The present status of electroconvulsive therapy: a systematic review.
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Anesthesia↗
Biomedical subjects
R W Lyndon
Publications and source records attributed to R W Lyndon.
Management of depression. The relevance of biological treatments.
The aim of this article is to encourage consideration of a holistic view of depression, encompassing both psychological and biological viewpoints, and to describe the rationale and relevance of biological treatments commonly practised by psychiatrists. A central tenet of the article is that depression has a multifactorial aetiology and its management frequently involves both psychological and biological treatments.
Depressive Disorder↗
The role of specialised units in the treatment of affective disorders.
Units which specialise in the treatment of affective (mood) disorders are gaining popularity in Australia and overseas. This paper examines the history, role and function of these units with particular reference to their benefits and disadvantages. Specialised units can offer advantages in the assessment and management of depression and bipolar illness, as well as being centres for research and education. Further research into their effectiveness is needed to enable their rational integration into existing psychiatric services.
Bipolar Disorder↗
Can overuse of psychotropic drugs by the elderly be prevented?
Despite increasing awareness of the problems associated with long term psychotropic use, consumption by the elderly remains high. This study examines some of the reasons for this with a view to prevention. Fifty seven elderly patients using psychotropic medication were interviewed to determine the prevalence of psychiatric illness, patterns of drug use, the reasons for the initial prescription and any relationship to life events. Attitudes to continued use were also assessed. The results suggest that levels of psychotropic use by the elderly could be reduced by improved management of life crises and insomnia.
Aged↗
Benzodiazepine use in a rural general practice population.
This study investigates the prevalence and pattern of benzodiazepine use in an isolated Australian rural general practice setting. Some clinical features of psychological dependence were also examined. Data were obtained from 771 patients attending each of two general practices over a five-day period. The results indicated that 11.3% of the sample had used a benzodiazepine in the preceding four weeks and that 82% of these had been regular users for over six months. Prevalence increased with age and 36.5% of patients over the age of 70 were using benzodiazepines. Features suggesting some degree of psychological dependence were found in over 50% of users. The findings illustrate the extensive and prolonged use of benzodiazepines and raise questions about overuse and dependence, particularly in the elderly.
Adolescent↗