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Related Experiment Videos

Older age treatment expectations.

L Hyer, J Collins

    Journal of Clinical Psychology
    |March 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Treatment expectation (TE) increases with age in psychiatric patients. While higher TE may improve adjustment, older age combined with high TE does not guarantee better community adjustment.

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    Area of Science:

    • Geriatric Psychiatry
    • Mental Health Services Research
    • Clinical Psychology

    Background:

    • The influence of patient age on treatment expectation (TE) and its impact on posthospital adjustment remains under-researched.
    • Previous studies have largely overlooked the nuanced relationship between aging, patient expectations, and mental health outcomes.

    Purpose of the Study:

    • To investigate the association between patient age and treatment expectation (TE).
    • To examine how TE and age interact to influence posthospital adjustment in a large psychiatric patient cohort.
    • To identify specific patient subgroups where age-related differences in TE are most pronounced.

    Main Methods:

    • A cohort of 5,347 psychiatric patients (4,361 younger <55 years; 986 older >55 years) was assessed.

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  • Patients completed self- and other-rated adjustment scales at admission, including a factor for TE.
  • Posthospital adjustment was evaluated at 3-month follow-up, with outcomes corrected and uncorrected for baseline adjustment.

    • Main Results:

    • Treatment expectation (TE) demonstrated a positive correlation with increasing age.
    • Higher TE was associated with improved posthospital adjustment, though this effect varied.
    • The combination of older age and higher TE did not consistently predict superior community adjustment.
    • Pronounced differences in TE between younger and older patients were observed in psychotic individuals and older patients with limited employment.

    Conclusions:

    • Age is a significant factor influencing treatment expectation (TE) in psychiatric patients.
    • While TE is linked to better adjustment, its interaction with older age does not uniformly enhance community reintegration.
    • Clinical interventions may need to consider age-specific expectations to optimize posthospital adjustment, particularly for vulnerable subgroups.