Prevalence of mental disorders and service utilization in seniors: results from the Canadian community health survey cycle 1.2.

Mosier, Karen E.; Vasiliadis, Helen‐Maria; Lepnurm, Marje; Puchala, Chassidy; Pekrul, Chris; Tempier, Raymond

doi:10.1002/gps.2434

Cited by 25 publications

(22 citation statements)

References 27 publications

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“…Moreover, age was inversely associated with the likelihood of having had a consultation with a healthcare provider for mental health problems, independently of mental health status. This is consistent with results previously published using similar observational data (Mosier et al, 2010).…”

Section: Discussionsupporting

confidence: 94%

“…It has been previously suggested that the likelihood of receiving minimal adequate treatment decreases with age (Garrido, Kane, Kaas, & Kane, 2011;Mosier et al, 2010;Wang et al, 2005). De Beurs and colleagues (1999), for example, reported that less than three per cent of those older adults diagnosed with an anxiety disorder consulted a psychiatrist for their mental health problems.…”

Section: Introductionmentioning

confidence: 99%

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The use of healthcare services for mental health problems by middle-aged and older adults

Gonçalves

Coelho

Byrne

2014

Archives of Gerontology and Geriatrics

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Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

The use of healthcare services for mental health problems by middle-aged and older adults

Gonçalves

Coelho

Byrne

2014

Archives of Gerontology and Geriatrics

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“…In females, mental health service use was greater in the age groups between 25 and 64 years as opposed to the 65 years and over age group, which has been similarly reported elsewhere [18,33]. Considering that most seniors consult a family physician annually, but that only a few seek treatment for their mental health problems and are treated, [15], better detection of mental health needs especially among older women is needed in primary care.…”

Section: Discussionsupporting

confidence: 52%

Gender differences in general and specialty outpatient mental health service use for depression

2014

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BackgroundThis study ascertain gender-specific determinants of outpatient mental health (MH) service use for depression to highlight gender disparities in barriers to care and explain how depressed men and women in need of care might differ in their help-seeking behaviour.MethodsData used in this study came from the Canadian Community Health Survey on Mental Health and Well Being, cycle 1.2 (CCHS 1.2) conducted by Statistics Canada in 2002 (N = 36,984). The sample was limited to respondents filling the criteria for a probable major depression in the 12 months prior to the interview (n = 1743). Gender-specific multivariate logistic regression analyses were carried out.ResultsThe results showed that 54.3% of respondents meeting criteria for major depression had consulted for mental health reasons in the year prior to interview. When looking at type of outpatient mental health service use, males were more likely to consult a general practitioner and a mental health specialist in the past year as opposed to females. However, females were more likely to consult a general practitioner only as opposed to no service use than males. Gender specific differences in determinants associated with outpatient service use included for males, lower adjusted household income, and for females, a younger age, the presence of social support, self-reported availability barriers, the presence of self-reported suicidal thoughts or attempt and a poorer self- perceived mental health.ConclusionsIt is concluded that continued efforts to promote access to mental health care are needed for men and women affected by depression, and this, to target specific vulnerable populations and increase utilization rates.

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“…Although psychiatric disorders are highly prevalent throughout the life course (2,3) and treatable (4,5), little is known about why different stages of the life course differentially impact use of mental health services (6–9). Prior research has found that adults in younger and older age with psychiatric issues have the lowest services use (6,10).…”

Section: Objectivementioning

confidence: 99%

Predictors of Mental Health Services Use Across the Life Course among Racially–Ethnically Diverse Adults

Byers

Lai

Nelson

et al. 2017

The American Journal of Geriatric Psychiatry

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Objective Little is known about key factors associated with use of mental health services across the life course. This study determined key socioeconomic, social support, psychiatric, and medical predictors of services use in younger, middle, and older age. Design, Setting, Participants, Measurements The sample included 3,708 adults with DSM-IV-based mood, anxiety, and substance use disorders in the Collaborative Psychiatric Epidemiology Surveys. Key predictors of mental health services use for each age group were systematically determined by multivariable models, and exploratory analyses examining potential effect modification by race-ethnicity and gender were assessed by interaction terms. Statistical analyses included complex design-corrected and weighted logistic regression analyses that provide results generalizable to the United States. Results Psychiatric and medical issues such as prior suicidal behavior, comorbid psychiatric disorders, and perceived cognitive impairment increased odds of mental health services use in younger, middle, and older age. Chronic medical conditions also influenced services use in younger and older age, with their impact on use across age potentially modified by racial-ethnic disparities (p interaction=.01). Moreover, socioeconomic factors like marital status influenced use in middle and older age, where being divorced, separated, widowed, or never married encouraged use. The effect of marital status on use across age was also potentially modified by racial-ethnic disparities (p interaction=.02). Conclusions Key socioeconomic, social support, psychiatric, and medical predictors uniquely influence use of mental health services across the life course. These findings will help inform efforts to encourage greater services use by adults across the life course in need of care.

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Prevalence of mental disorders and service utilization in seniors: results from the Canadian community health survey cycle 1.2.

Abstract: The presence of common mental disorders is lower in seniors as compared to younger adults. Age and gender influence mental health service utilization rates. Copyright © 2010 John Wiley & Sons, Ltd.

Cited by 25 publications

References 27 publications

The use of healthcare services for mental health problems by middle-aged and older adults

The use of healthcare services for mental health problems by middle-aged and older adults

Gender differences in general and specialty outpatient mental health service use for depression

Predictors of Mental Health Services Use Across the Life Course among Racially–Ethnically Diverse Adults

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