Inanspruchnahme und Psychotherapiemotivation in einer repräsentativen Bevölkerungsstichprobe über 65-Jähriger - Ergebnisse der Zürcher Altersstudie

Maercker, Andreas; Enzler, Anuschka; Grimm, Geneviève; Helfenstein, Esther; Ehlert, Ulrike

doi:10.1055/s-2004-828510

Cited by 18 publications

(5 citation statements)

References 3 publications

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“…The utilization rates of general mental health care in our study of CAD patients were comparable to data from the respective age cohort of the general German population ( 23 , 24 ), to data from a nationally representative sample of elderly persons with depressive symptoms and chronic somatic diseases ( 25 ) and to data from another chronically somatically ill sample in Germany, cancer patients ( 26 ). Some participants reported previous mental health treatment without meeting criteria for a depressive or anxiety disorder.…”

Section: Discussionsupporting

confidence: 70%

Utilization of Mental Health Care, Treatment Patterns, and Course of Psychosocial Functioning in Northern German Coronary Artery Disease Patients with Depressive and/or Anxiety Disorders

et al. 2018

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BackgroundComorbid mental disorders in patients with coronary artery disease (CAD) are common and associated with adverse somatic outcomes. However, data on utilization rates of mental health care and treatment efficiency are scarce and inconsistent, which we tried to remedy with the present preliminary study on Northern German CAD patients.MethodA total of 514 German CAD patients, as diagnosed by cardiac catheterization, were assessed using the Mini International Neuropsychiatric Interview and the Global Assessment of Functioning (GAF) scale.ResultsGlobal utilization of mental health care since onset of CAD was 21.0%. Depressive disorders, younger age, and lower GAF at onset of CAD were associated with higher utilization rates, while anxiety disorders and gender were not. Lower GAF at onset of CAD, female gender, and psychotherapy was positively associated with higher gains in GAF, while younger age and anxiety disorders were negatively associated.ConclusionThe majority of CAD patients with comorbid depression reported to have received mental health treatment and seemed to have benefited from it. However, we found preliminary evidence of insufficiencies in the diagnosis and treatment of anxiety disorders in CAD patients. Further studies, preferably prospective and with representative samples, are needed to corroborate or falsify these findings and explore possible further mediators of health-care utilization by CAD patients such as race, ethnicity, and socioeconomic status.

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Section: Discussionsupporting

confidence: 70%

Utilization of Mental Health Care, Treatment Patterns, and Course of Psychosocial Functioning in Northern German Coronary Artery Disease Patients with Depressive and/or Anxiety Disorders

et al. 2018

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“…En résumé, la population vieillissante représente un défi pour la prise en charge des maladies psychiques. Il faut élargir les offres psychothérapeutiques, adapter les structures de soins aux besoins spécifiques des personnes âgées, d'autant plus que des modèles efficaces et largement acceptés existent (voir ci-avant et [14,15]). C'est ce que révèle aussi le rapport établi sur mandat de Promotion Santé Suisse et du Pour-cent culturel Migros «Via -Bonnes pratiques de promotion de la santé des personnes âgées» (www.gesundheitsfoerderung.ch/via).…”

Section: Suicideunclassified

Santé psychique à l'âge avancé: il y a davantage à faire!

2012

Bull Med Suisses

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“…Leider finden sich in der Versorgungsrealität nicht nur eine Unter-bzw. Fehlbehandlung auf der pharmakologischen Ebene, sondern auch eine noch viel stärker ausgeprägte Unterbehandlung auf der psychotherapeutischen [4,40]. Die Bereitstellung psychotherapeutischer Kompetenz für ältere Menschen ist deshalb besonders zu fördern, da Längsschnittuntersuchungen zeigen konnten, dass die Rezidivraten gerade über eine Kombination aus medikamentösen und psychotherapeutischen Maßnahmen verringert werden können, wenngleich auch dieser Befund noch weiter geprüft werden muss [41,42] …”

Section: Behandlungsmöglichkeitenunclassified

Depressionen im Alter

Stoppe

2008

Bundesgesundheitsbl.

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Depression is the most frequent psychiatric disorder in old age. Some patients have had depressive episodes or other psychological disorder in an earlier part of their life span. Older people show more somatic or cognitive complaints compared to younger depressives. Risk factors for depression in old age are (incident) physical disorders, sleep disorders or loss of spouse. Depression worsens course and prognosis of comorbid somatic disorders. A major consequence is the high suicide rate in the elderly. Depression is also a risk factor for other disorders like dementia or institutionalisation. The interplay between depression and dementia and other organic brain disorders is complex und still unresolved. Depression in the elderly is a challenge for our health system. Recognition and treatment rates are still too low. Integrative treatment plans for depression with comorbid physical disorders or in various settings should be developed. With the growing elderly population the available evidence for treatment urgently has to be increased. In current practice drug therapies--mostly inadequate--dominate. Psychotherapy should be promoted and the number of old age psychotherapists increased.

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Inanspruchnahme und Psychotherapiemotivation in einer repräsentativen Bevölkerungsstichprobe über 65-Jähriger - Ergebnisse der Zürcher Altersstudie

Abstract: The frequency numbers of psychotherapy service utilization and motivation indicate their moderate extents in old age. Limitations of the study are discussed, e. g., the possibly higher density of service providers in an urban population like the city of Zurich.

Cited by 18 publications

References 3 publications

Utilization of Mental Health Care, Treatment Patterns, and Course of Psychosocial Functioning in Northern German Coronary Artery Disease Patients with Depressive and/or Anxiety Disorders

Utilization of Mental Health Care, Treatment Patterns, and Course of Psychosocial Functioning in Northern German Coronary Artery Disease Patients with Depressive and/or Anxiety Disorders

Santé psychique à l'âge avancé: il y a davantage à faire!

Depressionen im Alter

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