Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-24T04:38:50.668Z Has data issue: false hasContentIssue false

Psychotropic drug use in a sample of general population in the Sardinia region

Published online by Cambridge University Press:  11 October 2011

Mauro Giovanni Carta*
Affiliation:
Dipartimento di Sanità Pubbiica, Sezione di Psichiatria, Università degli Studi di Cagliari, Cagliari
Maria Carolina Hardoy
Affiliation:
Dipartimento di Sanità Pubbiica, Sezione di Psichiatria, Università degli Studi di Cagliari, Cagliari
Mariangela Cadeddu
Affiliation:
Dipartimento di Sanità Pubbiica, Sezione di Psichiatria, Università degli Studi di Cagliari, Cagliari
Gioia Mura
Affiliation:
Dipartimento di Sanità Pubbiica, Sezione di Psichiatria, Università degli Studi di Cagliari, Cagliari
Anna Laura Floris
Affiliation:
Dipartimento di Sanità Pubbiica, Sezione di Psichiatria, Università degli Studi di Cagliari, Cagliari
Bernardo Carpiniello
Affiliation:
Dipartimento di Sanità Pubbiica, Sezione di Psichiatria, Università degli Studi di Cagliari, Cagliari
*
Address for correspondence: Professor M.G. Carta, Dipartimento di Sanita Pubbiica. Sez.one di Ps.chiatria, Università degli Studi di Cagliari, Via Liguna 13, 09123Cagliari. Fax +39-070-496.295 E-maii: mgcarta@tiscaii.it

Abstract

Summary

Aims - To present the results of an epidemiologic research about psychotropic drug use inSardinia. Methods - Cross-sectional study on a sample of 1040 subjects randomly selected from registers. Setting - Community survey on three areas of Sardinia region. Evaluation: interviews carried out byphysicians by means of Italian version of the Composite International Diagnostic Interview Simplified.Drug consumption was evaluated concerning last week before the interview. Main Outcome Measures: point prevalence. Results - The rate of adults of the general population that consumed benzodiazepines was 10.1%, antidepressants 4.2%, 14.7% of the sample was using psychotropic drugs. 60% of subjects with diagnosis of ICD-10 Depressive Episod did not have the right pharmacologic treatment. A relevant proportion of subjects without lifetime psychiatric diagnosis (anxiety and/or depression) used antidepressants (0.8%). The pharmacologic therapies were managed by psychiatrics in 44.2% of cases, antidepressants were managed by general practitioners in 31.8% of subjects. Conclusions - The research underlines an increase of meet needs in subjects affected by depressive episodes against a previous Sardinian survey carried out over ten years ago. This change is parallel to a more frequent management of therapies by general practitioners. Their role seems to become more relevant in treating depressive illness.

Declaration of Interest

Mauro Giovanni Carta has received grants and research support from Regione Autonoma della Sardegna, Council of the European Union, European Union DGXII, GlaxoSmithKline, Pfizer, Lundbeck, Pharmacia, Recordati. Maria Carolina Hardoy has received grants and research support from University of Pisa, GlaxoSmithKline, Pfizer, Farmades. Bernardo Carpiniello has received grants and research support from GlaxoSmithKline, Pfizer, Recordati, Janssen Cilag, EliLilly, Astra Zeneca.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2003

