Determination of the main risk factors for benzodiazepine dependence using a multivariate and multidimensional approach.
Publication year
2004Source
Comprehensive Psychiatry, 45, 2, (2004), pp. 88-94ISSN
Publication type
Article / Letter to editor

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Organization
Psychiatry
IQ Healthcare
SW OZ BSI KLP
Former Organization
Centre for Quality of Care Research
Journal title
Comprehensive Psychiatry
Volume
vol. 45
Issue
iss. 2
Page start
p. 88
Page end
p. 94
Subject
EBP 1: Determinants in Health and Disease; EBP 3: Effective Primary Care and Public Health; EBP 4: Quality of Care; UMCN 3.2: Cognitive neurosciencesAbstract
The aim of this study was to identify risk factors for benzodiazepine (BZD) dependence, such as sociodemographic variables, characteristics of BZD use, and psychiatric parameters, which to date have been found to relate inconsistently to indicators of BZD dependence such as chronic BZD use and BZD withdrawal symptoms. The Benzodiazepine Dependence Self-Report Questionnaire (Bendep-SRQ), Schedules for Clinical Assessment in Neuropsychiatry (SCAN), and Symptom Checklist-90 (SCL-90) were administered to 599 outpatients using BZDs. Regression analyses were conducted using BZD dependence diagnoses and severity scales as dependent variables. BZD dependence diagnoses were only predicted by being a self-help patient and long BZD elimination half-life (for only the DSM-III-R). The main predictors of BZD dependence severity, as measured by the ICD-10, DSM-III-R scales, and Bendep-SRQ Rasch scales, were in decreasing order: (1) being a self-help patient; (2) higher BZD dose, longer duration of BZD use, younger age; and (3) non-native cultural origin, lower level of education, being in outpatient treatment for alcohol and/or drug dependence, and the interaction of BZD dose with duration of BZD use. We conclude that a limited number of recognizable risk factors appear to predict the severity of BZD dependence. Additional administration of a specific BZD dependence instrument is recommended to confirm suspected BZD dependence and guide further clinical decision-making.
This item appears in the following Collection(s)
- Academic publications [227425]
- Faculty of Medical Sciences [86157]
- Faculty of Social Sciences [28413]
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