TY - JOUR
T1 - Prescribing practices for patients with borderline personality disorder during psychiatric hospitalizations
AU - Romanowicz, Magdalena
AU - Schak, Kathryn M.
AU - Vande Voort, Jennifer L.
AU - Leung, Jonathan G.
AU - Larrabee, Beth R.
AU - Palmer, Brian A.
N1 - Publisher Copyright:
© 2020 The Guilford Press.
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Acute care
KW - Evidence-based treatment
KW - Polypharmacy
KW - Psychopharmacology
UR - http://www.scopus.com/inward/record.url?scp=85097010546&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85097010546&partnerID=8YFLogxK
U2 - 10.1521/pedi_2019_33_405
DO - 10.1521/pedi_2019_33_405
M3 - Article
C2 - 30742548
AN - SCOPUS:85097010546
SN - 0885-579X
VL - 34
SP - 736
EP - 749
JO - Journal of Personality Disorders
JF - Journal of Personality Disorders
IS - 6
ER -