Age as a predictive factor of mental health service use among adults with depression and/or anxiety disorder receiving care through the Veterans Health Administration

被引：26

作者：

DiNapoli, Elizabeth A. ^{[1
,2
,3
]}

Cully, Jeffery A. ^{[1
,2
,3
]}

Wayde, Ernest ^{[5
]}

Sansgiry, Shubhada ^{[1
,3
,4
]}

Yu, Hong Jen ^{[1
,2
,3
]}

Kunik, Mark E. ^{[1
,2
,3
]}

机构：

[1] Michael E DeBakey VA Med Ctr, VA HSR&D Houston Ctr Innovat Qual Effectiveness &, Houston, TX USA

[2] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX 77030 USA

[3] VA South Cent Mental Illness Res Educ & Clin Ctr, Houston, TX USA

[4] Baylor Coll Med, Dept Med, Houston, TX 77030 USA

[5] Clement J Zablocki VA Med Ctr, Milwaukee, WI USA

来源：

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY | 2016年 / 31卷 / 06期

关键词：

veterans; mental health services; depression; anxiety; older adults; age; OLDER-ADULTS; PREVALENCE; LIFE; MORBIDITY; MORTALITY; SYMPTOMS; BURDEN; STROKE; MOOD; RISK;

D O I：

10.1002/gps.4362

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

ObjectiveThis study compared mental health service utilization by treatment modality and determined predictive factors of use among younger-adult (18-35years), middle-aged adult (36-64years), and older-adult veterans (65+years) with a newly recognized diagnosis of depression and/or anxiety disorder. MethodsThis retrospective study used data from the Veterans Health Administration National Patient Care Database outpatient and inpatient treatment files during the 2010 fiscal year (N=583,692). ResultsYounger adults were the most likely to use mental health services, followed by middle-aged adults and then older adults. Age was found to be one of the greatest predictors of utilization of mental health services, with odds of use being threefold among younger adults compared with older adults. ConclusionsContinued efforts are needed to improve the awareness of, access to, and receipt of mental health services in veterans, particularly older adults, with depression and anxiety disorders. Published 2015. This article is a U.S. Government work and is in the public domain in the USA

引用

页码：575 / 582

页数：8

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