Well-being, physical functioning, and use of health services in the elderly with PTSD and subthreshold PTSD
Abstract
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.
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Elderly with subthreshold PTSD are more likely to perceive the care they received as inadequate.
“Another study on elderly with subthreshold PTSD found that they were more likely to perceive the care they received as inadequate [12].”
From Effects of mindfulness-based cognitive therapy for Chinese adults with PTSD symptoms: protocol for a randomised controlled trial (2024) · cites this paper as [12]
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(98)00017-8 · Cited by 18,943 · see citing works
Wittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348 · see citing works
Full and partial posttraumatic stress disorder: findings from a community survey
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.8.1114 · Cited by 1,013 · see citing works
Kriegsman, D. M. W., Penninx, B. W. J. H., van Eijk, J. T. M., Boeke, A. J. P., & Deeg, D. J. H. (1996) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00274-0 · Cited by 934 · see citing works
Self-citationPosttraumatic stress disorder and physical illness: results from clinical and epidemiologic studies
BOSCARINO, J. A. (2004) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1314.011 · Cited by 691 · see citing works
de BEURS, E., BEEKMAN, A. T. F., van BALKOM, A. J. L. M., DEEG, D. J. H., van DYCK, R., & van TILBURG, W. (1999) · Psychological Medicine · doi:10.1017/s0033291799008351 · Cited by 378 · see citing works
Self-citationBeekman, A. T. F., Deeg, D. J. H., Braam, A. W., Smit, J. H., & van Tilburg, W. (1997) · Psychological Medicine · doi:10.1017/s0033291797005734 · Cited by 357 · see citing works
Self-citationTwo-phase epidemiological surveys in psychiatric research
Dunn, G., Pickles, A. R., Tansella, M., & Vázquez‐Barquero, J. L. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.174.2.95 · Cited by 266 · see citing works
Health Care Costs Associated With Posttraumatic Stress Disorder Symptoms in Women
Walker, E. A., Katon, W. J., Russo, J. E., Ciechanowski, P. S., Newman, E., & Wagner, A. W. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.4.369 · Cited by 234 · see citing works
Posttraumatic stress disorder: epidemiology and health-related considerations.
Hidalgo, R. B., & Davidson, J. R. T. (2000) · PubMed · Cited by 215 · see citing works
Posttraumatic Stress Disorder in Older Adults
Averill, P. M., & Beck, J. G. (2000) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00045-6 · Cited by 207 · see citing works
Prevalence and Risk Factors of Posttraumatic Stress Disorder in Older Adults
van Zelst, W. H., de Beurs, E., Beekman, A. T. F., Deeg, D. J. H., & van Dyck, R. (2003) · Psychotherapy and Psychosomatics · doi:10.1159/000073030 · Cited by 193 · see citing works
Self-citationAmaya-Jackson, L. M., Davidson, J. R. T., Hughes, D. C., Swartz, M. S., Reynolds, V., George, L. K., & Blazer, D. G. (1999) · Journal of Traumatic Stress · doi:10.1023/a:1024781504756 · Cited by 165 · see citing works
Deeg, D. J. H., Kriegsman, D. M. W., Beekman, A. T. F., & Serière, M. W.-D. (1998) · VU Research Portal · Cited by 163 · see citing works
Self-citationPosttraumatic Stress Disorder and the Use of Health Services
Deykin, E. Y., Keane, T. M., Kaloupek, D. G., Fincke, B. G., Rothendler, J. A., Siegfried, M., & Creamer, K. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200109000-00018 · Cited by 142 · see citing works
The development of the Self‐Rating Inventory for Posttraumatic Stress Disorder
Hovens, J. E. J. M., van der Ploeg, H. M., Bramsen, I., Klaarenbeek, M. T. A., Schreuder, J. N., & Rivero, V. V. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01574.x · Cited by 123 · see citing works
Posttraumatic stress disorder and treatment seeking in a national screening sample
Koenen, K. C., Goodwin, R. D., Struening, E. L., Hellman, F., & Guardino, M. (2003) · Journal of Traumatic Stress · doi:10.1023/a:1022051009330 · Cited by 112 · see citing works
Theory and assessment of stressful life events
Miller, T. W. (1996) · International Universities Press eBooks · Cited by 105 · see citing works
Posttraumatic stress disorder in primary care.
