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Healthcare utilisation patterns among older people with intellectual disability and with affective and anxiety diagnoses in comparison with the general population

El Mrayyan, Nadia LU ; Bökberg, Christina LU ; Eberhard, Jonas LU and Ahlström, Gerd LU (2020) In Aging and Mental Health p.1-10
Abstract

Objectives: This study investigates specialist healthcare visits of older people with intellectual disability ID having affective and anxiety diagnoses in comparison with the general population, as well as across different levels of ID, behavioural impairment, and living in special housing in Sweden. Method: The study is a retrospective national-register-based study from 2002–2012 of people with ID 55 years and older (n = 7936) and a control group the same size matched by birth year and sex from the general population at the end of study. The study groups comprised those with affective (n = 918) and anxiety (n = 825) diagnoses who visited specialist healthcare, including data about living in special housing at the end of study in 2012.... (More)

Objectives: This study investigates specialist healthcare visits of older people with intellectual disability ID having affective and anxiety diagnoses in comparison with the general population, as well as across different levels of ID, behavioural impairment, and living in special housing in Sweden. Method: The study is a retrospective national-register-based study from 2002–2012 of people with ID 55 years and older (n = 7936) and a control group the same size matched by birth year and sex from the general population at the end of study. The study groups comprised those with affective (n = 918) and anxiety (n = 825) diagnoses who visited specialist healthcare, including data about living in special housing at the end of study in 2012. Results: Older people with ID and with affective and anxiety diagnoses have a higher risk of inpatient and unplanned visits to psychiatric and somatic healthcare than the general population. The average length of stay in inpatient psychiatric healthcare was higher in older people with ID and anxiety diagnoses than in the general population. Within the ID group, more inpatient and unplanned visits were made by those with moderate and severe levels of ID, behavioural impairment, and living in special housing. Conclusion: Older people with ID and affective and anxiety diagnoses are more likely to have inpatient and unplanned visits for specialist healthcare than the general population. Future research should explore the quality of healthcare services delivered by healthcare providers to older people with ID and with affective and anxiety diagnoses.

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organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Behavioural impairment, depression, intellectual services, mental retardation, mood disorder, special housing
in
Aging and Mental Health
pages
10 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85082467753
  • pmid:32208744
ISSN
1360-7863
DOI
10.1080/13607863.2020.1742657
language
English
LU publication?
yes
id
ee792202-d54d-4d96-a1cc-54fcaa395cff
date added to LUP
2020-04-19 11:49:23
date last changed
2021-03-03 04:53:26
@article{ee792202-d54d-4d96-a1cc-54fcaa395cff,
  abstract     = {<p>Objectives: This study investigates specialist healthcare visits of older people with intellectual disability ID having affective and anxiety diagnoses in comparison with the general population, as well as across different levels of ID, behavioural impairment, and living in special housing in Sweden. Method: The study is a retrospective national-register-based study from 2002–2012 of people with ID 55 years and older (n = 7936) and a control group the same size matched by birth year and sex from the general population at the end of study. The study groups comprised those with affective (n = 918) and anxiety (n = 825) diagnoses who visited specialist healthcare, including data about living in special housing at the end of study in 2012. Results: Older people with ID and with affective and anxiety diagnoses have a higher risk of inpatient and unplanned visits to psychiatric and somatic healthcare than the general population. The average length of stay in inpatient psychiatric healthcare was higher in older people with ID and anxiety diagnoses than in the general population. Within the ID group, more inpatient and unplanned visits were made by those with moderate and severe levels of ID, behavioural impairment, and living in special housing. Conclusion: Older people with ID and affective and anxiety diagnoses are more likely to have inpatient and unplanned visits for specialist healthcare than the general population. Future research should explore the quality of healthcare services delivered by healthcare providers to older people with ID and with affective and anxiety diagnoses.</p>},
  author       = {El Mrayyan, Nadia and Bökberg, Christina and Eberhard, Jonas and Ahlström, Gerd},
  issn         = {1360-7863},
  language     = {eng},
  month        = {03},
  pages        = {1--10},
  publisher    = {Taylor & Francis},
  series       = {Aging and Mental Health},
  title        = {Healthcare utilisation patterns among older people with intellectual disability and with affective and anxiety diagnoses in comparison with the general population},
  url          = {http://dx.doi.org/10.1080/13607863.2020.1742657},
  doi          = {10.1080/13607863.2020.1742657},
  year         = {2020},
}