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Age-related patterns in mental health-related complementary and alternative medicine utilization in Canada

Published online by Cambridge University Press:  18 August 2010

Rebecca Crabb*
Affiliation:
Special Fellowship Program in Advanced Geriatrics, Geriatric Research Education and Clinical Center, VA Palo Alto, CA, U.S.A.
John Hunsley
Affiliation:
School of Psychology, University of Ottawa, Ottawa, Canada
*
Correspondence should be addressed to: Rebecca Crabb, PhD, Geriatric Research Education and Clinical Center (GRECC) 182B, Veterans Administration Health Care System, 3801 Miranda Avenue, Palo Alto, California, 94304–1290, U.S.A. Email: rebecca.crabb@va.gov.

Abstract

Background: The aim of this study was to examine whether age-related differences in rates of use of complementary and alternative medicine (CAM) specifically for mental health problems parallel well-known age-related differences in use of conventional mental health services and medications.

Methods: A sample of middle-aged (45–64 years; n = 10,762), younger-old (65–74; n = 4,113) and older-old adults (75 years and older; n = 3,623) was drawn from the 2001–2002 Canadian Community Health Survey (CCHS), Cycle 1.2, Mental Health and Wellbeing. Age-related utilization rates of conventional and complementary mental health services and medications/products were calculated. Logistic regression analyses were used to examine the strength of association between age group and utilization of services and medications or products in the context of other important sociodemographic and clinical characteristics.

Results: When considered in the context of other sociodemographic and clinical characteristics, older age was positively associated with mental health-related utilization of alternative health products. Older age was not significantly associated with mental health-related consultations with CAM providers.

