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Verfasst von:Hoell, Andreas [VerfasserIn]   i
 Weyerer, Siegfried [VerfasserIn]   i
Titel:The impact of depressive symptoms on utilization of home care by the elderly
Titelzusatz:Longitudinal results from the AgeMooDe study
Verf.angabe:Andreas Hoell, Siegfried Weyerer, Wolfgang Maier, Michael Wagner, Martin Scherer, Anne Stark, Hanna Kaduszkiewicz, Birgitt Wiese, Hans-Helmut König, Jens-Oliver Bock, Janine Stein, Steffi G. Riedel-Heller
E-Jahr:2016
Jahr:1 November 2016
Umfang:8 S.
Fussnoten:Gesehen am 28.05.2019 ; Available online 9 August 2016
Titel Quelle:Enthalten in: Journal of affective disorders
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1979
Jahr Quelle:2016
Band/Heft Quelle:204(2016), Seite 247-254
ISSN Quelle:1573-2517
Abstract:Background - Depression is the most common psychiatric disease in older people, often accompanied by co-morbidities and functional limitations. In cross-sectional studies, depression is associated with an increased use of health care resources, including informal care and home care. Longitudinal data are needed to better understand the causal links between depression, functional impairments, and health care utilization. - Methods - Data were obtained at baseline and follow-up of the multicenter, prospective cohort study “Late life depression in primary care: needs, health care utilization and costs” (AgeMooDe). A sample of 955 primary care patients aged 75 years and older was interviewed twice. The primary outcomes were the average respective amounts of time spent utilizing home care, professional nursing care, domestic help and informal care. These outcomes were analyzed with Generalized Linear Mixed Models (GLMM). - Results - GLMM analysis revealed that the amount of time utilizing home care over the study period was positively associated with depression, higher age, and functional and cognitive impairments, but negatively associated with living alone. In-depth analyses revealed that these associations were particularly obvious for the utilization of informal care. - Limitations - The generalizability of our findings may be limited due to use of a dimensional instrument to determine depressive symptoms. - Conclusions - Over the study period, the average amount of time receiving home care and especially informal care increased in the group of patients with depression only. People with depressive symptoms experience a growing number of functional limitations over time, increasing their dependency on others. Functional limitations, depression and dependency appear to form a vicious cycle.
DOI:doi:10.1016/j.jad.2016.08.004
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.jad.2016.08.004
 Volltext: http://www.sciencedirect.com/science/article/pii/S0165032716307340
 DOI: https://doi.org/10.1016/j.jad.2016.08.004
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Depression
 Elderly population
 Health services research
 Home care
 Informal care
K10plus-PPN:1666386340
Verknüpfungen:→ Zeitschrift

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