Motivation and Psychotherapy in Older Adults with Care Needs and Depression

Vathke, Claudia; Kessler, Eva‐Marie; Gellert, Paul; O’Sullivan, Julie Lorraine; Lech, Sonia

doi:10.1024/1662-9647/a000305

Cited by 1 publication

(4 citation statements)

References 50 publications

(76 reference statements)

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“…Recently, social restriction measures due to the COVID‐19 pandemic have been found to be associated with reduced life‐space mobility, 26 especially among those living alone and aged between 70 and 79 years 27 . In our own research, mobility restrictions represented a main reason why older individuals with depressive symptoms were not seeing a psychotherapist, as their possibilities to attend regular psychotherapy was restricted due to their reduced mobility 22 . To sum up, the association between life‐space mobility and the utilization of outpatient (mental) health care needs further investigation.…”

Section: Introductionmentioning

confidence: 66%

“…In terms of the direction of the association of life‐space mobility and healthcare utilization, there is conflicting evidence. Some studies report a decrease in life‐space mobility to be associated with more frequent inpatient health care utilization in community‐dwelling older people, 22 higher nursing home admission rates 2 and higher health care costs 23 . However, other empirical evidence suggests the opposite.…”

Section: Introductionmentioning

confidence: 99%

“…27 In our own research, mobility restrictions represented a main reason why older individuals with depressive symptoms were not seeing a psychotherapist, as their possibilities to attend regular psychotherapy was restricted due to their reduced mobility. 22 To sum up, the association between life-space mobility and the utilization of outpatient (mental) health care needs further investigation.…”

Section: Introductionmentioning

confidence: 99%

“…For example, a recent study among community‐dwelling older people reported significant associations between life‐space mobility and participation in community activities, receipt of social support and social network 21 . Social participation and social support play a key component in healthy aging, 22 in particular for mental health of older adults 23,24 . Conceptual frameworks and empirical research have acknowledged the association between reduced engagement in social activities and depression among older adults 25–28 .…”

Section: Introductionmentioning

confidence: 99%

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Life‐space mobility among home‐living older adults with care needs and clinical depression—A cross‐sectional analysis

Lech

Mümken

Kessler

et al. 2023

Int J Geriat Psychiatry

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Objectives While life‐space mobility is key for wellbeing, social participation and access to health care, vulnerable older adults face physical and mental barriers that may restrict mobility. The present exploratory study examined associations between physical functional limitations, depressive symptoms, life‐space mobility and outpatient health care utilization. Methods Cross‐sectional data from 197 community‐dwelling older adults with care needs and clinical depression was collected. Life‐space assessment composite score (LS‐C), instrumental activities of daily living scale (iADL), Geriatric Depression Scale (GDS‐12) and outpatient health care utilization have been assessed. Multiple regression analyses were conducted. Results Mean LS‐C score was 31.8 (SD = 17.7, range: 0–92), indicating low mobility levels. Depressive symptoms (β = −0.21, p = 0.001) and iADL (β = 0.54, p < 0.001) were significantly related with life‐space mobility, over and above age and living alone. An interaction effect between depressive symptoms and iADL was not significant (β = −0.07, 0.17, p = 0.26). Moreover, life‐space mobility was positively associated with primary care (β = 0.19, p = 0.02) and mental health care utilization (β = 0.33, p < 0.001). Conclusions Life‐space mobility appears to be largely restricted in home‐living vulnerable older adults with clinically significant depression; and factors associated with these restrictions appear to be physical and mental. The interplay of depression, mobility and health care utilization and its potential for interventional approaches need further investigations. Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive mental health outpatient treatment in their own home. Clinical trial registration The trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN55646265, registered February 15, 2019).

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Section: Introductionmentioning

confidence: 66%