A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older

Journal of Affective Disorders
Johanna Katharina HohlsAndré Hajek

Abstract

In older people, anxiety disorders are among the most prevalent mental disorders and a high proportion suffers from clinically relevant anxiety symptoms. Despite studies suggesting an association of anxiety with health care utilization (HCU) and a resulting economic burden to the health care system, we found no review systematically analyzing evidence on this association in older people. To analyze and synthesize evidence on the association of anxiety disorders and symptoms with HCU and costs in people aged 65 years and over in a systematic review. A systematic search of peer-reviewed literature was conducted in three electronic databases. Additional references were identified through reference lists of included studies. Inclusion criteria were: studies reporting the association of anxiety disorders or symptoms with HCU or costs, specifically in people aged 65 years and over, with observational study design, in German or English language. Findings were synthesized qualitatively and study quality was assessed. N = 15 studies (HCU n = 10, costs n = 5) were included in the final synthesis. Overall, studies either reported significantly increased HCU in anxiety disorders compared to a healthy comparison group/according to degree of...Continue Reading

Citations

Mar 2, 2019·International Journal of Geriatric Psychiatry·Johanna Katharina HohlsAndré Hajek
Oct 15, 2019·Depression and Anxiety·Johanna Katharina HohlsBeate Wild
Apr 7, 2020·International Journal of Geriatric Psychiatry·Terence W H ChongChristina Bryant
Sep 13, 2020·Healthcare·André HajekHans-Helmut König
May 30, 2020·International Journal of Environmental Research and Public Health·André HajekHans-Helmut König
Dec 29, 2020·PloS One·André HajekHans-Helmut König
Feb 27, 2021·Frontiers in Medicine·André HajekHans-Helmut König
Apr 4, 2021·International Journal of Environmental Research and Public Health·André HajekHans-Helmut König
Aug 8, 2021·International Journal of Environmental Research and Public Health·Raquel Fábrega-CuadrosAgustín Aibar-Almazán
Jan 2, 2022·BMJ Open·Benedikt KretzlerAndré Hajek

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