Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems

被引：28

作者：

Volkert, Jana ^{[1
,2
]}

Andreas, Sylke ^{[1
,3
,4
]}

Haerter, Martin ^{[1
]}

Dehoust, Maria Christina ^{[1
]}

Sehner, Susanne ^{[5
]}

Suling, Anna ^{[5
]}

Ausin, Berta ^{[6
]}

Canuto, Alessandra ^{[7
]}

Crawford, Mike J. ^{[8
]}

Da Ronch, Chiara ^{[9
]}

Grassi, Luigi ^{[9
]}

Hershkovitz, Yael ^{[10
]}

Munoz, Manuel ^{[6
]}

Quirk, Alan ^{[8
]}

Rotenstein, Ora ^{[10
]}

Santos-Olmo, Ana Belen ^{[6
]}

Shalev, Arieh Y. ^{[11
]}

Strehle, Jens ^{[12
]}

Weber, Kerstin ^{[13
]}

Wegscheider, Karl ^{[5
]}

Wittchen, Hans-Ulrich ^{[12
,14
]}

Schulz, Holger ^{[1
]}

机构：

[1] Univ Med Ctr Hamburg Eppendorf, Dept Med Psychol, Martinistr 52,Bldg W 26, D-20246 Hamburg, Germany

[2] Heidelberg Univ, Dept Psychosocial Prevent, Bergheimer Str 54, D-69115 Heidelberg, Germany

[3] Alpen Adria Univ Klagenfurt, Inst Psychol, A-9020 Klagenfurt, Austria

[4] Univ Witten Herdecke, Dept Psychol, Alfred Herrhausen Str 50, D-58448 Witten, Germany

[5] Univ Med Ctr Hamburg Eppendorf, Inst Med Biometry & Epidemiol, Martinistr 52,Bldg W 34, D-20246 Hamburg, Germany

[6] Univ Complutense Madrid, Sch Psychol, Campus Somosaguas S-N, Madrid 28223, Spain

[7] East Vaud Psychiat Inst, Nant Fdn, Route Nant, CH-1804 Corsier Sur Vevey, Switzerland

[8] Royal Coll Psychiatrists, Mansell St 21, London E1 8AA, England

[9] Univ Ferrara, Inst Psychiat, Dept Biomed & Specialty Surg Sci, Corso Giovecca 203, I-44121 Ferrara, Italy

[10] Hadassah Univ Med Ctr, POB 12000, IL-91120 Jerusalem, Israel

[11] NY Langone Med Ctr, Dept Psychiat, New York, NY USA

[12] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, Chemnitzer Str 46, D-01187 Dresden, Germany

[13] Univ Hosp Geneva, Med Direct, Chemin Champ Dollon 20, CH-1241 Puplinge, Switzerland

[14] Ludwigs Maximilians Univ Munchen, Dept Psychiat & Psychotherapy, Nussbaumstr 7, D-80336 Munich, Germany

来源：

INTERNATIONAL PSYCHOGERIATRICS | 2018年 / 30卷 / 07期

关键词：

aging; services; epidemiology; OLDER-ADULTS; ANXIETY DISORDERS; CARE SERVICES; UNITED-STATES; DEPRESSION; COMMUNITY; BARRIERS; STIGMA; EPIDEMIOLOGY; SYMPTOMS;

D O I：

10.1017/S1041610217002526

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background: Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly. Methods: As part of the MentDis_ICF65+ study, N = 3,142 people aged 65-84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses. Results: Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. I can deal with my problem on my own (90%). Conclusion: Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.

引用

页码：1027 / 1037

页数：11

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