Healthcare use for major depressive disorders among middle-aged and older adults in the community
Purpose There is a substantial gap between people having a mental disorder and those treated for this disorder. Studies that assessed the influence of age on healthcare use for major depressive disorder (MDD) have provided inconsistent results. We aimed to assess healthcare use in terms of treatment-seeking and psychotropic medication use in four age groups of 45- to 85-year-old community dwellers meeting criteria for MDD. Methods Data stemmed from CoLaus|PsyCoLaus, a population-based prospective cohort study. Diagnostic information on mental disorders, utilization of professional healthcare and psychotropic drugs was elicited using a semi-structured interview. Associations between age groups and healthcare use were established using logistic regression models with serial adjustments for socio-demographic and depression characteristics as well as comorbid mental disorders and cardio-metabolic features. Results Compared to participants of the youngest age group (ages 45 to 54 years), (1) those older than 75 years were less likely to use healthcare from psychiatrists or psychologists (OR: 0.4 [95% CI 0.17–0.96]), although the frequency of using any professional health care did not vary across age groups; (2) those older than 55 years used any psychotropic medication more frequently; and (3) those aged 55–64 years used antidepressants more frequently (OR: 1.61 [95% CI 1.07–2.44]), whereas those aged 65–74 years used anxiolytics more frequently (OR: 2.30 [95% CI 1.15–4.58]). Conclusion Age is a complex biological and social factor that influences healthcare use..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:57 |
|---|---|
| Enthalten in: |
Social psychiatry + psychiatric epidemiology - 57(2021), 5 vom: 29. Nov., Seite 953-961 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Schuster, Jean-Pierre [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| Themen: |
Antidepressant |
|---|
| Anmerkungen: |
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2021 |
|---|
| doi: |
10.1007/s00127-021-02193-8 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
OLC2078536512 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | OLC2078536512 | ||
| 003 | DE-627 | ||
| 005 | 20230514002555.0 | ||
| 007 | tu | ||
| 008 | 221220s2021 xx ||||| 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00127-021-02193-8 |2 doi | |
| 035 | |a (DE-627)OLC2078536512 | ||
| 035 | |a (DE-He213)s00127-021-02193-8-p | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |a 150 |a 360 |q VZ |
| 082 | 0 | 4 | |a 150 |a 300 |a 610 |q VZ |
| 100 | 1 | |a Schuster, Jean-Pierre |e verfasserin |0 (orcid)0000-0001-6324-2873 |4 aut | |
| 245 | 1 | 0 | |a Healthcare use for major depressive disorders among middle-aged and older adults in the community |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2021 | ||
| 520 | |a Purpose There is a substantial gap between people having a mental disorder and those treated for this disorder. Studies that assessed the influence of age on healthcare use for major depressive disorder (MDD) have provided inconsistent results. We aimed to assess healthcare use in terms of treatment-seeking and psychotropic medication use in four age groups of 45- to 85-year-old community dwellers meeting criteria for MDD. Methods Data stemmed from CoLaus|PsyCoLaus, a population-based prospective cohort study. Diagnostic information on mental disorders, utilization of professional healthcare and psychotropic drugs was elicited using a semi-structured interview. Associations between age groups and healthcare use were established using logistic regression models with serial adjustments for socio-demographic and depression characteristics as well as comorbid mental disorders and cardio-metabolic features. Results Compared to participants of the youngest age group (ages 45 to 54 years), (1) those older than 75 years were less likely to use healthcare from psychiatrists or psychologists (OR: 0.4 [95% CI 0.17–0.96]), although the frequency of using any professional health care did not vary across age groups; (2) those older than 55 years used any psychotropic medication more frequently; and (3) those aged 55–64 years used antidepressants more frequently (OR: 1.61 [95% CI 1.07–2.44]), whereas those aged 65–74 years used anxiolytics more frequently (OR: 2.30 [95% CI 1.15–4.58]). Conclusion Age is a complex biological and social factor that influences healthcare use. | ||
| 650 | 4 | |a Healthcare use | |
| 650 | 4 | |a Depression | |
| 650 | 4 | |a Antidepressant | |
| 650 | 4 | |a PsyCoLaus | |
| 650 | 4 | |a Population-based study | |
| 650 | 4 | |a Old-age psychiatry | |
| 700 | 1 | |a Strippoli, Marie-Pierre F. |4 aut | |
| 700 | 1 | |a Hoertel, Nicolas |4 aut | |
| 700 | 1 | |a Marques-Vidal, Pedro |4 aut | |
| 700 | 1 | |a Vandeleur, Caroline L. |4 aut | |
| 700 | 1 | |a Limosin, Frédéric |4 aut | |
| 700 | 1 | |a Preisig, Martin |4 aut | |
| 700 | 1 | |a von Gunten, Armin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Social psychiatry + psychiatric epidemiology |d Springer Berlin Heidelberg, 1988 |g 57(2021), 5 vom: 29. Nov., Seite 953-961 |w (DE-627)130412899 |w (DE-600)623071-4 |w (DE-576)01591593X |x 0933-7954 |7 nnns |
| 773 | 1 | 8 | |g volume:57 |g year:2021 |g number:5 |g day:29 |g month:11 |g pages:953-961 |
| 856 | 4 | 1 | |u https://doi.org/10.1007/s00127-021-02193-8 |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a SSG-OLC-PSY | ||
| 912 | |a SSG-OLC-PHA | ||
| 912 | |a SSG-OLC-DE-84 | ||
| 912 | |a GBV_ILN_267 | ||
| 912 | |a GBV_ILN_2018 | ||
| 912 | |a GBV_ILN_4125 | ||
| 912 | |a GBV_ILN_4277 | ||
| 951 | |a AR | ||
| 952 | |d 57 |j 2021 |e 5 |b 29 |c 11 |h 953-961 | ||