Academic Journal
Perceived need for treatment and non-utilization of outpatient psychotherapy in old age: two cohorts of a nationwide survey
| العنوان: | Perceived need for treatment and non-utilization of outpatient psychotherapy in old age: two cohorts of a nationwide survey |
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| المؤلفون: | Gellert, Paul, Lech, Sonia, Kessler, Eva-Marie, Herrmann, Wolfram, Döpfmer, Susanne, Balke, Klaus, Oedekoven, Monika, Kuhlmey, Adelheid, Schnitzer, Susanne |
| المصدر: | http://lobid.org/resources/99370673400906441#!, 21(1):442. |
| سنة النشر: | 2021 |
| المجموعة: | Publisso (ZB MED-Publikationsportal Lebenswissenschaften) |
| مصطلحات موضوعية: | Surveys and Questionnaires [MeSH], Adolescent [MeSH], Aged [MeSH], Adult [MeSH], Healthcare utilization, Humans [MeSH], Psychotherapy, Psychotherapy [MeSH], Germany/epidemiology [MeSH], Patient Acceptance of Health Care [MeSH], Outpatients [MeSH], Male [MeSH], Young Adult [MeSH], Old age, Andersen’s model of health service use, Perceived need for treatment, Unmet need for treatment, Research Article |
| الوصف: | Beackground: Older adults with mental health problems may benefit from psychotherapy; however, their perceived need for treatment in relation to rates of non-utilization of outpatient psychotherapy as well as the predisposing, enabling, and need factors proposed by Andersen's Model of Health Care Utilization that account for these differences warrant further investigation. Methods: We used two separate cohorts (2014 and 2019) of a weighted nationwide telephone survey in Germany of German-speaking adults with N=12,197 participants. Across the two cohorts, 12.9% (weighted) reported a perceived need for treatment for mental health problems and were selected for further analyses. Logistic Generalized Estimation Equations (GEE) was applied to model the associations between disposing (age, gender, single habiting, rural residency, general health status), enabling (education, general practitioner visit) non-utilization of psychotherapy (outcome) across cohorts in those with a need for treatment (need factor). Results: In 2014, 11.8% of 6087 participants reported a perceived need for treatment due to mental health problems. In 2016, the prevalence increased significantly to 14.0% of 6110 participants. Of those who reported a perceived need for treatment, 36.4% in 2014 and 36.9%in 2019 did not see a psychotherapist - where rates of non-utilization of psychotherapy were vastly higher in the oldest age category (59.3/52.5%; 75+) than in the youngest (29.1/10.7%; aged 18-25). Concerning factors associated with non-utilization, multivariate findings indicated participation in the cohort of 2014 (OR 0.94), older age (55-64 OR 1.02, 65-74 OR 1.47, 75+ OR 4.76), male gender (OR 0.83), lower educational status (OR 0.84), rural residency (OR 1.38), single habiting (OR 1.37), and seeing a GP (OR 1.39) to be related with non-utilization of psychotherapy; general health status was not significantly associated with non-utilization when GP contact was included in the model. Conclusion: There is a strong age effect in terms of ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| ردمك: | 978-9937-0-6734-8 9937-0-6734-0 |
| Relation: | https://repository.publisso.de/resource/frl:6463671; https://doi.org/10.1186/s12913-021-06384-6; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111709/ |
| DOI: | 10.1186/s12913-021-06384-6 |
| الاتاحة: | https://repository.publisso.de/resource/frl:6463671 https://doi.org/10.1186/s12913-021-06384-6 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111709/ |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.1AFF654C |
| قاعدة البيانات: | BASE |
| ردمك: | 9789937067348 9937067340 |
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| DOI: | 10.1186/s12913-021-06384-6 |