✦ LIBER ✦

Well-being, physical functioning, and use of health services in the elderly with PTSD and subthreshold PTSD

✍ Scribed by Willeke H. van Zelst; Edwin de Beurs; Aartjan T. F. Beekman; Richard van Dyck; Dorly D. H. Deeg

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 93 KB
Volume: 21
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.1448

No coin nor oath required. For personal study only.

✦ Synopsis

Objective To measure the impact of PTSD and subthreshold PTSD on daily life functioning, well-being and health care use in a community based-sample of the elderly population in the Netherlands. Methods Consequences of PTSD were investigated in an elderly community-based population (LASA study) by comparing three groups: subjects with PTSD, with subthreshold PTSD, and a reference group. Indicators of well-being (loneliness, self-perceived health and satisfaction with life), disability (days spent in bed and disability days) and use of health care (general practitioners, medical specialists, psychiatrists, mental health care, social workers and professional home care) were investigated. Results In comparison to the reference group, subjects with PTSD or subthreshold PTSD spent more days in bed due to illness and had more disability days, even when corrected for concurring other diseases or functional limitations. They were less satisfied with life in general, used health care for predominantly somatic care and evaluated the care they received to be inadequate. Psychotropic drugs, if prescribed, were predominantly benzodiazepines and seldom antidepressants. Conclusions The findings strongly suggest that elderly with either PTSD or subthreshold PTSD suffer grave impairments in daily life, are less satisfied with life and do not receive optimum treatment. Especially elderly with PTSD frequently visit medical specialists but are rarely treated by psychiatrists or other mental health professionals, nor do they receive antidepressant treatment from their GP. Lack of adequate treatment may be the cause of dissatisfaction with the care they receive.

📜 SIMILAR VOLUMES

The impact of depression and anxiety on

The impact of depression and anxiety on well being, disability and use of health care services in nursing home patients

✍ Martin Smalbrugge; Anne Margriet Pot; Lineke Jongenelis; Chad M. Gundy; Aartjan 📂 Article 📅 2006 🏛 John Wiley and Sons 🌐 English ⚖ 84 KB 👁 2 views

## Objective: To determine the impact of depression and anxiety on well being, disability and use of health care services among nursing patients. ## Methods: The study-population consisted of 350 elderly nursing home patients from 14 nursing homes in the netherlands. well being, disability, use o

Using Rasch analysis to compare the psyc

Using Rasch analysis to compare the psychometric properties of the Short Form 36 physical function score and the Health Assessment Questionnaire disability index in patients with psoriatic arthritis and rheumatoid arthritis

✍ Taylor, William J. ;McPherson, Kathryn M. 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 215 KB 👁 3 views

Renal insufficiency and anemia are indep

Renal insufficiency and anemia are independent risk factors for death among patients with acute myocardial infarction1,21As published material, the contents of this manuscript may not be cited, quoted, reproduced or published without the consent of the authors.2The analyses upon which this publication is based were performed under Contract Number 500-96-P704, entitled âOperation Utilization and Quality Control Peer Review Organization (PRO) for the State of Georgiaâ and sponsored by the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services. The conclusions and opinions expressed, and methods used herein are those of the authors. They do not necessarily reflect CMS policy. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by CMS, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this Contractor. Ideas and contributions to the authors concerning experience in engaging with issues presented are welcomed.

✍ Langston, Robert D.; Presley, Rodney; Flanders, W. Dana; Mcclellan, William M. 📂 Article 📅 2003 🏛 Nature Publishing Group 🌐 English ⚖ 373 KB