{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T18:51:46Z","timestamp":1791139906099,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T00:00:00Z","timestamp":1389571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the effect of age on psychotropic coprescribing, psychiatric diagnoses, and other clinical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      Analysis of the\n                      <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>\n                      ational\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      mbulatory\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      edical\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      are\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      urvey.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A national sample of outpatient visits to physicians (N\u00a0=\u00a02,406) in office\u2010based practice in 2010.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adults prescribed psychotropic medication (N\u00a0=\u00a031,229).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Office visits at which antidepressant, anxiolytic, sedative, hypnotic, antipsychotic, or mood stabilizer medications were prescribed were grouped according to participant age (21\u201364, \u226565) and then compared within each medication class on visit characteristics. and then compared according to variables including provider type, sex, and race; presence of diagnosed mental illness; prescription of other psychotropic agents; total number of chronic conditions; time spent with physician; and total number of medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 2010, there were 90.3\u00a0million antidepressant office visits; 77.7\u00a0million anxiolytic\/sedative\/hypnotic visits; 15.5\u00a0million antipsychotic visits; and 9.5\u00a0million mood stabilizer visits. Nonpsychiatrists prescribed the majority of psychotropic medications for every class and age group; 17.3% of older adult antipsychotic visits and 44.9% of younger adult antipsychotic visits were to a psychiatrist (chi\u2010square\u00a0=\u00a019.58,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001). Older adults in every medication class were less likely to have a diagnosed mental disorder.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Older adults prescribed psychotropic medication were less likely to have a diagnosed mental disorder than their younger counterparts. Efforts to promote quality prescribing should seek to minimize nonspecific use of psychotropic medication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12640","type":"journal-article","created":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T17:07:12Z","timestamp":1389632832000},"page":"358-364","source":"Crossref","is-referenced-by-count":26,"title":["Effect of Age on the Profile of Psychotropic Users: Results from the 2010 National Ambulatory Medical Care Survey"],"prefix":"10.1111","volume":"62","author":[{"given":"Donovan T.","family":"Maust","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Michigan Ann Arbor Michigan"},{"name":"Center for Clinical Management Research Veterans Affairs Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Oslin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Veterans Integrated Service Networks 4 Mental Illness Research, Education, and Clinical Center Philadelphia Veterans Affairs Medical Center Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven C.","family":"Marcus","sequence":"additional","affiliation":[{"name":"School of Social Policy and Practice University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Center for Health Equity Research and Promotion Philadelphia Veterans Affairs Medical Center Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjopharm.2007.12.002"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.6.716"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0091270005280297"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/clpt.2011.54"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1L264"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.03923.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.200"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e977"},{"key":"e_1_2_6_10_1","first-page":"E411","article-title":"Risk of death and hospital admission for major medical events after initiation of psychotropic medications in older adults admitted to nursing homes","volume":"183","author":"Huybrechts KF","year":"2011","journal-title":"Can Med Assoc J"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2165\/00002512-200926060-00005"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2009.175"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.07.007"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2011.11010087"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-200309000-00006"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.1024"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.09m05776blu"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.28.5.w770"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2012.647"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e318202c1dc"},{"key":"e_1_2_6_21_1","unstructured":"National Ambulatory Medical Care Survey: 2009 summary tables.National Center for Health Statistics Centers for Disease Control and Prevention[on\u2010line]. 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