Association of depressive symptoms with health care utilization in older adults : Longitudinal evidence from the Survey of Health, Aging and Retirement in Europe

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http://hdl.handle.net/10138/328754

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Komulainen , K , Gluschkoff , K , Velázquez , R G , Airaksinen , J , Szmulewicz , A & Jokela , M 2021 , ' Association of depressive symptoms with health care utilization in older adults : Longitudinal evidence from the Survey of Health, Aging and Retirement in Europe ' , International Journal of Geriatric Psychiatry , vol. 36 , no. 4 , pp. 521-529 . https://doi.org/10.1002/gps.5447

Titel: Association of depressive symptoms with health care utilization in older adults : Longitudinal evidence from the Survey of Health, Aging and Retirement in Europe
Författare: Komulainen, Kaisla; Gluschkoff, Kia; Velázquez, Regina Garcia; Airaksinen, Jaakko; Szmulewicz, Alejandro; Jokela, Markus
Upphovmannens organisation: Department of Psychology and Logopedics
Helsinki Inequality Initiative (INEQ)
Medicum
Institute of Criminology and Legal Policy
Behavioural Sciences
Datum: 2021-04
Språk: eng
Sidantal: 9
Tillhör serie: International Journal of Geriatric Psychiatry
ISSN: 0885-6230
DOI: https://doi.org/10.1002/gps.5447
Permanenta länken (URI): http://hdl.handle.net/10138/328754
Abstrakt: Objectives Many older adults with depression do not receive adequate treatment. Differences in treatment utilization may reflect the heterogeneous nature of depression, encompassing multiple distinct symptoms. We assessed whether depressive symptoms are differentially associated with subsequent health care utilization with respect to three outcomes as follows: (1) contact with a medical doctor (MD), (2) depression-specific treatment, and (3) inpatient psychiatric admission. Methods/Design Longitudinal analyses were based on data from three follow-up cycles conducted between 2004 and 2013 among 53,139 participants from the Survey of Health, Aging, and Retirement in Europe. Depressive symptoms were self-reported at baseline of each follow-up cycle using the 12-item EURO-D scale. Health care utilization was self-reported at the end of each follow-up cycle. Results After adjustment for sex, age, country of interview, follow-up time, educational attainment, presence of a partner in household, body-mass index, the number of chronic diseases, disability, average/prior frequency of contact with an MD, and all other depressive symptoms, people with more frequent contact with an MD had most often reported sleep problems (IRR = 1.10) and fatigue (IRR = 1.10), followed by sad/depressed mood, tearfulness, concentration problems, guilt, irritability, and changes in appetite. Those treated for depression had most often reported sad/depressed mood (OR = 2.18) and suicidal ideation (OR = 1.72), but also sleep problems, changes in appetite, fatigue, concentration problems, hopelessness, and irritability. Sad/depressed mood (OR = 2.87) was also associated with psychiatric inpatient admission. Similarly to other outcomes, appetite change, fatigue, and sleep problems were associated with inpatient admission. Conclusions Specific symptoms of depression may determine utilization of different types of health care among elderly.
Subject: 515 Psychology
3124 Neurology and psychiatry
Referentgranskad: Ja
Licens: gnu_lgpl
Användningsbegränsning: openAccess
Parallelpublicerad version: acceptedVersion


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