Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A prospective study of mental health care for comorbid depressed mood in older adults with painful osteoarthritis | Gleicher et al. BMC Psychiatry 2011 11 147 http 1471-244X 11 147 BMC Psychiatry RESEARCH ARTICLE Open Access A prospective study of mental health care for comorbid depressed mood in older adults with painful osteoarthritis Yehoshua Gleicher1 Ruth Croxford2 3 Jacqueline Hochman4 5 and Gillian Hawker2 3 4 5 Abstract Background Comorbid depression is common among adults with painful osteoarthritis OA . We evaluated the relationship between depressed mood and receipt of mental health MH care services. Methods In a cohort with OA annual interviews assessed comorbidity arthritis severity and MH SF-36 mental health score . Surveys were linked to administrative health databases to identify mental health-related visits to physicians in the two years following the baseline interview 1996-98 . Prescriptions for anti-depressants were ascertained for participants aged 65 years eligible for drug benefits . The relationship between MH scores and MH-related physician visits was assessed using zero-inflated negative binomial regression adjusting for confounders. For those aged 65 years logistic regression examined the probability of receiving any MH-related care physician visit or anti-depressant prescription . Results Analyses were based on 2 005 individuals mean age years . Of 576 with probable depression MH score 60 100 experienced one or more MH-related physician visits during follow-up. The likelihood of a physician visit was associated with sex adjusted OR women vs. men p and MH score adjusted OR per 10-point decrease in MH score p . Among those aged 65 with probable depression received any MH care. The likelihood of receiving any MH care exhibited a significant interaction between MH score and self-reported health status p with good general health worsening MH was associated with increased likelihood of MH care as general health declined this effect was attenuated. Conclusions Among older adults with
