ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2024
Association of Caregiving Receipt With Mental Health Utilization in a National Cohort of Older Adults.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed.
- A Model for Implementing Psychotherapy for Individuals With Cognitive Impairments.Clinical gerontologist · 2026Article
- Mental Health Service Utilization among Older Adults in Indonesia: Nationwide Retrospective Cohort Study Using the National Health Insurance Claims Data, 2015-2023.Annals of geriatric medicine and research · 2025Article
- Caregiving Network Characteristics and Mental Health Care Utilization by Older Adults.Journal of the American Geriatrics Society · 2025Article
- Caregiver Contributions to Older Veterans' Mental Health Utilization: New Opportunities for Exploring Caregiving Roles and Impacts.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveThere exist significant age disparities in mental health (MH) utilization, such that older adults, including older veterans, are much less likely to use MH services. In-home caregivers represent a novel, yet understudied, pathway to increase appropriate utilization. We sought to examine the association between receiving caregiving assistance and MH utilization and test moderation effects of cognitive status and depression severity in a sample of older veterans.
methodsCross-sectional, mixed effects logistic regression with moderation analyses was used with a unique data resource combining survey data from the 2000-2012 U.S. Health and Retirement Study with Veterans Affairs (VA) healthcare administrative records. The analytic sample included N=1,957 Community-dwelling veterans (mean age 68.2 [9.7]), primarily male (96.5%) and non-Hispanic white (77.0%). Measures included MH utilization extracted from VA records or self-report; CESD-8 for depressive symptoms; and the Langa-Weir cognitive status classification using the modified TICS.
resultsAfter accounting for demographics, spousal caregiver availability, health factors, and socioeconomic status, caregiving receipt was associated with two-fold odds of MH utilization, compared to receiving no assistance (8,839 person-year observations; OR = 2.02; 95% CI 1.54-2.65) and remained similar following VA policy changes to enhance MH access. Exploratory analyses revealed that categories of cognition and depressive symptoms may moderate the association.
conclusionReceipt of any in-home caregiving is associated with increased likelihood of MH use by older adults. Caregivers may represent an underutilized resource to reduce age-related mental health access disparities.
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