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

BIBLIOGRAFIA

Balestrieri, M., Bragagnoli, N. & Bellantuono, C. (1991). Antidepressant drug prescribing in general practice: a 6-year study. Journal of Affective Disorders 21, 4555.CrossRefGoogle ScholarPubMed
Balestrieri, M., Bortolomasi, M., Galletta, M. & Bellantuono, C. (1997). Patterns of hypnotic drug prescription in Italy. A two week community survey. BritishJournal of Psychiatry 170, 176180.Google ScholarPubMed
Carta, M.G., Carpiniello, B., Morosini, P.L. & Rudas, N. (1991). Prevalence of mental disorder in Sardinia: a community study in an inland mining district. Psychological Medicine 21, 10611071.CrossRefGoogle Scholar
Carta, M.G., Carpiniello, B., Trudu, M.N., Tarquini, A. & Rudas, N. (1994). La versione italiana della CIDIS: uno studio di accuratezza e riproducibilità. In Metropoli e Oltre (ed. Aguglia, E. e Pascolo, E.). Andrea Tencati Editore: Trieste.Google Scholar
Carta, M.G., Kovess, V., Hardoy, M.C., Morosini, P.L., Murgia, S.& Carpiniello, B. (2002). Psychiatric disorders in Sardinian emigrants in Paris: a comparison with Parisians and Sardinians resident in Sardinia. Social Psychiatry and Psychiatric Epidemiology 37, 112117.CrossRefGoogle Scholar
Carta, M.G., Kovess, V., Hardoy, M.C. & Carpiniello, B. (in press). Could health care costs for depression be decreased if the disorder were correctly diagnosed and treated? Social Psychiatry and Psychiatric EpidemiologyGoogle Scholar
Horwath, E. & Weissman, M.M (1995). Epidemiology of depression and anxietydisorders. In Textbook in Psychiatric Epidemiology (ed. Tsuang, M.T., Tohen, M. and Zahner, G.E.P.), part 4, pp 317344. Wiley Liss: New York.Google Scholar
Katz, S.J., Kessler, R.C. & Lin, E. (1998). Medical management of depression in the United States and Ontario. Journal of General Internal Medicine 13, 7785.CrossRefGoogle ScholarPubMed
Kovess, V. (1996). Epidemiologie et Santè Mentale. Flammarion: Paris.Google Scholar
Kovess, V., Fournier, L., Lesage, A.D., Lebigre, F.A. & Caria, A. (2001). Two validation studies of the CIDIS: a Simplified version of the Composite International Diagnostic Interview. Psychiatric Networks 4 (1-2), 1024.Google Scholar
Magrini, N., Vaccheri, A., Parma, E., D'Alessandro, R., Bottoni, A., Occhionero, M. & Montanaro, N. (1996). Use of benzodiazepines in the Italian general population: prevalence, pattern of use and risk factors for use. European Journal ofClinical Pharmacology 52 (4), 321323.Google Scholar
Robins, L.N., Wing, J., Wittchen, H.U. & Helzer, J.E. (1988). The Composite International Diagnostic Interview. An epidemiologie instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Archives of General Psychiatry 45, 10691077.CrossRefGoogle Scholar
Siciliani, O. (1985). Disagio emotivo e fattori sociodemografici individuali e familiari nella popolazione di un quartiere urbano a VeronaSud. In Epidemiologia Psichiatrica (ed. Tansella, M.). Masson: Milano.Google Scholar
Thompson, C., Kinmonth, A.L. & Stevens, L. (2000). Effects of a clinical-practice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomised controlled trial. Lancet 355, 185191.CrossRefGoogle ScholarPubMed
Turrina, C., Zimmermann-Tansella, C., Micciolo, R. & Siciliani, O. (1993). A community survey of psychotropic drug consumption in South Verona: prevalence and associates variables. Social Psychiatry and Psychiatric Epidemiology 28, 4044.CrossRefGoogle ScholarPubMed
Wing, J.K., Cooper, J.E. & Sartorius, N. (1974). Present State Examination. Cambridge University Press: Cambridge.Google Scholar
World Health Organization (1980). The 9th Revision of the International Classification of Diseases and Related Health Problems (ICD-9). WHO, Department of Health and Human Services: Geneva.Google Scholar
World Health Organization (1992). The 10th Revision of the InternationalClassification of Diseases and Related Health Problems (ICD-10). WHO, Division of Mental Health: Geneva.Google Scholar
Zimmermann-Tansella, C. (1994). Epidemiologia dei disturbi psichiatrici nella popolazione generale. Le esperienze e i risultati italiani. Epidemiologia e Psichiatria Sociale 3, 514.CrossRefGoogle Scholar