Socio-demographic and clinical characteristics of benzodiazepine long-term users: Results from a tertiary care center

Compr Psychiatry. 2016 Aug:69:211-5. doi: 10.1016/j.comppsych.2016.06.008. Epub 2016 Jun 14.

Abstract

Objective: The use of benzodiazepines (BDZs) represents a critical issue since a long-term treatment may lead to dependence. This study aimed at evaluating socio-demographic and clinical characteristics of BZD long-term users who followed a detoxification program at a tertiary care center.

Method: Two hundred-five inpatients were evaluated. Socio-demographic (e.g., gender, age, education) and clinical information (e.g., BZD used, dose, reason of prescription) was collected. BZDs dose was standardized as diazepam dose equivalents and was compared via the Defined Daily Dose (DDD). Chi-square, Fisher test, ANOVA and Bonferroni analyses were performed.

Results: Females were more frequently BDZ long-term users than males. Hypnotic BZDs were frequently prescribed for problems different from sleep disturbances. Lorazepam, alprazolam, and lormetazepam were the most prescribed drugs. Lorazepam was more frequently used by males, consumed for a long period, in pills, and prescribed for anxiety. Lormetazepam was more frequently consumed by females with a high school education, having a psychiatric disorder, taken in drops and prescribed for insomnia. Lormetazepam had the highest DDD.

Conclusion: A specific profile of BZD long-term user seems to exist and presents different socio-demographic and clinical characteristics according to the benzodiazepine taken into account.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Anxiety Disorders / drug therapy
  • Anxiety Disorders / psychology
  • Benzodiazepines / adverse effects*
  • Benzodiazepines / therapeutic use*
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Long-Term Care*
  • Lorazepam / analogs & derivatives
  • Lorazepam / therapeutic use
  • Male
  • Middle Aged
  • Sleep Initiation and Maintenance Disorders / drug therapy
  • Sleep Initiation and Maintenance Disorders / psychology
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / psychology*
  • Substance-Related Disorders / rehabilitation*
  • Tertiary Care Centers

Substances

  • Benzodiazepines
  • lormetazepam
  • Lorazepam