Evidence map›Paper›PMID 34842964›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Healthcare use for major depressive disorders among middle-aged and older adults in the community.

Jean-Pierre Schuster, Marie-Pierre F Strippoli, Nicolas Hoertel, Pedro Marques-Vidal, Caroline L Vandeleur, Frédéric Limosin, Martin Preisig, Armin von Gunten

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Jean-Pierre SchusterService of Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV) and University of Lausanne, Prilly, Switzerland. jean-pierre.schuster@chuv.ch.ORCID http://orcid.org/0000-0001-6324-2873
Marie-Pierre F StrippoliCentre for Research in Psychiatric Epidemiology and Psychopathology, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Nicolas HoertelAssistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Corentin-Celton, Service de Psychiatrie, Issy-les-Moulineaux, France.
Pedro Marques-VidalDepartment of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland.
Caroline L VandeleurCentre for Research in Psychiatric Epidemiology and Psychopathology, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Frédéric LimosinAssistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Corentin-Celton, Service de Psychiatrie, Issy-les-Moulineaux, France.
Martin PreisigCentre for Research in Psychiatric Epidemiology and Psychopathology, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Armin von GuntenService of Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV) and University of Lausanne, Prilly, Switzerland.
University of Lausanne · CHDélégation Paris 5 · FRUniversity Hospital of Lausanne · CH

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 3200B0-105993Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 3200B0-118308Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CS30-139468Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CS30-148401Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CS30_177535Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CSCO-122661
6 · The paper itself

Abstract

purposeThere is a substantial gap between people having a mental disorder and those treated for this disorder. Studies that assessed the influence of age on healthcare use for major depressive disorder (MDD) have provided inconsistent results. We aimed to assess healthcare use in terms of treatment-seeking and psychotropic medication use in four age groups of 45- to 85-year-old community dwellers meeting criteria for MDD.

methodsData stemmed from CoLaus|PsyCoLaus, a population-based prospective cohort study. Diagnostic information on mental disorders, utilization of professional healthcare and psychotropic drugs was elicited using a semi-structured interview. Associations between age groups and healthcare use were established using logistic regression models with serial adjustments for socio-demographic and depression characteristics as well as comorbid mental disorders and cardio-metabolic features.

resultsCompared to participants of the youngest age group (ages 45 to 54 years), (1) those older than 75 years were less likely to use healthcare from psychiatrists or psychologists (OR: 0.4 [95% CI 0.17-0.96]), although the frequency of using any professional health care did not vary across age groups; (2) those older than 55 years used any psychotropic medication more frequently; and (3) those aged 55-64 years used antidepressants more frequently (OR: 1.61 [95% CI 1.07-2.44]), whereas those aged 65-74 years used anxiolytics more frequently (OR: 2.30 [95% CI 1.15-4.58]).

conclusionAge is a complex biological and social factor that influences healthcare use.

Indexed as

Major Depressive DisorderAgedAged, 80 and overAntidepressive AgentsDelivery of Health CareHumansMiddle AgedProspective StudiesPsychotropic DrugsAntidepressive AgentsPsychotropic DrugsAntidepressantDepressionHealthcare useOld-age psychiatryPopulation-based studyPsyCoLaus

Identifiers

PMID34842964
OpenAlexW3216093205

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.