Stressful life events and use of physician services among the elderly: the moderating role of pet ownership.

The physician utilization behavior of 938 Medicare enrollees in a health maintenance organization was prospectively followed for 1 year. With demographic characteristics and health status at baseline controlled for, respondents who owned pets reported fewer doctor contacts over the 1-year period than respondents who did not own pets. Furthermore, pets seemed to help their owners in times of stress. The accumulation of prebaseline stressful life events was associated with increased doctor contacts during the study year for respondents without pets. This relationship did not emerge for pet owners. Owners of dogs, in particular, were buffered from the impact of stressful life events on physician utilization. Additional analyses showed that dog owners in comparison to owners of other pets spent more time with their pets and felt that their pets were more important to them. Thus, dogs more than other pets provided their owners with companionship and an object of attachment.

[1]  Letitia Anne Peplau,et al.  Preventing the harmful consequences of severe and persistent loneliness. , 1984 .

[2]  G W Comstock,et al.  Symptoms of depression in two communities , 1977, Psychological Medicine.

[3]  M P Lawton,et al.  Pet ownership: a research note. , 1984, The Gerontologist.

[4]  R. Nissen-Meyer.  [Stress reactions]. , 1956, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[5]  Barbara Borden,et al.  Preventing the Harmful Consequences of Severe and Persistent Loneliness , 1986 .

[6]  T. Garrity,et al.  Pet Ownership and Attachment as Supportive Factors in the Health of the Elderly , 1989 .

[7]  M. Hughes,et al.  Depression in rural communities: Validating the CES‐D scale , 1980 .

[8]  C. Stegman,et al.  Companion animals and elderly people: a challenge for evaluators of social support. , 1983, The Gerontologist.

[9]  E. Friedmann,et al.  Animal companions and one-year survival of patients after discharge from a coronary care unit. , 1980, Public health reports.

[10]  R R Frerichs,et al.  Prevalence of depression in Los Angeles County. , 1981, American journal of epidemiology.

[11]  T. Wills,et al.  Stress, social support, and the buffering hypothesis. , 1985, Psychological bulletin.

[12]  H. Krauss,et al.  The Relationship between Life Crises and Mental Deterioration in Old Age , 1974, International journal of aging & human development.

[13]  C. Connell,et al.  Companion animals and human health: relationships with companion animals among the rural elderly , 1983 .

[14]  S. Murrell,et al.  Prevalence of depression and its correlates in older adults. , 1983, American journal of epidemiology.

[15]  L. Radloff.  The CES-D Scale , 1977 .

[16]  Ronald C. Kessler,et al.  Social support and mental health in community samples. , 1985 .

[17]  R. Rahe,et al.  Life change and illness studies: past history and future directions. , 1978, Journal of human stress.

[18]  G. Klerman,et al.  Medical and Psychiatric Determinants of Outpatient Medical Utilization , 1986, Medical care.

[19]  D. Mechanic,et al.  The effect of psychological distress on physician utilization: a prospective study. , 1976, Journal of health and social behavior.

[20]  E. Wagner,et al.  The epidemiologic evidence for a relationship between social support and health. , 1983, American journal of epidemiology.

[21]  P. Lewinsohn,et al.  Clinical geropsychology : new directions in assessment and treatment , 1983 .

[22]  I. D. Goldberg,et al.  The de facto US mental health services system: a public health perspective. , 1978, Archives of general psychiatry.

[23]  D H Freeman,et al.  Depressive symptoms in relation to physical health and functioning in the elderly. , 1986, American journal of epidemiology.

[24]  D. Mechanic.  Social psychologic factors affecting the presentation of bodily complaints. , 1972, The New England journal of medicine.

[25]  Letitia Anne Peplau,et al.  LONELINESS RESEARCH: A SURVEY OF EMPIRICAL FINDINGS , 1984 .

[26]  I J Muschel,et al.  Pet Therapy with Terminal Cancer Patients , 1984, Social casework.

[27]  M. Weissman,et al.  Assessing depressive symptoms in five psychiatric populations: a validation study. , 1977, American journal of epidemiology.

[28]  J. Lubben.  Assessing social networks among elderly populations. , 1988 .

[29]  H. Waxman,et al.  Depressive Symptoms and Health Service Utilization among the Community Elderly , 1983, Journal of the American Geriatrics Society.

[30]  C M Brickel,et al.  The therapeutic roles of cat mascots with a hospital-based geriatric population: a staff survey. , 1979, The Gerontologist.

[31]  S. Syme,et al.  Social support and health. , 1986 .