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

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Bibliographic Details
Title: Healthcare use for major depressive disorders among middle-aged and older adults in the community
Authors: Nicolas Hoertel, Frédéric Limosin, Marie-Pierre F. Strippoli, Pedro Marques-Vidal, Jean-Pierre Schuster, Caroline L. Vandeleur, Martin Preisig, Armin von Gunten
Source: Social psychiatry and psychiatric epidemiology, vol. 57, no. 5, pp. 953-961
Publisher Information: Springer Science and Business Media LLC, 2021.
Publication Year: 2021
Subject Terms: 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, Depressive Disorder, Major, Psychotropic Drugs, 03 medical and health sciences, 0302 clinical medicine, Antidepressive Agents, 3. Good health
Description: 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.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.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]).Age is a complex biological and social factor that influences healthcare use.
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 1433-9285
0933-7954
DOI: 10.1007/s00127-021-02193-8
Access URL: https://pubmed.ncbi.nlm.nih.gov/34842964
https://link.springer.com/article/10.1007/s00127-021-02193-8
https://www.ncbi.nlm.nih.gov/pubmed/34842964
https://serval.unil.ch/resource/serval:BIB_FFE5E50D3497.P001/REF.pdf
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_FFE5E50D34976
https://serval.unil.ch/notice/serval:BIB_FFE5E50D3497
Rights: Springer TDM
Accession Number: edsair.doi.dedup.....d0da7c3f7e491df1818102717aa6431d
Database: OpenAIRE
Description
Abstract: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.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.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]).Age is a complex biological and social factor that influences healthcare use.
ISSN:14339285
09337954
DOI:10.1007/s00127-021-02193-8