The impact of mental disorders on health care utilization and illness behaviour in the elderly

被引:30
|
作者
Glaesmer, Heide [1 ]
Gunzelmann, Thomas [1 ]
Martin, Alexandra [2 ]
Braehler, Elmar [1 ]
Rief, Winfried [2 ]
机构
[1] Univ Leipzig, Selbststandige Abt Med Psychol & Med Soziol, D-04103 Leipzig, Germany
[2] Univ Marburg, Abt Klin Psychol & Psychotherapie, D-35032 Marburg, Germany
关键词
mental disorders; health care use; illness behaviour; aged; PHQ;
D O I
10.1055/s-2008-1067367
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective The differential impact of mental disorders on health care utilization and illness behaviour in old age should be studied. Methods In a representative population sample of men and women aged 50 years and older (n = 1.185) mental disorders (depression, somatisation and panic syndrome), health care utilization and illness behaviour were assessed by means of self rating instruments. Results About 10% of the study sample fulfil the criteria of at least one mental disorder. Older people with mental disorders showed a significantly increased health care utilization compared to people without mental disorders. They especially visit general practitioners but did not show an extended number of psychiatrists' or psychotherapists' visits. Mental disorders are associated with divergent illness behaviour. Regression analysis revealed that somatic complaints and depression were independent predictors of illness behaviour and health care utilization. Conclusions General practitioners get a central function in the health care system for older people with mental disorders. More attention should be paid to the detection of mental disorders in older people and the special requirements of this subgroup of patients.
引用
收藏
页码:187 / 193
页数:7
相关论文
共 50 条
  • [1] IMPACT OF POVERTY ON HEALTH CARE UTILIZATION IN THE ELDERLY
    Lin, C.
    Hsiao, F.
    [J]. VALUE IN HEALTH, 2016, 19 (07) : A906 - A906
  • [2] Health care utilization by persons with severe and persistent mental illness
    Berren, MR
    Santiago, JM
    Zent, MR
    Carbone, CP
    [J]. PSYCHIATRIC SERVICES, 1999, 50 (04) : 559 - 561
  • [3] Mental Health, Concurrent Disorders, and Health Care Utilization in Homeless Women
    Strehlau, Verena
    Torchalla, Iris
    Li, Kathy
    Schuetz, Christian
    Krausz, Michael
    [J]. JOURNAL OF PSYCHIATRIC PRACTICE, 2012, 18 (05) : 349 - 360
  • [4] The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care
    Corrigan, Patrick W.
    Druss, Benjamin G.
    Perlick, Deborah A.
    [J]. PSYCHOLOGICAL SCIENCE IN THE PUBLIC INTEREST, 2014, 15 (02) : 37 - 70
  • [5] Utilization of mental health and substance abuse care for people living with HIV/AIDS, chronic mental illness, and substance abuse disorders
    Weaver, Marcia R.
    Conover, Christopher J.
    Proescholdbell, Rae Jean
    Arno, Peter S.
    Ang, Alfonso
    Ettner, Susan L.
    [J]. JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2008, 47 (04) : 449 - 458
  • [6] Evaluating the Impact of Integrated Care on Service Utilization in Serious Mental Illness
    Heidi C. Waters
    Michael F. Furukawa
    Shari L. Jorissen
    [J]. Community Mental Health Journal, 2018, 54 : 1101 - 1108
  • [7] Evaluating the Impact of Integrated Care on Service Utilization in Serious Mental Illness
    Waters, Heidi C.
    Furukawa, Michael F.
    Jorissen, Shari L.
    [J]. COMMUNITY MENTAL HEALTH JOURNAL, 2018, 54 (08) : 1101 - 1108
  • [8] Substance Use Disorders, Mental Illness, and Health Care Utilization Among Adults With Recent Criminal Legal Involvement
    Shah, Harini
    Hawks, Laura
    Walker, Rebekah J.
    Egede, Leonard E.
    [J]. PSYCHIATRIC SERVICES, 2024, 75 (03) : 221 - 227
  • [9] Health Care Utilization Prior to Loss to Care Among Veterans With Serious Mental Illness
    Abraham, Kristen M.
    Lai, Zongshan
    Bowersox, Nicholas W.
    Goodrich, David E.
    Visnic, Stephanie
    Burk, Jeffrey P.
    Kilbourne, Amy M.
    [J]. PSYCHIATRIC SERVICES, 2013, 64 (06) : 594 - 596
  • [10] The impact of cancer on the physical function of the elderly and their utilization of health care
    Fratino, L
    Serraino, D
    Zagonel, V
    [J]. CANCER, 1998, 83 (03) : 589 - 590