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Changing Patterns of Psychotropics Use among Older Adults with Intellectual Disability over a Decade, with a Focus on Designated Mental Health Conditions

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Title: Changing Patterns of Psychotropics Use among Older Adults with Intellectual Disability over a Decade, with a Focus on Designated Mental Health Conditions
Language: English
Authors: Ashleigh Gorman (ORCID 0000-0001-8524-2399), Marina Odalovic, Aviejay Paul, Philip McCallion (ORCID 0000-0001-5129-6399), Éilish Burke (ORCID 0000-0002-3097-8048), Malcolm MacLachlan, Mary McCarron, Martin C. Henman, Maeve Moran, Juliette O'Connell, Rohit Shankar (ORCID 0000-0002-1183-6933), Caitríona M. Ryan, Cristín Ryan, Máire O'Dwyer
Source: Journal of Applied Research in Intellectual Disabilities. 2026 39(1).
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 11
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Descriptors: Drug Use, Older Adults, Intellectual Disability, Mental Disorders, Health Behavior, Foreign Countries
Geographic Terms: Ireland
DOI: 10.1111/jar.70182
ISSN: 1360-2322
1468-3148
Abstract: Background: Psychotropics (sometimes off-label), mental health diagnoses and behaviours of concern are common in older adults with intellectual disability. Guidelines recommend non-pharmacological interventions and regular medication review. This study examined changes in psychotropics among older adults ([greater than or equal to] 40) with intellectual disability. Methods: Longitudinal data were obtained from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) at two timepoints [Wave 1(2009/10); Wave 4(2019/20)]. Post hoc analysis, Chi-squared tests and univariate binary logistic regression were conducted. Results: Overall, psychotropics decreased (59.2% to 56.5%). Significant decreases in antipsychotics (43.1%-40.1%) and sedatives/hypnotics (13.6%-8.1%) and significant increase in antidepressants (26.2%-31.8%) were found. Nearly half of antidepressant users reported depression at Wave 1, compared with under 30% at Wave 4. Antipsychotics and antidepressants were common (75% and 60%, respectively) among those with behaviours of concern, after excluding clinical indications. Conclusion: Psychotropic prescribing remained consistent, though class-specific patterns shifted, with some decreases or increases observed.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1497676
Database: ERIC
FullText Text:
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  Data: Changing Patterns of Psychotropics Use among Older Adults with Intellectual Disability over a Decade, with a Focus on Designated Mental Health Conditions
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  Data: <searchLink fieldCode="AR" term="%22Ashleigh+Gorman%22">Ashleigh Gorman</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-8524-2399">0000-0001-8524-2399</externalLink>)<br /><searchLink fieldCode="AR" term="%22Marina+Odalovic%22">Marina Odalovic</searchLink><br /><searchLink fieldCode="AR" term="%22Aviejay+Paul%22">Aviejay Paul</searchLink><br /><searchLink fieldCode="AR" term="%22Philip+McCallion%22">Philip McCallion</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-5129-6399">0000-0001-5129-6399</externalLink>)<br /><searchLink fieldCode="AR" term="%22Éilish+Burke%22">Éilish Burke</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-3097-8048">0000-0002-3097-8048</externalLink>)<br /><searchLink fieldCode="AR" term="%22Malcolm+MacLachlan%22">Malcolm MacLachlan</searchLink><br /><searchLink fieldCode="AR" term="%22Mary+McCarron%22">Mary McCarron</searchLink><br /><searchLink fieldCode="AR" term="%22Martin+C%2E+Henman%22">Martin C. Henman</searchLink><br /><searchLink fieldCode="AR" term="%22Maeve+Moran%22">Maeve Moran</searchLink><br /><searchLink fieldCode="AR" term="%22Juliette+O'Connell%22">Juliette O'Connell</searchLink><br /><searchLink fieldCode="AR" term="%22Rohit+Shankar%22">Rohit Shankar</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-1183-6933">0000-0002-1183-6933</externalLink>)<br /><searchLink fieldCode="AR" term="%22Caitríona+M%2E+Ryan%22">Caitríona M. Ryan</searchLink><br /><searchLink fieldCode="AR" term="%22Cristín+Ryan%22">Cristín Ryan</searchLink><br /><searchLink fieldCode="AR" term="%22Máire+O'Dwyer%22">Máire O'Dwyer</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Applied+Research+in+Intellectual+Disabilities%22"><i>Journal of Applied Research in Intellectual Disabilities</i></searchLink>. 2026 39(1).
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: 11
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  Data: 2026
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Drug+Use%22">Drug Use</searchLink><br /><searchLink fieldCode="DE" term="%22Older+Adults%22">Older Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Intellectual+Disability%22">Intellectual Disability</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Disorders%22">Mental Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Behavior%22">Health Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink>
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Ireland%22">Ireland</searchLink>
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  Data: 10.1111/jar.70182
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  Data: 1360-2322<br />1468-3148
– Name: Abstract
  Label: Abstract
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  Data: Background: Psychotropics (sometimes off-label), mental health diagnoses and behaviours of concern are common in older adults with intellectual disability. Guidelines recommend non-pharmacological interventions and regular medication review. This study examined changes in psychotropics among older adults ([greater than or equal to] 40) with intellectual disability. Methods: Longitudinal data were obtained from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) at two timepoints [Wave 1(2009/10); Wave 4(2019/20)]. Post hoc analysis, Chi-squared tests and univariate binary logistic regression were conducted. Results: Overall, psychotropics decreased (59.2% to 56.5%). Significant decreases in antipsychotics (43.1%-40.1%) and sedatives/hypnotics (13.6%-8.1%) and significant increase in antidepressants (26.2%-31.8%) were found. Nearly half of antidepressant users reported depression at Wave 1, compared with under 30% at Wave 4. Antipsychotics and antidepressants were common (75% and 60%, respectively) among those with behaviours of concern, after excluding clinical indications. Conclusion: Psychotropic prescribing remained consistent, though class-specific patterns shifted, with some decreases or increases observed.
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  Data: 2026
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  Data: EJ1497676
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