Profiles of met and unmet care needs in the oldest-old primary care patients with depression - results of the AgeMooDe study

• Verfasst von: Kraake, Sophia [VerfasserIn]
• Verfasst von: Pabst, Alexander [VerfasserIn]
• Verfasst von: Wiese, Birgitt [VerfasserIn]
• Verfasst von: Moor, Lilia [VerfasserIn]
• Verfasst von: König, Hans-Helmut [VerfasserIn]
• Verfasst von: Hajek, André [VerfasserIn]
• Verfasst von: Kaduszkiewicz, Hanna [VerfasserIn]
• Verfasst von: Scherer, Martin [VerfasserIn]
• Verfasst von: Stark, Anne [VerfasserIn]
• Verfasst von: Wagner, Michael [VerfasserIn]
• Verfasst von: Maier, Wolfgang [VerfasserIn]
• Verfasst von: Werle, Jochen [VerfasserIn]
• Verfasst von: Weyerer, Siegfried [VerfasserIn]
• Verfasst von: Riedel-Heller, Steffi G. [VerfasserIn]
• Verfasst von: Stein, Janine [VerfasserIn]
• Titel: Profiles of met and unmet care needs in the oldest-old primary care patients with depression - results of the AgeMooDe study
• Verf.angabe: Sophia Kraake, Alexander Pabst, Birgitt Wiese, Lilia Moor, Hans-Helmut König, André Hajek, Hanna Kaduszkiewicz, Martin Scherer, Anne Stark, Michael Wagner, Wolfgang Maier, Jochen Werle, Siegfried Weyerer, Steffi G. Riedel-Heller, Janine Stein
• E-Jahr: 2024
• Jahr: 1 April 2024
• Umfang: 9 S.
• Illustrationen: Illustrationen
• Fussnoten: Online verfügbar: 19. Januar 2024, Artikelversion: 23. Januar 2024 ; Gesehen am 01.08.2024
• Titel Quelle: Enthalten in: Journal of affective disorders
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1979
• Jahr Quelle: 2024
• Band/Heft Quelle: 350(2024) vom: Apr., Seite 618-626
• ISSN Quelle: 1573-2517
• DOI: doi:10.1016/j.jad.2024.01.138
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Camberwell assessment of need for the elderly (CANE)
• Sach-SW: Depression
• Sach-SW: Health services research
• Sach-SW: Latent class analysis (LCA)
• Sach-SW: Need profiles
• Sach-SW: Oldest-old population
• K10plus-PPN: 1897344260

Abstract

Background - Unmet care needs have been associated with an increased risk of depression in old age. Currently, the identification of profiles of met and unmet care needs associated with depressive symptoms is pending. Therefore, this exploratory study aimed to identify profiles of care needs and analyze associated factors in oldest-old patients with and without depression. - Methods - The sample of 1092 GP patients aged 75+ years is based on the multicenter study “Late-life depression in primary care: needs, health care utilization and costs (AgeMooDe)”. Depression (i.e. clinically meaningful depressive symptoms) was determined using the Geriatric Depression Scale (GDS) (cutoff score ≥ 4). Needs of patients were assessed using the Camberwell Assessment of Need for the Elderly (CANE). Associated sociodemographic and clinical factors were examined, and latent class analysis identified the need profiles. - Results - The main result of the study indicates three need profiles: ‘no needs’, ‘met physical needs’, and ‘unmet social needs’. Members of the ‘met physical needs’ (OR = 3.5, 95 %-CI: 2.5-4.9) and ‘unmet social needs’ (OR = 17.4, 95 %-CI: 7.7-39.7) profiles were significantly more likely to have depression compared to members of the ‘no needs’ profile. - Limitations - Based on the cross-sectional design, no conclusions can be drawn about the causality or direction of the relationships between the variables. - Conclusions - The study results provide important insights for the establishment of needs-based interventions for GPs. Particular attention should be paid to the presence of unmet social needs in the oldest-old GP patients with underlying depressive symptoms.