Much concern has been expressed about increasing health costs associat
ed with an aging population. In relation to chronic conditions, this s
tudy demonstrates that cost seems to be a function of adjustment to th
e chronic condition rather than of age in and of itself. We know from
previous work that people with poor psychosocial adjustment cost consi
derably more than do people who are either moderately or well adjusted
and this study shows that older, poorly adjusted persons are no more
costly than their younger counterparts. (C) 1997 Elsevier Science Ltd.