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Article: Relationship between symptoms of androgen deficiency and psychological factors and quality of life among Chinese men

TitleRelationship between symptoms of androgen deficiency and psychological factors and quality of life among Chinese men
Authors
Keywordsageing male
androgen deficiency
anxiety
Chinese men
depression
psychological factors
quality of life
stress
Issue Date2010
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJA
Citation
International Journal Of Andrology, 2010, v. 33 n. 5, p. 755-763 How to Cite?
AbstractAndrogen deficiency in the ageing male (ADAM) was proposed to characterize a symptom cluster of decrease in sexual function and strength, dysphoria and osteopenia in ageing men with decreased levels of androgens. Unlike menopause, literature on the topic is scarce and focuses mainly on the physiological aspects of the problem. However, men with ADAM also face a milieu of psychosocial stressors which may adversely affect their mental health. It is pertinent to examine ADAM within a psychological context. This study aims to determine the prevalence of symptoms of ADAM among Chinese men, and to examine their relationship with psychological distress and quality of life. A cross-sectional design was employed with standardized questionnaires to assess symptoms of ADAM and related psychological factors. The ADAM questionnaire, Hospital Anxiety and Depression Scale, Perceived Stress Scale, General Health Questionnaire and Short Form Health Survey-12 were administered to a community sample of 311 Chinese men (aged 40-80) attending a family medicine clinic in Hong Kong. Demographic information was also collected. A total of 87.8% of the sample was screened ADAM positive using the ADAM questionnaire. Age, duration of marriage, occupation, household income and physical health were found to be significantly associated with ADAM status. ADAM positive individuals were found to have higher anxiety and depression scores, higher stress level, higher psychiatric morbidity and poorer physical and mental quality of life compared with their ADAM negative counterparts. Symptoms of ADAM are prevalent among the Chinese. ADAM positivity as measured by the ADAM questionnaire is associated with poorer psychological well-being and quality of life in the ageing population. Further research and clinical attention to the psychological needs of this population is warranted. © 2010 European Academy of Andrology.
Persistent Identifierhttp://hdl.handle.net/10722/125316
ISSN
2014 Impact Factor: 3.695
2015 SCImago Journal Rankings: 1.161
ISI Accession Number ID
Funding AgencyGrant Number
University of Hong Kong
Funding Information:

The research was supported by the Small Project Funding Scheme of the University of Hong Kong. Part of the findings was presented in the World Psychiatric Association International Congress 2007 in the form of a poster.

References

 

DC FieldValueLanguage
dc.contributor.authorLee, AMen_HK
dc.contributor.authorChu, LWen_HK
dc.contributor.authorChong, CSYen_HK
dc.contributor.authorChan, SYen_HK
dc.contributor.authorTam, Sen_HK
dc.contributor.authorLam, KSLen_HK
dc.contributor.authorLam, TPen_HK
dc.date.accessioned2010-10-31T11:24:14Z-
dc.date.available2010-10-31T11:24:14Z-
dc.date.issued2010en_HK
dc.identifier.citationInternational Journal Of Andrology, 2010, v. 33 n. 5, p. 755-763en_HK
dc.identifier.issn0105-6263en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125316-
dc.description.abstractAndrogen deficiency in the ageing male (ADAM) was proposed to characterize a symptom cluster of decrease in sexual function and strength, dysphoria and osteopenia in ageing men with decreased levels of androgens. Unlike menopause, literature on the topic is scarce and focuses mainly on the physiological aspects of the problem. However, men with ADAM also face a milieu of psychosocial stressors which may adversely affect their mental health. It is pertinent to examine ADAM within a psychological context. This study aims to determine the prevalence of symptoms of ADAM among Chinese men, and to examine their relationship with psychological distress and quality of life. A cross-sectional design was employed with standardized questionnaires to assess symptoms of ADAM and related psychological factors. The ADAM questionnaire, Hospital Anxiety and Depression Scale, Perceived Stress Scale, General Health Questionnaire and Short Form Health Survey-12 were administered to a community sample of 311 Chinese men (aged 40-80) attending a family medicine clinic in Hong Kong. Demographic information was also collected. A total of 87.8% of the sample was screened ADAM positive using the ADAM questionnaire. Age, duration of marriage, occupation, household income and physical health were found to be significantly associated with ADAM status. ADAM positive individuals were found to have higher anxiety and depression scores, higher stress level, higher psychiatric morbidity and poorer physical and mental quality of life compared with their ADAM negative counterparts. Symptoms of ADAM are prevalent among the Chinese. ADAM positivity as measured by the ADAM questionnaire is associated with poorer psychological well-being and quality of life in the ageing population. Further research and clinical attention to the psychological needs of this population is warranted. © 2010 European Academy of Andrology.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJAen_HK
dc.relation.ispartofInternational Journal of Andrologyen_HK
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.subjectageing maleen_HK
dc.subjectandrogen deficiencyen_HK
dc.subjectanxietyen_HK
dc.subjectChinese menen_HK
dc.subjectdepressionen_HK
dc.subjectpsychological factorsen_HK
dc.subjectquality of lifeen_HK
dc.subjectstressen_HK
dc.subject.meshAndrology-
dc.subject.meshEditorial Policies-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshPeriodicals as Topic-
dc.titleRelationship between symptoms of androgen deficiency and psychological factors and quality of life among Chinese menen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0105-6263&volume=33&issue=5&spage=755&epage=763&date=2009&atitle=Relationship+between+symptoms+of+androgen+deficiency+and+psychological+factors+and+quality+of+life+among+Chinese+menen_HK
dc.identifier.emailLee, AM: amlee@hkucc.hku.hken_HK
dc.identifier.emailLam, KSL: ksllam@hku.hken_HK
dc.identifier.emailLam, TP: tplam@hku.hken_HK
dc.identifier.authorityLee, AM=rp00483en_HK
dc.identifier.authorityLam, KSL=rp00343en_HK
dc.identifier.authorityLam, TP=rp00386en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1365-2605.2009.01021.xen_HK
dc.identifier.pmid20050940-
dc.identifier.scopuseid_2-s2.0-77956273233en_HK
dc.identifier.hkuros173967en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77956273233&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume33en_HK
dc.identifier.issue5en_HK
dc.identifier.spage755en_HK
dc.identifier.epage763en_HK
dc.identifier.isiWOS:000281555900010-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLee, AM=7405629831en_HK
dc.identifier.scopusauthoridChu, LW=7202236665en_HK
dc.identifier.scopusauthoridChong, CSY=25629318300en_HK
dc.identifier.scopusauthoridChan, SY=26653358400en_HK
dc.identifier.scopusauthoridTam, S=7202037323en_HK
dc.identifier.scopusauthoridLam, KSL=8082870600en_HK
dc.identifier.scopusauthoridLam, TP=55232643600en_HK
dc.identifier.citeulike7853687-

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