
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