Conclusions: Overall, age-related patterns in mental health-related use of CAM did not directly correspond to age-related patterns in conventional mental health care utilization, suggesting different sets of predictors involved in seeking each type of care.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Areán, P. A., Alvidrez, J., Barrera, A., Robinson, G. S. and Hicks, S. (2002). Would older medical patients use psychological services? Gerontologist, 42, 392398.CrossRefGoogle ScholarPubMed
Astin, J. A. (1998). Why patients use alternative medicine: results of a national study. JAMA, 19, 15481553.CrossRefGoogle Scholar
Astin, J. A., Pelletier, K. R., Marie, A. and Haskell, W. L. (2000). Complementary and alternative medicine use among elderly persons: one-year analysis of a Blue Shield Medicare supplement. Journal of Gerontology, 55A, M4M9.Google Scholar
Bazargan, M. et al. (2008). Correlates of complementary and alternative medicine utilization in depressed, underserved African American and Hispanic patients in primary care settings. Journal of Alternative and Complementary Medicine, 14, 537544.CrossRefGoogle ScholarPubMed
Beck, C. et al. (2005). Psychotropic medication use in Canada. Canadian Journal of Psychiatry, 50, 605613.CrossRefGoogle ScholarPubMed
Blalock, S. J. et al. (2005). Factors associated with potentially inappropriate drug utilization in a sample of rural community-dwelling older adults. American Journal of Geriatric Pharmacotherapy, 3, 168179.CrossRefGoogle Scholar
Blazer, D. G., Hybels, C. F., Fillenbaum, G. G. and Pieper, C. F. (2005). Predictors of antidepressant use among older adults: Have they changed over time? American Journal of Psychiatry, 162, 705710.CrossRefGoogle ScholarPubMed
Callahan, C. M. (2001). Quality improvement research on late life depression in primary care. Medical Care, 39, 772784.CrossRefGoogle ScholarPubMed
Colenda, C. C. et al. (2003). Comparing clinical practice with guideline recommendations for the treatment of depression in geriatric patients. American Journal of Geriatric Psychiatry, 11, 448457.CrossRefGoogle ScholarPubMed
Crabb, R. and Hunsley, J. (2006). Utilization of mental health care services among older adults with depression. Journal of Clinical Psychology, 62, 299312.CrossRefGoogle ScholarPubMed
Druss, B. G. and Rosenheck, R. A. (2000). Use of practitioner-based complementary therapies by persons reporting mental conditions in the United States. Archives of General Psychiatry, 57, 708714.CrossRefGoogle ScholarPubMed
Eisenberg, D. M. et al. (1998). Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national study. JAMA, 280, 15691575.CrossRefGoogle Scholar
Foster, D. F., Phillips, R. S., Hamel, M. B. and Eisenberg, D. M. (2000). Alternative medicine use in older Americans. Journal of the American Geriatrics Society, 48, 15601565.CrossRefGoogle ScholarPubMed
Grzywacz, J. G., Suerken, C. K., Quandt, S. A., Bell, R. A., Lang, W. and Arcury, T. A. (2005). Older adults’ use of complementary and alternative medicine for mental health: findings from the 2002 National Health Interview Survey. Journal of Alternative and Complementary Medicine, 12, 467473.CrossRefGoogle Scholar
Haro, J. M. et al. (2006). Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health Surveys. International Journal of Methods in Psychiatric Research, 15, 167180.CrossRefGoogle ScholarPubMed
Karlin, B. E., Duffy, M. and Greaves, D. H. (2008). Patterns and predictors of mental health service use and mental illness among older and younger adults in the United States. Psychological Services, 5, 275294.CrossRefGoogle Scholar
Kessler, R. C. and Üstün, T. B. (2004). The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93121.CrossRefGoogle ScholarPubMed
Kessler, R. C. et al. (2001). The use of complementary and alternative therapies to treat anxiety and depression in the United States. American Journal of Psychiatry, 158, 289294.CrossRefGoogle ScholarPubMed
Klap, R., Unroe, K. and Unützer, J. (2003). Caring for mental illness in the United States: a focus on older adults. American Journal of Geriatric Psychiatry, 11, 517524.CrossRefGoogle ScholarPubMed
Levine, M. A. et al. (2009). Self-reported use of natural health products: a cross-sectional telephone survey in older Ontarians. American Journal of Geriatric Pharmacotherapy, 7, 383392.CrossRefGoogle ScholarPubMed
Millar, W. J. (2001). Patterns of use – alternative health care practitioners. Health Reports, 13, 921.Google ScholarPubMed
Nahin, R. L., Fitzpatrick, A. L., Williamson, J. D., Burke, G. L., DeKosky, S. T. and Furberg, C. (2006). Use of herbal medicine and other dietary supplements in community-dwelling older people: baseline data from the gingko evaluation of memory study. Journal of the American Geriatrics Society, 54, 17251735.CrossRefGoogle ScholarPubMed
National Center for Complementary and Alternative Medicine (2007). What is CAM? Available at http://nccam.nih.gov/health/whatiscam/overview.htm; last accessed 12 February 2010.Google Scholar
Park, J. (2005). Use of alternative health care. Health Reports, 16, 3942.Google Scholar
Rao, J. N. K. and Scott, A. J. (1984). On chi-squared tests for multiway contingency tables with cell proportions estimated from survey data. Annals of Statistics, 12, 4660.CrossRefGoogle Scholar
Simon, G. E. et al. (2004). Mental health visits to complementary and alternative medicine providers. General Hospital Psychiatry, 26, 171177.CrossRefGoogle ScholarPubMed
Singh, S. R. and Levine, M. H. A. (2006). Natural health product use in Canada: analysis of the National Population Health Survey. Canadian Journal of Clinical Pharmacology, 13, e240e250.Google ScholarPubMed
Sjernberg, L., Berglund, J. and Halling, A. (2006). Age and gender effects on the use of herbal medicine products and food supplements among the elderly. Scandinavian Journal of Primary Health Care, 24, 5055.CrossRefGoogle Scholar
Statistics Canada (2004). CCHS Cycle 1.2, Mental Health and Wellbeing, Public Use Microdata File Documentation. Ottawa, ON: Statistics Canada.Google Scholar
Unützer, J. et al. (2000). Mental disorder and the use of alternative medicine: results from a national survey. American Journal of Psychiatry, 157, 18511857.CrossRefGoogle ScholarPubMed
Votova, K. and Wister, A. V. (2007). Self-care dimensions of complementary and alternative medicine use among older adults. Gerontology, 53, 2127.CrossRefGoogle ScholarPubMed
Wang, J. L., Patten, S. B. and Russell, M. L. (2001). Alternative medicine use by individuals with major depression. Canadian Journal of Psychiatry, 46, 528533.CrossRefGoogle ScholarPubMed
Young, A. S., Klap, R., Sherbourne, C. D. and Wells, K. B. (2001). The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry, 58, 5561.CrossRefGoogle ScholarPubMed