Psychiatric Deprescribing: A Narrative Review

被引:3
作者
Harding, Shari L. [1 ,5 ]
Ellis, Kerri A. [2 ]
Boisseau, John [3 ]
Petreca, Victor [4 ]
机构
[1] Univ Massachusetts, Chan Med Sch, Worcester, MA USA
[2] Univ Rhode Isl, Kingston, RI USA
[3] LifeStance Hlth Inc, Boston, MA USA
[4] Boston Coll, Chestnut Hill, MA USA
[5] Univ Massachusetts, Tan Chingfen Grad Sch Nursing, Chan Med Sch, Assoc Prof Nursing & Psychiat, 55 Lake Ave North, Worcester, MA 01655 USA
关键词
deprescriptions; polypharmacy; drug tapering; mental disorders; MENTAL-HEALTH; DECISION-MAKING; MEDICATION; CARE;
D O I
10.1177/10783903231185353
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
OBJECTIVE: Psychiatric deprescribing is an intervention where psychiatric medications are reduced or discontinued with the goal to improve health and reduce unnecessary risks. The purpose of this study was to synthesize the literature related to psychiatric deprescribing to discuss practice and research implications. METHODS: A structured search of the literature was conducted from May to September 2022, yielding 29 articles meeting inclusion criteria. Articles were reviewed and synthesized. RESULTS: Psychiatric deprescribing is a complex process with many potential facilitators and barriers. The extant literature provides insight into current gaps in knowledge and implications for clinical practice and research. CONCLUSIONS: In current clinical practice, psychiatric deprescribing is a priority but there are significant barriers. Several areas of future research could be pursued to better support evidence-based practice in this area.
引用
收藏
页码:810 / 818
页数:9
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