Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1988 Feb 27;296(6622):603–606. doi: 10.1136/bmj.296.6622.603

Health of long term benzodiazepine users

E K Rodrigo, M B King, P Williams
PMCID: PMC2545236  PMID: 2894884

Abstract

The physical and psychological health of long term (over one year) users of benzodiazepines in one general practice was assessed by patients' self reporting of illness and by general practitioners' records. Of 3741 patients registered with the practice, 82 had been prescribed a benzodiazepine, and 64 of these agreed to enter the study. All but five of these patients were over 40 years of age, nearly a third (19) were given a diagnosis related to depression by interviewers, and between a third and a half reported a current physical illness.

Long term treatment with benzodiazepines is not necessarily optimum management but may reflect the realities of general practice.

Full text

PDF
603

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Balter M. B., Manheimer D. I., Mellinger G. D., Uhlenhuth E. H. A cross-national comparison of anti-anxiety/sedative drug use. Curr Med Res Opin. 1984;8 (Suppl 4):5–20. doi: 10.1185/03007998409109541. [DOI] [PubMed] [Google Scholar]
  2. Cooperstock R. Psychotropic drug use among women. Can Med Assoc J. 1976 Oct 23;115(8):760–763. [PMC free article] [PubMed] [Google Scholar]
  3. Cooperstock R. Sex differences in psychotropic drug use. Soc Sci Med. 1978 Jul;12(3B):179–186. doi: 10.1016/0160-7987(78)90031-5. [DOI] [PubMed] [Google Scholar]
  4. Goldberg D. P., Cooper B., Eastwood M. R., Kedward H. B., Shepherd M. A standardized psychiatric interview for use in community surveys. Br J Prev Soc Med. 1970 Feb;24(1):18–23. doi: 10.1136/jech.24.1.18. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Greenblatt D. J., Shader R. I., Abernethy D. R. Drug therapy. Current status of benzodiazepines. N Engl J Med. 1983 Aug 18;309(7):410–416. doi: 10.1056/NEJM198308183090705. [DOI] [PubMed] [Google Scholar]
  6. Kellner R., Sheffield B. F. A self-rating scale of distress. Psychol Med. 1973 Feb;3(1):88–100. doi: 10.1017/s0033291700046377. [DOI] [PubMed] [Google Scholar]
  7. Lader M. Clinical pharmacology of benzodiazepines. Annu Rev Med. 1987;38:19–28. doi: 10.1146/annurev.me.38.020187.000315. [DOI] [PubMed] [Google Scholar]
  8. Marchbanks R. M. Choline, acetylcholine and dementia. Psychol Med. 1980 Feb;10(1):1–3. doi: 10.1017/s0033291700039544. [DOI] [PubMed] [Google Scholar]
  9. Marks J. N., Goldberg D. P., Hillier V. F. Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med. 1979 May;9(2):337–353. doi: 10.1017/s0033291700030853. [DOI] [PubMed] [Google Scholar]
  10. Mellinger G. D., Balter M. B., Uhlenhuth E. H., Cisin I. H., Manheimer D. I., Rickels K. Evaluating a household survey measure of psychic distress. Psychol Med. 1983 Aug;13(3):607–622. doi: 10.1017/s0033291700048029. [DOI] [PubMed] [Google Scholar]
  11. Mellinger G. D., Balter M. B., Uhlenhuth E. H. Prevalence and correlates of the long-term regular use of anxiolytics. JAMA. 1984 Jan 20;251(3):375–379. [PubMed] [Google Scholar]
  12. Murray J. Long-term psychotropic drug-taking and the process of withdrawal. Psychol Med. 1981 Nov;11(4):853–858. doi: 10.1017/s0033291700041350. [DOI] [PubMed] [Google Scholar]
  13. Murray J., Williams P., Clare A. Health and social characteristics of long-term psychotropic drug takers. Soc Sci Med. 1982;16(18):1595–1598. doi: 10.1016/0277-9536(82)90289-1. [DOI] [PubMed] [Google Scholar]
  14. Salinsky J. V., Doré C. J. Characteristics of long term benzodiazepine users in general practice. J R Coll Gen Pract. 1987 May;37(298):202–204. [PMC free article] [PubMed] [Google Scholar]
  15. Schatzberg A. F., Cole J. O. Benzodiazepines in depressive disorders. Arch Gen Psychiatry. 1978 Nov;35(11):1359–1365. doi: 10.1001/archpsyc.1978.01770350085008. [DOI] [PubMed] [Google Scholar]
  16. Skuse D., Williams P. Screening for psychiatric disorder in general practice. Psychol Med. 1984 May;14(2):365–377. doi: 10.1017/s0033291700003615. [DOI] [PubMed] [Google Scholar]
  17. Solow C. Psychotropic drugs in somatic disorders. Int J Psychiatry Med. 1975;6(1-2):267–282. doi: 10.2190/J3FN-GELM-65WA-3HBU. [DOI] [PubMed] [Google Scholar]
  18. Trethowan W. H. Pills for personal problems. Br Med J. 1975 Sep 27;3(5986):749–751. doi: 10.1136/bmj.3.5986.749. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Weissman M. M., Klerman G. L. The chronic depressive in the community: unrecognized and poorly treated. Compr Psychiatry. 1977 Nov-Dec;18(6):523–532. doi: 10.1016/s0010-440x(97)90002-x. [DOI] [PubMed] [Google Scholar]
  20. Weissman M. M., Myers J. K., Thompson W. D. Depression and its treatment in a US urban community-1975-1976. Arch Gen Psychiatry. 1981 Apr;38(4):417–421. doi: 10.1001/archpsyc.1981.01780290051005. [DOI] [PubMed] [Google Scholar]
  21. Williams P. Factor influencing the duration of treatment with psychotropic drugs in general practice: a survival analysis approach. Psychol Med. 1983 Aug;13(3):623–633. doi: 10.1017/s0033291700048030. [DOI] [PubMed] [Google Scholar]
  22. Williams P., Murray J., Clare A. A longitudinal study of psychotropic drug prescription. Psychol Med. 1982 Feb;12(1):201–206. doi: 10.1017/s0033291700043464. [DOI] [PubMed] [Google Scholar]
  23. Williams P. Patterns of psychotropic drug use. Soc Sci Med. 1983;17(13):845–851. doi: 10.1016/0277-9536(83)90273-3. [DOI] [PubMed] [Google Scholar]
  24. Williams P. Physical ill-health and psychotropic drug prescription--a review. Psychol Med. 1978 Nov;8(4):683–693. doi: 10.1017/s0033291700018882. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES