Polypharmacy and Depression Among Older Individuals


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DOI:

https://doi.org/10.5152/EurJTher.2022.21040

Keywords:

Depression, older adults, polypharmacy

Abstract

Objective: The aim of the present study is to determine the frequency of polypharmacy and depression and the relationship between them in older adults.

Methods: We reviewed the files and electronic records of 863 patients aged 65 years and older admitted to our geriatric outpatient clinic. The presence of polypharmacy and depression was evaluated.

Results: The mean age of the participants was 73.3 ± 6.5 years. The proportion of female patients was 66.8%. While the frequency of polypharmacy was 47.1% in general, it was 80.5% in depressive patients. The proportion of patients diagnosed with depression was 15.9%. The presence of depression was found to be associated with a 3.3-fold increase in the risk of polypharmacy.

Conclusions: The frequency of polypharmacy was found to be high especially among depressed patients in our study. Early diagnosis of depressed elderly people seems to be an approach to prevent the occurrence of polypharmacy.

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References

Saraf AA, Petersen AW, Simmons SF, et al. Medications associated with geriatric syndromes and their prevalence in older hospitalized adults discharged to skilled nursing facilities. J Hosp Med. 2016;11(10):694-700.

Jyrkkä J, Enlund H, Lavikainen P, Sulkava R, Hartikainen S. Association of polypharmacy with nutritional status, functional ability and cognitive capacity over a three-year period in an elderly population. Pharmacoepidemiol Drug Saf. 2011;20(5):514-522.

Wastesson JW, Morin L, Tan ECK, Johnell K. An update on the clinical consequences of polypharmacy in older adults: a narrative review. Expert Opin Drug Saf. 2018;17(12):1185-1196.

Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-834.

Gnjidic D, Hilmer SN, Blyth FM, et al. High-risk prescribing and incidence of frailty among older community-dwelling men. Clin Pharmacol Ther. 2012;91(3):521-528.

Wallace E, Salisbury C, Guthrie B, Lewis C, Fahey T, Smith SM. Managing patients with multimorbidity in primary care. BMJ. 2015;350:h176.

Guralnik JM. Demography and epidemiology. In: Halter JB, Ouslander JG, Tinetti ME, et al., eds. Hazzard’s Geriatric Medicine and Gerontology, 6ème. New York, NY: The McGraw-Hill Companies; 2009. http: //acc essme dicin e.mhm edica l.com /cont ent.a spx?a id=5106471.

Nubé M, Van Den Boom GJM. Gender and adult undernutrition in developing countries. Ann Hum Biol. 2003;30(5):520-537.

Smith DJ, Court H, McLean G, et al. Depression and multimorbidity: a cross-sectional study of 1,751,841 patients in primary care. J Clin Psychiatry. 2014;75(11):1202-1208.

Firth J, Siddiqi N, Koyanagi A, et al. The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness. Lancet Psychiatry. 2019;6(8):675-712.

Midão L, Giardini A, Menditto E, Kardas P, Costa E. Polypharmacy prevalence among older adults based on the survey of health, ageing and retirement in Europe. Arch Gerontol Geriatr. 2018;78:213-220.

Antonelli Incalzi R, Corsonello A, Pedone C, Corica F, Carbonin P. Depression and drug utilization in an elderly population. Ther Clin Risk Manag. 2005;1(1):55-60.

Yuruyen M, Yavuzer H, Demirdag F, et al. Is depression a predictive factor for polypharmacy in elderly? Clin Psychopharmacol. 2016;26(4):374-381.

Liu CP, Leung DS, Chi I. Social functioning, polypharmacy and depression in older Chinese primary care patients. Aging Ment Health. 2011;15(6):732-741.

Sanglier T, Saragoussi D, Milea D, Tournier M. Depressed older adults may be less cared for than depressed younger ones. Psychiatry Res. 2015;229(3):905-912.

Khezrian M, McNeil CJ, Myint PK, Murray AD. The association between polypharmacy and late life deficits in cognitive, physical and emotional capability: a cohort study. Int J Clin Pharm. 2019;41(1):251-257.

Volaklis KA, Thorand B, Peters A, et al. Physical activity, muscular strength, and polypharmacy among older multimorbid persons: results from the KORA-Age study. Scand J Med Sci Sports. 2018;28(2):604-612.

Vetrano DL, Villani ER, Grande G, et al. Association of polypharmacy with 1-year trajectories of cognitive and physical function in nursing home residents: results from a multicenter European study. J Am Med Dir Assoc. 2018;19(8):710-713.

Holvast F, van Hattem BA, Sinnige J, et al. Late-life depression and the association with multimorbidity and polypharmacy: a cross-sectional study. Fam Pract. 2017;34(5):539-545.

Bazargan M, Smith J, Saqib M, Helmi H, Assari S. Associations between polypharmacy, self-rated health, and depression in African American older adults; mediators and moderators. Int J Environ Res Public Health. 2019;16(9).

McLean AJ, Le Couteur DG. Aging biology and geriatric clinical pharmacology. Pharmacol Rev. 2004;56(2):163-184.

Lim LM, McStea M, Chung WW, et al. Prevalence, risk factors and health outcomes associated with polypharmacy among urban community-dwelling older adults in multi-ethnic Malaysia. PLOS ONE. 2017;12(3):e0173466.

Kim HA, Shin JY, Kim MH, Park BJ. Prevalence and predictors of polypharmacy among Korean elderly. PLOS ONE. 2014;9(6):e98043.

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Published

2022-09-26

How to Cite

Çiğiloğlu, A., Efendioğlu, E. M., & Öztürk, Z. A. (2022). Polypharmacy and Depression Among Older Individuals. European Journal of Therapeutics, 28(3), 226–229. https://doi.org/10.5152/EurJTher.2022.21040

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Original Articles