XXXX history is associated with psychological distress and somatic symptoms in homebound older adults.

@entity1 @entity308 @entity146 @entity915 @entity148 @entity130
OBJECTIVES: To examine the physical health, @entity148 , and @entity308 symptoms of homebound older adults in relation to a history of @entity130 exposure. DESIGN: Secondary analysis of cross-sectional data. SETTING: @entity1 were recruited by in-home aging services case managers. @entity1 : The sample consisted of 136 older adults receiving in-home services. MEASUREMENTS: @entity1 completed a research battery that included the Structured Clinical Interview for Diagnostic and Statistical Manual of @entity146 , Fourth Edition ( @entity915 ), Modified Mini-Mental Status Examination, and Brief Symptom Inventory-18 (BSI-18). Case managers provided standard assessments of health and functional status. Data were analyzed using t tests, chi tests, and logistic regression. RESULTS: Approximately half (49%) of the @entity1 reported experiencing a traumatic event. When compared with @entity1 who did not report a history of @entity130 , @entity130 -exposed @entity1 were on average 3 years younger, had one more chronic medical condition, were taking two more nonpsychotropic medications, and were more likely to report poor self-rated health. Furthermore, @entity130 -exposed @entity1 were more likely to experience clinically significant somatic and @entity148 on the BSI-18 and were more likely to meet criteria for a @entity148 diagnosis. After controlling for physical health and cognitive functioning, @entity130 exposure was still associated with @entity146 and higher levels of somatic and @entity148 . CONCLUSIONS: @entity130 -exposed @entity1 were younger but experienced worse physical and mental health than those without a @entity130 history. This suggests that @entity130 exposure across the lifespan could have a long-term negative impact on homebound older adults' health and quality of life.
