Unrecognised psychological problems impair quality of life and increase consultation rates in Chinese elderly patients

Lam, Cindy L. K.; Chin, Weng Yee; Lee, Peter W. H.; Lo, Yvonne; Fong, Daniel Yee Tak; Lam, Tai Pong

doi:10.1002/gps.2210

Cited by 16 publications

(12 citation statements)

References 43 publications

(75 reference statements)

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“…Thus, the findings of the present study, showing that the severity of psychological distress on HADS positively correlated with the severity of the voice handicap equally for the total score and for all three domains, add valuable information indicating that the level of psychological distress is related to voice dysfunction rather than to the type of voice disorder. The relationship of depression with gender and age has been confirmed by other investigators [22] . It is likely that voice disorders in voice professionals could cause both social and professional relationship impairments resulting in more severe psychological distress.…”

Section: Discussionsupporting

confidence: 73%

Psychological Distress in Patients with Benign Voice Disorders

Šiupšinskienė

Razbadauskas

Dubosas

2011

Folia Phoniatr Logop

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Objective: The aims of this study were to investigate the frequency of anxiety and depression in patients with benign voice disorders with respect to gender and diagnosis and to determine correlations between psychological distress and some sociodemographic factors and the Voice Handicap Index (VHI). Methods: Psychological distress was assessed for 437 consecutive adult patients with benign voice disorders and 88 healthy controls by a standardized Hospital Anxiety and Depression Scale (HADS). In addition, sociodemographic factors, unhealthy habits and VHI were investigated. Results: Mild to severe HADS-Anxiety scores were seen in 42.1% of the whole patient group, while mild to severe HADS-Depression scores were seen in only 19.2% of patients. The anxiety rate rather than the depression rate in voice patients was found to be significantly higher compared to controls (p < 0.05). Female patients expressed more anxiety than males. HADS-Anxiety scores were similar for most benign voice disorders. The worst depression scores were found in patients with vocal fold paralysis. Higher psychological distress was significantly related to female gender, older age, less education and higher VHI scores. Conclusions: We recommend screening for psychological distress in patients with benign voice disorders using a simple HADS tool to identify those patients who might benefit from a more psychologically based approach to therapy.

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Section: Discussionsupporting

confidence: 73%

Psychological Distress in Patients with Benign Voice Disorders

Šiupšinskienė

Razbadauskas

Dubosas

2011

Folia Phoniatr Logop

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“…In addition, depression in later life has been a regular item on research agendas. It is increasingly recognized that unidentified psychological symptoms in primary care are common and have significant impact on individuals' quality of life (Lam et al, 2009). With advances in techniques for neuroimaging and genetic assessments, it is anticipated that translational research exploring the neurounderpinnings of cognitive decline and depression will be a major focus in the near future.…”

Section: Gerontological Research In Hkmentioning

confidence: 99%

Hong Kong: Embracing a Fast Aging Society With Limited Welfare

Cheng

Lum

Lam³

et al. 2013

The Gerontologist

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With a noninterventionist government and an ideology emphasizing family self-reliance, yet one of the oldest populations around the world, Hong Kong faces many unresolved policy issues in aging, including public financial support, long-term care, and the lack of health or mental health care policies for older people. Despite funding limitations, research is vibrant and population aging is drawing more researchers into the field. Following a review of some of the major research activities, we conclude with some observations on a few key issues for the field of gerontology to move forward with in Hong Kong.

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“…Despite these facts, black single mothers are rarely identified and treated for depressive symptoms (Atkins, 2015; Beaufont-Lafontant, 2007; Waite & Killian, 2009), and are hesitant to seek treatment or report depressive symptoms to health care providers (Beauboeuf-Lafontant, 2007; Waite & Killian, 2008, 2009). Clinical depression is a serious mental illness defined by its symptoms (Radloff, 1977), which negatively impact physical health, quality of life, and psychosocial functioning (Borsbo, Peolsson, & Gerdle, 2009; Coyne, 2009; Dinan, 1999; Lam et al, 2009). Clinical depression also produces negative psychosocial and health outcomes for single mothers and their families (Atkins, 2010; Boyd, Zayas, & McKee, 2006; Casey et al, 2004; Silver, Heneghan, Bauman, & Stein, 2006).…”

mentioning

confidence: 99%

Coping with Depression in Single Black Mothers

Atkins

2016

Issues in Mental Health Nursing

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Very little information exists in the literature about what black women do when they experience symptoms of depression. The purpose of this descriptive study was to analyze the responses of 208 community-residing black single mothers, aged 18 to 45, to an open-ended question asking, “What do you do to feel better when you are feeling down in the dumps?” The theoretical bases of the Ways of Coping Checklist, were used to facilitate categorizing their responses into a coping scale and then a particular coping profile. Percentages were used to categorize the frequency of the responses into the respective coping scale and to categorize the frequency of the combined responses of each woman into a respective coping profile. Of the 333 responses that the women provided, 327 were useable. Findings indicated that a majority of responses fell into the Escape-Avoidance category (n = 206; 63%), followed by the Seeking Social Support (n = 60, 18.3%), Positive Reappraisal (n = 40; 12.2%), Planful Problem Solving (n = 12; 3.7%), Distancing (n = 3; 1%), and Self-Controlling (n = 6; 1.8%) categories. No responses fit the Confrontive Coping or Accepting Responsibility categories and none of the responses indicated that the women sought professional help. Of the 176 women who provided answers to the study question, more than half (64.2%; n = 113) gave only emotion-focused responses, 2.8% (n = 5) gave only problem-focused responses, 2.8% (n = 5) gave mixed responses, and 30.2% (n = 53) reported social support seeking. Implications for future research, cultural theory, and nursing practice are addressed.

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Unrecognised psychological problems impair quality of life and increase consultation rates in Chinese elderly patients

Abstract: Unrecognised psychological problems are common in Chinese elderly patients in primary care. They are clinically important because they impair quality of life and increase the utilization of consultations.

Cited by 16 publications

References 43 publications

Psychological Distress in Patients with Benign Voice Disorders

Psychological Distress in Patients with Benign Voice Disorders

Hong Kong: Embracing a Fast Aging Society With Limited Welfare

Coping with Depression in Single Black Mothers

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