{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T04:08:56Z","timestamp":1768277336205,"version":"3.49.0"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T00:00:00Z","timestamp":1548028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP26305018"],"award-info":[{"award-number":["JP26305018"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this cross\u2010sectional study was to compare patterns of psychotropic prescription drug use among cognitively impaired residents in long\u2010term care facilities in East Asia and to explore factors associated with these patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included elderly participants with cognitive impairments residing in long\u2010term care facilities with and without dementia care units in Japan, South Korea, China, Taiwan, and Thailand. The Mini\u2010Mental State Examination, the Clinical Dementia Rating, and the Neuropsychiatric Inventory, Nursing Home version were used to assess cognitive status, examine dementia severity, and evaluate behavioural psychological symptoms of dementia, respectively. The rate of psychotropic drug use and the relationship between the number of psychotropic drugs and clinical factors were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 662 people were analyzed. Facilities with dementia care units had a higher rate of anti\u2010dementia drug use than regular elderly care sites. Among the three dementia care sites, a Japanese hospital and a Korean site had a high rate of antipsychotic use and use of other types of psychotropics, whereas these drugs were used at a low rate in a Chinese nursing home. Patterns of psychotropic drug use may be partially associated with local regulations and facility type. Poly\u2010pharmacy was identified as a common problem at all study sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings will be beneficial for health\u2010care professionals and policymakers when developing practice guidelines and strategies to regulate overuse of psychotropics and poly\u2010pharmacy. Prospective studies are needed to examine patterns of psychotropic prescriptions and to promote evidence\u2010based practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12395","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T01:37:17Z","timestamp":1548121037000},"page":"291-299","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Variations and factors associated with psychotropic use in cognitively impaired elderly residing in long\u2010term care facilities in East Asia: a cross\u2010sectional study"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9437-967X","authenticated-orcid":false,"given":"Saya","family":"Terada","sequence":"first","affiliation":[{"name":"Division of Health Sciences, Department of Clinical Nursing Graduate School of Medicine, Osaka University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miyae","family":"Yamakawa","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Department of Clinical Nursing Graduate School of Medicine, Osaka University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Younhee","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Nursing Ewha Womans University  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayuri","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Nursing Faculty of Nursing Komazawa Women's University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao\u2010yan","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Nursing Nanfang Hospital  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirirat","family":"Panuthai","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Chiang Mai University  Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huei\u2010chuan","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Nursing, Graduate Institute of Long\u2010term Care Tzu Chi University of Science and Technology  Hualien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mizue","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Nursing Hamamatsu University School of Medicine  Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0242-1290","authenticated-orcid":false,"given":"Kiyoko","family":"Makimoto","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Department of Clinical Nursing Graduate School of Medicine, Osaka University  Osaka Japan"},{"name":"Department of Nursing, School of Nursing and Rehabilitation Konan Women's University  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,21]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"HeW GoodkindD KowalP. 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