Background Geriatric syndromes (GS) describe complex health challenges in older patients. Understanding the perceptions of geriatric syndromes as age-related vs. disease-related can help to identify different patterns of healthseeking behavior (HSB) for GS among older adults. Methods In this explorative, cross-sectional study, we investigate the prevalence and perception of various GS (falls, gait disturbance, pain, urinary incontinence, memory loss, depressive symptoms, loss of social contacts) in a geriatric cohort (n = 94, mean age 82.5 ± 5.29 years, 62.8% female). Variables included the presence of GS, their perceived impact, and whether they were viewed as age-related or disease-related (visual analogue scale). HSB was assessed based on whether patients sought medical consultation, received diagnostics, or underwent therapy for the GS. Additional variables included a comprehensive geriatric assessment, health literacy, locus of control, and views on aging. Results The study found significant variations in HSB among different GS. Overall, 94.7% of the patients experienced at least one GS. The most frequently reported GS were falls (59.6%), gait problems (55.3%), and pain (51.1%). Incontinence (39.4%), falls (37.5%), and gait problems (32.7%) were considered the most relevant GS by the patients. Pain (89.6%), incontinence (72.7%), and gait problems (69.2%) were the primary reasons for seeking medical consultation, with therapeutic measures more commonly initiated for pain (70.8%) than for gait disorders (28.8%) and incontinence (33.3%). Symptoms of depression and memory loss received minimal medical attention. Pain was predominantly perceived as disease-related, with corresponding higher HSB, whereas memory loss was often seen as age-related, with corresponding lower HSB. There was no significant association between GS ratings (age or disease-related) and sex, living situation, social support, education level, health literacy, or locus of control. However, a positive view on aging correlated with perceiving depressive symptoms and lack of energy as disease-related.
Kobus et al. (Thu,) studied this question.