Ay, S., Bensen, S., Beck, A., Price, D., & Nimmer, C. (1999) · PubMed · Cited by 90 · see citing works
Schnurr, P. P., Spiro, A., Aldwin, C. M., & Stukel, T. A. (1998) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199809000-00002 · Cited by 74 · see citing works
VANZELST, W., DEBEURS, E., Beekman, A. T. F., Deeg, D. J. H., Bramsen, I., & VANDYCK, R. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00095-2 · Cited by 65 · see citing works
Self-citationCognitive and Emotional Predictors of Disablement in Older Adults
Smits, C. H. M., Deeg, D. J. H., & Jonker, C. (1997) · Journal of Aging and Health · doi:10.1177/089826439700900204 · Cited by 49 · see citing works
Self-citationWatson, C. G., Thomas, D., & Anderson, P. E. D. (1992) · Journal of Clinical Psychology · doi:10.1002/1097-4679(199211)48:6 · Cited by 22 · see citing works
Traumatic Exposure and PTSD in Older Adults: Introduction to the Special Issue
Cook, J. M. (2002) · Journal of Clinical Geropsychology · doi:10.1023/a:1015997209635 · Cited by 10 · see citing works
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Anxiety disorders in older adults: a comprehensive review
Wolitzky-Taylor, K. B., Castriotta, N., Lenze, E. J., Stanley, M. A., & Craske, M. G. (2010) · Depression and Anxiety · doi:10.1002/da.20653 · Cited by 726 · see citing works
The physical health consequences of PTSD and PTSD symptoms: A meta-analytic review
Pacella, M. L., Hruska, B., & Delahanty, D. L. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.08.004 · Cited by 677 · see citing works
The prevalence of anxiety in older adults: Methodological issues and a review of the literature
Bryant, C., Jackson, H., & Ames, D. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.11.008 · Cited by 511 · see citing works
Eating disorders, trauma, and comorbidity: focus on PTSD
Brewerton, T. D. (2007) · Eating Disorders · doi:10.1080/10640260701454311 · Cited by 442 · see citing works
van den Berk-Clark, C., Secrest, S., Walls, J., Hallberg, E., Lustman, P. J., Schneider, F. D., & Scherrer, J. F. (2018) · Health Psychology · doi:10.1037/hea0000593 · Cited by 212 · see citing works
Grenier, S., Préville, M., Boyer, R., O’Connor, K., Béland, S.-G., Potvin, O., Hudon, C., & Brassard, J. (2011) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181ff416c · Cited by 153 · see citing works
Creighton, A. S., Davison, T. E., & Kissane, D. W. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.11.029 · Cited by 30 · see citing works
Mak, B. S. W., Zhang, D., Powell, C. L. Y. M., Leung, M. K. W., Lo, H. H. M., Yang, X., Yip, B. H. K., Lee, E. K. P., Xu, Z., & Wong, S. Y. S. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05840-x · Cited by 2 · see citing works
- Authors
- van Zelst, W. H., de Beurs, E., Beekman, A. T. F., van Dyck, R., & Deeg, D. D. H.
- Affiliations
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2006
- Volume
- 21
- Issue
- 2
- Pages
- 180-188
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2160999279
- Cited by
- 109
- References
- 27
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 12 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 6 · 2016: 1 · 2015: 7 · 2014: 12 · 2013: 2 · 2012: 7
- FWCI
- 5.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- post-traumatic stress disorder, subthreshold PTSD, older adults, well-being, physical function, disability, health care utilization, life satisfaction, loneliness, health perception, benzodiazepines, antidepressant treatment, access to mental health care, psychotropic drugs
- MeSH terms
- Aged, Anxiety, Attitude, Benzodiazepines, Depression, Disability Evaluation, Female, Health Status, Humans, Loneliness, Longitudinal Studies, Male, Netherlands, Patient Acceptance of Health Care, Self-Assessment, Stress Disorders, Post-Traumatic, Anti-Anxiety Agents, Prevalence, Patient Satisfaction
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