General Hospital Psychiatry
Volume 27, Issue 2 , Pages 97-99 , March 2005

Health beliefs and depression in a group of elderly high utilizers of medical services

  • Carolyn M. Levinson, M.P.H

      Affiliations

    • Department of Psychiatry, Yale University, West Haven, CT 06516, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 203 932 5711x7432; fax: +1 203 937 3472.
    • ,
  • Benjamin G. Druss, M.D., M.P.H

      Affiliations

    • Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA

Received 13 January 2003 ,Accepted 16 September 2004.

References 

  1. Unutzer J, Patrick DL, Simon G, et al. Depressive symptoms and the cost of health services in HMO patients aged 65 years and older. JAMA. 1997;277:1618–1623
  2. Simon G, VonKorff M, et al. Health care accosts associated with depressive and anxiety disorders in primary care. Am. J. Psychiatry. 1995;152:352–357
  3. Katon W, Von Korff M, Lin E, Lipscomb P, Russo J, Wagner E, et al. Distressed high utilizers of medical care: DSM III-R diagnoses and treatment needs. Gen. Hosp. Psychiatry. 1990;2:355–362
  4. Kirmayer LJ. Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. J. Clin. Psychiatry. 2001;62(Suppl. 13):22–28[discussion 29–30]
  5. In:  Becker MH editors. The Health Belief Model and personal health behavior. Health education monographs. 2(4):1974;p. 324–508
  6. Radloff LS. The CES D Scale: a self report depression scale for research in the general population. Appl. Psychol. Measurement. 1977;1:385–401
  7. Weissfeld JL, Brock BM, Kirscht JP, Hawthorne VM. Reliability of health belief indexes: confirmatory factor analysis in sex, race and age subgroups. Health Serv. Res. 1987;21(6):777–793
  8. Kirscht JP, Becker MH, Eveland JP. Psychological and social factors as predictors of medical behavior. Med. Care. 1976;14(50):422–431
  9. SAS Version 8.0. SAS Institute Inc. Cary, NC, 2000.
  10. Von Korff M, Katon W, Buish T, Lin EH, Simon GE, Saunders K, et al. Treatment costs, cost offset, and cost-effectiveness of collaborative management of depression. Psychosom. Med. 1998;60(2):143–149
  11. Simon GE, Manning WG, Katzelnick DJ, Pearson SD, Henk HJ, Helstad CS. Cost-effectiveness of systematic depression treatment for high utilizers of general medical care. Arch. Gen. Psychiatry. 2001;58(2):181–187

☆ This study was funded in part by NIMH grant K08 MH01556.

PII: S0163-8343(04)00131-8

doi: 10.1016/j.genhosppsych.2004.09.010

General Hospital Psychiatry
Volume 27, Issue 2 , Pages 97-99 , March 2005

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