Ten-year trends in benzodiazepine use in the Dutch population

• Published in: Social Psychiatry and Psychiatric Epidemiology 2012-02, Vol.47 (2), p.293-301
• Main Authors: Sonnenberg, Caroline M., Bierman, Ellis J. M., Deeg, Dorly J. H., Comijs, Hannie C., van Tilburg, Willem, Beekman, Aartjan T. F.
• Format: Article
• Language: English
• Subjects: Addictions; Aging; Aging - physiology; Analysis; Antidepressants; Anxiety disorders; Benzodiazepines; Benzodiazepines - economics; Benzodiazepines - therapeutic use; Biological and medical sciences; Care and treatment; Cognition & reasoning; cognitive ability; depression; Drug Utilization - economics; Drug Utilization - trends; Education; Epidemiology; Female; guidelines; Health Status Indicators; Health Surveys; Humans; income; Longitudinal Studies; Male; Medical sciences; Medicine; Medicine & Public Health; Mental depression; mental disorders; Mental health; Mental Health - economics; Mental Health - trends; Middle age; Middle Aged; Netherlands; Older people; Original Paper; Prevalence; Psychiatric Status Rating Scales; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Sex Factors; Sleep disorders; Social psychiatry. Ethnopsychiatry; Surveys and Questionnaires; Time Factors; Trends; Womens health
• ISSN: 0933-7954; 1433-9285
• DOI: 10.1007/s00127-011-0344-1

Background In the past decades knowledge on adequate treatment of affective disorders and awareness of the negative consequences of long-term benzodiazepine use increased. Therefore, a decrease in benzodiazepine use is expected, particularly in prolonged use. The aim of this study was to assess time trends in benzodiazepine use. Methods and material Data from the Longitudinal Aging Study Amsterdam (LASA) were used to investigate trends in benzodiazepine use between 1992 and 2002 in two population-based samples aged 55–64 years. Differences between the two samples with respect to benzodiazepine use and to sociodemographic, physical health and mental health characteristics were described and tested with chi-square tests and logistic regression analyses. Results Benzodiazepine use remained stable over 10 years, with 7.8% in LASA-1 ( n  = 874) and 7.9% in LASA-2 ( n  = 919) ( p  = 0.90) with a persisting preponderance in women and in people with low education, low income, chronic physical diseases, functional limitations, cognitive impairment, depression, anxiety complaints, sleep problems and when using antidepressants. Long-term use remained high with 70% in 1992 and 80% in 2002 of total benzodiazepine use. Conclusion In the Dutch population aged 55–64, overall benzodiazepine use remained stable from 1992 to 2002, with a high proportion of long-term users, despite the effort to reduce benzodiazepine use and the renewal of the guidelines. More effort should be made to decrease prolonged benzodiazepine use in this middle-aged group, because of the increasing risks with ageing.