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Benzodiazepine dependence in Singapore
Yanhong Dong1, Munidasa Winslow, Yiong Huak Chan
1Community Addiction Management Program, Institute of Mental Health, Singapore.
Substance Use & Misuse
|August 4, 2007
Summary
Benzodiazepine (BZD) abuse in Singapore stems from both patient doctor-shopping and physician prescribing habits. Enhanced physician training is crucial for managing BZD dependence effectively.
Area of Science:
- Pharmacology
- Psychiatry
- Public Health
Background:
- Benzodiazepine (BZD) dependence is a significant public health concern.
- Understanding prescribing patterns and patient behaviors is vital for effective management.
Purpose of the Study:
- To investigate benzodiazepine use patterns among dependent patients in Singapore.
- To explore patient perceptions of doctors' prescribing practices.
- To identify factors contributing to BZD abuse.
Main Methods:
- A study involving 100 BZD-dependent patients in Singapore (2003-2005).
- Data collection included demographic and psychiatric profiles, BZD use patterns, and patient perceptions.
- The Benzodiazepine Dependence Self-Report Questionnaire (Bendep-SRQ) was administered.
Main Results:
- The average participant age was 39.4 years, with 88% being Chinese and 58% male.
- Unemployment (48%) and secondary school education (48%) were common.
- Both doctor-shopping and prescribing practices contribute to BZD abuse.
Conclusions:
- Physician prescribing practices and patient doctor-shopping behavior are key contributors to benzodiazepine abuse in Singapore.
- There is a clear need for enhanced physician training in assessing and managing benzodiazepine dependence.
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