Healthcare use for major depressive disorders among middle-aged and older adults in the community

Autor: Caroline L. Vandeleur, Marie-Pierre F. Strippoli, Armin von Gunten, Jean-Pierre Schuster, Pedro Marques-Vidal, Nicolas Hoertel, Frédéric Limosin, Martin Preisig
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Health (social science)
Social Psychology
Epidemiology
Population
Logistic regression
Aged
Aged
80 and over
Antidepressive Agents/therapeutic use
Delivery of Health Care
Depressive Disorder
Major/diagnosis
Depressive Disorder
Major/drug therapy
Depressive Disorder
Major/epidemiology
Humans
Middle Aged
Prospective Studies
Psychotropic Drugs/therapeutic use
Antidepressant
Depression
Healthcare use
Old-age psychiatry
Population-based study
PsyCoLaus
03 medical and health sciences
0302 clinical medicine
Health care
medicine
030212 general & internal medicine
Psychiatry
Prospective cohort study
education
Depression (differential diagnoses)
Depressive Disorder
Major
Psychotropic Drugs
education.field_of_study
business.industry
medicine.disease
Antidepressive Agents
3. Good health
030227 psychiatry
Psychiatry and Mental health
Major depressive disorder
business
Zdroj: Social psychiatry and psychiatric epidemiology, vol. 57, no. 5, pp. 953-961
ISSN: 1433-9285
0933-7954
DOI: 10.1007/s00127-021-02193-8
Popis: 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.
Databáze: OpenAIRE
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