Depressive Symptoms and Reduced Preventive Care Use in Older Adults
The Mediating Role of Perceived Access
Datos Bibliográficos
| ID | 9101726 |
|---|---|
| Autores | Joshua M Thorpe (University of Wisconsin–Madison, autor de correspondencia), Carolyn T Thorpe (0000-0002-5970-8359, University of Wisconsin–Madison), Korey A Kennelty (0000-0001-6470-9594, autor de correspondencia), Betty Chewning (0000-0003-1686-2329, University of Wisconsin–Madison, autor de correspondencia), Betty A Chewning |
| Año | 2012 |
| Volumen | 50 |
| Número | 4 |
| Páginas | 302-310 |
| Fecha de publicación | 2012-04-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e31821a933f |
| PMID | 21577167 |
| PMCID | PMC3240709 |
| OpenAlex | W2007327870 |
| Idioma | EN |
| Citas recibidas | 8 |
| Referencias citadas | 28 |
BACKGROUND: Depressive symptomatology is common in older adults and is associated with reduced adherence to recommended preventive care, but little is known as to why. Understanding how depressive symptoms may interfere with adherence can help to identify leverage points for interventions to increase preventive service use. OBJECTIVE: This study examined perceived access to medical care as a possible mediator linking depressive symptomatology to reduced preventive service use in older adults. METHODS: We analyzed data from 5465 respondents completing the 1993 and 2003/2004 waves of the Wisconsin Longitudinal Study. Depressive symptomatology was assessed using the Center for Epidemiologic Studies Depression Scale. Perceived access survey items were organized through factor analysis to represent key dimensions of access: availability/accessibility, affordability, acceptability, and accommodation. The primary outcome was the total number of 7 recommended preventive services that respondents received. Multivariate path analysis was used to estimate direct and indirect effects between depressive symptomatology, perceived access, and preventive service use. RESULTS: Older adults with depressive symptomatology received fewer recommended services. Depressive symptomatology reduced preventive service use by adversely affecting 2 dimensions of perceived access: (1) acceptability, pertaining to poor patient-provider trust and communication, and (2) accommodation, pertaining to inconveniently organized services. CONCLUSIONS: Depressive symptomatology may negatively alter older adults' perceptions of access and, in turn, negatively impact their preventive service use. In addition to treating depression, interventions designed to mitigate the impact of depression on the patient-provider relationship, and organizational changes to practice that better accommodate the needs of depressed patients, may increase adherence to preventive care guidelines in depressed older adults
Depression (economics) · Depressive symptoms · Path analysis (statistics) · Psychiatry · Psychological intervention · Chronic Disease Management Strategies · Clinical Psychology · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Psychology · Gerontology
Urban-rural differences in the association between access to healthcare and health outcomes among older adults in China
Purpose in life and use of preventive health care services
Why Do Older Adults Disengage From Routine Medical Care? Psychological Distress, Wealth Stratification, and Health System Disengagement in Later Life
Comparing Health Care Financial Burden With an Alternative Measure of Unaffordability
Perceived Barriers to Care Among People Who Use Drugs in Vietnam
Older adults’ attitudes and motivations towards learning about personal dementia risk and their willingness to make changes to improve their health in primary care settings
Determinants of individuals' participation in integrated chronic disease screening in Singapore
The Influence of Stress, Depression, and Anxiety on PSA Screening Rates in a Nationally Representative Sample
Antidepressant Drug Effects and Depression Severity
Collaborative Care for Depression
Depression Is a Risk Factor for Noncompliance With Medical Treatment
Current Directions in Mediation Analysis
Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults.
Dealing with missing data in a multi-question depression scale
A Rationale and Test for the Number of Factors in Factor Analysis
The CES-D Scale
Depressive Symptomatology, Rather than Neuroticism, Predicts Inflated Physical Symptom Reports in Community-Residing Women
Psychological Distress as a Barrier to Preventive Healthcare Among U.S. Women
Barriers to Health Care Access Among the Elderly and Who Perceives Them
Multiattribute and Single-Attribute Utility Functions for the Health Utilities Index Mark 3 System
Caregiver Psychological Distress as a Barrier to Influenza Vaccination Among Community-Dwelling Elderly With Dementia
Psychological Distress as a Barrier to Preventive Care in Community-Dwelling Elderly in the United States
Relating Satisfaction With Access to Utilization of Services
Patients' Health as a Predictor of Physician and Patient Behavior in Medical Visits
The Concept of Access
Survey Response in the Long Run
The moderator–mediator variable distinction in social psychological research
The moderator-mediator variable distinction in social psychological research
Correlates of health care satisfaction in inner-city patients with hypertension and chronic renal insufficiency
Chronic Stressors and Daily Hassles
| Obras citantes distintas | 8 |
|---|---|
| Citas por año | 0,57 |
| Intervalo de citas | 2012 - 2026 (15) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 8 |