Sedative hypnotic use among veterans with a newly reported mental health disorder

• Published in: International psychogeriatrics Vol. 28; no. 8; pp. 1391 - 1398
• Main Authors: DiNapoli, Elizabeth A., Bramoweth, Adam D., Cinna, Christopher, Kasckow, John
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.08.2016
• Subjects: Aged; Aged, 80 and over; Cohort Studies; Female; Humans; Hypnotics and Sedatives - therapeutic use; Inappropriate Prescribing; Male; Mental disorders; Mental Disorders - diagnosis; Mental Disorders - drug therapy; Mental Health; Older people; Sleep Initiation and Maintenance Disorders - drug therapy; Socioeconomic Factors; Studies; Veterans; Veterans - psychology; sedatives and hypnotics; aged; veterans; inappropriate prescriptions; mental health
• ISSN: 1041-6102; 1741-203X
• DOI: 10.1017/S1041610216000521

This study compared sedative hypnotic use by type of mental health diagnosis and determined factors associated with use among older veterans (65+ years) with a newly reported mental health disorder. This study used data from veterans who received primary care services at VA Pittsburgh Healthcare System (VAPHS) from January 1, 2007 to December 31, 2011 (n = 879). Sedative hypnotics were commonly used in older veterans within 12-months following a newly reported mental health disorder (19.9%), particularly amongst those with insomnia (41.7%). The number of newly reported mental health disorders was a significant factor associated with sedative hypnotic use, with the odds of use increasing by more than 200% in older adults with two newly reported disorders compared to those with one newly reported mental health disorder. Continued efforts are needed to improve provider and patient awareness of the risks associated with sedative hypnotic use in older adults, as well as to increase access to and receipt of non-pharmacological mental health treatments for this vulnerable population.