Subjective health‐related quality of life of Chinese older persons with depression in Shanghai and Hong Kong: relationship to clinical factors, level of functioning and social support

Chan, Sally Wai‐Chi; Jia, Shoumei; Chiu, Helen F.K.; Chien, Wai Tong; Thompson, David R.; Hu, Yan; Lam, Linda C. W.

doi:10.1002/gps.2129

Cited by 41 publications

(38 citation statements)

References 34 publications

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“…We also found that older participants had poorer QOL in the physical health and environment domains than younger people. This result might have been due to older individuals having comorbid medical conditions and less social support in Chinese societies, as reported (Lin et al 2008, Chan et al 2009). Economic issues may have been a critical factor for our participants, but became non-significant in the generalised regression analyses.…”

Section: Discussionmentioning

confidence: 89%

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Factors associated with quality of life after attempted suicide: a cross‐sectional study

Wang

Chou

Yeh³

et al. 2013

Journal of Clinical Nursing

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Aims and objectives To describe factors associated with the subjective quality of life of individuals who had attempted suicide. Background Although quality of life has been a focus of concern in mental health care, data are lacking on what life is like and what factors are related to an individual's quality of life after a suicide attempt. Design A cross‐sectional, descriptive design was used. Methods Participants comprised a convenience sample of 103 individuals who had attempted suicide within the previous three months and received follow‐up care from one suicide‐prevention centre in northern Taiwan. Participants were assessed for depression and quality of life using the Beck Depression Inventory, Taiwan version and the World Health Organisation Quality of Life Instrument‐BREF, Taiwan version, respectively. Results Almost half the participants (n = 49) had severe depression and one‐third of them (n = 30) reattempted suicide while receiving follow‐up care. Depression and quality‐of‐life scores were statistically significantly inversely correlated. participants' quality‐of‐life scores were most associated with their depressive level, reattempting suicide during suicidal follow‐up care, high educational level and older age. Conclusions The present study indicates that factors associated with quality of life decreased more in individuals with moderate/severe depression than in those with mild depression. In addition, individuals who reattempted suicide during follow‐up care were more likely to suffer from poor life quality. Relevance to clinical practice Mental health professionals should include frequent evaluation of depressive status and quality of life in follow‐up care for patients who have recently attempted suicide. Particularly, mental health professionals must treat suicidal individuals with a high tendency to reattempt suicide by establishing trust with them and allowing them to narrate their painful experiences during follow‐up care.

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Section: Discussionmentioning

confidence: 89%

“…, Chan et al . ). Economic issues may have been a critical factor for our participants, but became non‐significant in the generalised regression analyses.…”

Section: Discussionmentioning

confidence: 97%

Factors associated with quality of life after attempted suicide: a cross‐sectional study

Wang

Chou

Yeh³

et al. 2013

Journal of Clinical Nursing

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“…Previous studies have examined, among other things, supporting older home care clients' resources from the perspective of older people's satisfaction with the care-managed support (Chesterman et al, 2001;Miller, 2011), home support services for older people with dementia (Rothera et al, 2008), and perspective of social support (Chan et al, 2009;Coleman et al, 2011). Home care professionals can support clients' resources to improve their quality of life, provided that the care is client centered and respects clients' autonomy.…”

Section: Introductionmentioning

confidence: 99%

Forgotten resources of older home care clients: Focus group study in Finland

MSc

Hartikainen

Pietilä

2013

Nursing & Health Sciences

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In this qualitative focus group study, the resources available to older home-dwelling people, particularly incoming and existing home care clients, are described from the viewpoint of home care professionals (n = 32). The data were analyzed using inductive content analysis. There were three categories of older people requiring resources from the viewpoint of interviewers: home-dwelling people, incoming home care clients, and existing home care clients. Based on the analysis, the resources of older home-dwelling people were categorized in terms of support, meaningful life, everyday activities, and environment. Incoming home care client resources were support, out-of-home activities, in-home activities, and environment. Existing client resources were described in terms of support, everyday activities, and environment. Home care professionals described the resources of the older home-dwelling people in diverse ways, but those of the perspective of existing clients were reduced. The biggest difference was in everyday activities. Psychological and social resources, including meaningful life and social relationships, seemed to be forgotten. All available resources must be taken into account, especially in the everyday home care services for existing home care clients.

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“…For instance, while the majority of studies demonstrate that the frequency of panic attacks or number of depression symptoms is predictive of disability (Katerndahl & Realini, 1997; Rubin et al . 2000; Chan et al . 2009), others have found that the frequency of panic attacks is not correlated with functioning (Michelson et al .…”

mentioning

confidence: 99%

An examination of the bidirectional relationship between functioning and symptom levels in patients with anxiety disorders in the CALM study

et al. 2014

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Background Patients with anxiety disorders suffer marked functional impairment in their activities of daily living. Many studies have documented that improvements in anxiety symptom severity predict functioning improvements. However, no studies have investigated how improvements in functioning simultaneously predict symptom reduction. We hypothesized that symptom levels at a given time point will predict functioning at the subsequent time point, and simultaneously that functioning at a given time point will predict symptom levels at a subsequent time point. Methods Patients were recruited from primary care centers for the Coordinated Anxiety Learning and Management (CALM) study and were randomized to receive either computer-assisted cognitive-behavioral therapy and/or medication management (ITV) or usual care (UC). A cross-lagged panel design examined the relationship between functional impairment and anxiety and depression symptom severity at baseline, 6, 12, and 18 month follow-up assessments. Results Prospective prediction of functioning from symptoms and symptoms from functioning were both important in modeling these associations. Anxiety and depression predicted functioning as strongly as functioning predicted anxiety and depression. There were some differences in these associations between UC and ITV. Where differences emerged, the UC group was best modeled with prospective paths predicting functioning from symptoms, whereas symptoms and functioning were both important predictors in the ITV group. Conclusion Treatment outcome is best captured by measures of functional impairment as well as symptom severity. Implications for treatment are discussed, as well as future directions of research.

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Subjective health‐related quality of life of Chinese older persons with depression in Shanghai and Hong Kong: relationship to clinical factors, level of functioning and social support

Cited by 41 publications

References 34 publications

Factors associated with quality of life after attempted suicide: a cross‐sectional study

Factors associated with quality of life after attempted suicide: a cross‐sectional study

Forgotten resources of older home care clients: Focus group study in Finland

An examination of the bidirectional relationship between functioning and symptom levels in patients with anxiety disorders in the CALM study

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