{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T07:31:36Z","timestamp":1767598296959,"version":"3.41.2"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T00:00:00Z","timestamp":1673827200000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>While life\u2010space mobility is key for wellbeing, social participation and access to health care, vulnerable older adults face physical and mental barriers that may restrict mobility. The present exploratory study examined associations between physical functional limitations, depressive symptoms, life\u2010space mobility and outpatient health care utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional data from 197 community\u2010dwelling older adults with care needs and clinical depression was collected. Life\u2010space assessment composite score (LS\u2010C), instrumental activities of daily living scale (iADL), Geriatric Depression Scale (GDS\u201012) and outpatient health care utilization have been assessed. Multiple regression analyses were conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean LS\u2010C score was 31.8 (<jats:italic>SD<\/jats:italic> = 17.7, range: 0\u201392), indicating low mobility levels. Depressive symptoms (<jats:italic>\u03b2<\/jats:italic> = \u22120.21, <jats:italic>p<\/jats:italic> = 0.001) and iADL (<jats:italic>\u03b2<\/jats:italic> = 0.54, <jats:italic>p<\/jats:italic> &lt; 0.001) were significantly related with life\u2010space mobility, over and above age and living alone. An interaction effect between depressive symptoms and iADL was not significant (<jats:italic>\u03b2<\/jats:italic> = \u22120.07, 0.17, <jats:italic>p<\/jats:italic> = 0.26). Moreover, life\u2010space mobility was positively associated with primary care (<jats:italic>\u03b2<\/jats:italic> = 0.19, <jats:italic>p<\/jats:italic> = 0.02) and mental health care utilization (<jats:italic>\u03b2<\/jats:italic> = 0.33, <jats:italic>p<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Life\u2010space mobility appears to be largely restricted in home\u2010living vulnerable older adults with clinically significant depression; and factors associated with these restrictions appear to be physical and mental. The interplay of depression, mobility and health care utilization and its potential for interventional approaches need further investigations. Present findings underline an urgent need for new health care services that allow mobility\u2010impaired older patients to receive mental health outpatient treatment in their own home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical trial registration<\/jats:title><jats:p>The trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN55646265, registered February 15, 2019).<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.5875","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T04:40:05Z","timestamp":1673498405000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Life\u2010space mobility among home\u2010living older adults with care needs and clinical depression\u2014A cross\u2010sectional 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