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Formal support, mental disorders and personal characteristics
 — a 25-year follow-up study of a total cohort of older people
Author(s)G Samuelsson, G Sundrstöm, O Dehlin
Journal titleHealth & Social Care in the Community, vol 11, no 2, March 2003
Pagespp 95-102
KeywordsMental disorder ; Mental health [elderly] ; Domiciliary services ; General practice ; Nursing homes ; Longitudinal surveys ; Sweden.
AnnotationSocial factors were the main factors predicting formal support in this Swedish cohort of 192 aged 67 in 1969-70, who were assessed regarding their psychological and social characteristics by interviews, psychological tests and medical examinations. They were assessed on eight further occasions until age 92. Information was also collected about their use of primary healthcare and social services. During the 25-year observation period, 53% of people with dementia eventually received both home help and institutional care, compared to 34% with other psychiatric diagnoses, and 12% with good mental health. The last group all had physical problems and/or problems with activities of daily living (ADLs). However, 35% of the dementia group, 46% with other psychiatric diagnoses, and 52% of those with good mental health did not receive any formal support. The institutionalised group reported loneliness significantly more than the other two groups. In a logistic regression analysis, loneliness, low social class, high blood pressure and low problem-solving ability were predictors of formal support use. Those with mental disorder, including dementia, were significantly more likely to use formal support compared to those with good mental health. (RH).
Accession NumberCPA-030319203 A
ClassmarkE: D: N: L5: LHB: 3J: 76P

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