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

TitleUnrecognised psychological problems impair quality of life and increase consultation rates in Chinese elderly patients
Authors
KeywordsChinese
Elderly
Mental health
Quality of life
Screening
Service utilization
Issue Date2009
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
Citation
International Journal Of Geriatric Psychiatry, 2009, v. 24 n. 9, p. 979-989 How to Cite?
AbstractObjective: Studies have shown that psychological problems in elderly patients are often unrecognised in primary care. The aim of this study was to investigate the quality of life and consultation rates of Chinese elderly patients with unrecognised psychological problems in primary care. The prevalence and risk factors of unrecognised psychological problems were also determined. Methods: A cross-sectional study on consecutive patients aged ≥60 with no known psychological diseases were screened by the Hospital Anxiety and Depression Scale (HADS) when they consulted at two primary care clinics in Hong Kong. Data on socio-demographic characteristics, chronic morbidity, consultation rates, and health-related quality of life (HROQL) were collected. Multivariable regressions were used to determine the effect of a positive HADS score on HRQOL scores and consultation rates, and the risk factors of unrecognised psychological problems. Results: One thousand eight hundred and fifty-four subjects (mean age 72.6 years and 52% male) were screened and the estimated prevalence of unrecognised psychological diseases was 23% (95% CI = 13.1-33.8%). A positive screening result was associated with poorer SF-36 HROQL scores and higher episodic consultation rates. An increased risk of unrecognised psychological problems was associated with the presence of more than two chronic diseases. Other risk factors included female gender, no formal education and having chronic pulmonary disease or heart disease. Living with a spouse increased the risk in elderly women. Conclusions: 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. Copyright © 2009 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/157220
ISSN
2015 Impact Factor: 2.699
2015 SCImago Journal Rankings: 1.382
ISI Accession Number ID
Funding AgencyGrant Number
Health Care and Promotion Fund218016
Food and Health Bureau, Hong Kong SAR Government
Funding Information:

This project was supported by the Health Care and Promotion Fund (project ref no # 218016) of the Food and Health Bureau, Hong Kong SAR Government, the Government of the Hong Kong SAR.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorLam, CLKen_US
dc.contributor.authorChin, WYen_US
dc.contributor.authorLee, PWHen_US
dc.contributor.authorLo, YYCen_US
dc.contributor.authorFong, DYTen_US
dc.contributor.authorLam, TPen_US
dc.date.accessioned2012-08-08T08:47:55Z-
dc.date.available2012-08-08T08:47:55Z-
dc.date.issued2009en_US
dc.identifier.citationInternational Journal Of Geriatric Psychiatry, 2009, v. 24 n. 9, p. 979-989en_US
dc.identifier.issn0885-6230en_US
dc.identifier.urihttp://hdl.handle.net/10722/157220-
dc.description.abstractObjective: Studies have shown that psychological problems in elderly patients are often unrecognised in primary care. The aim of this study was to investigate the quality of life and consultation rates of Chinese elderly patients with unrecognised psychological problems in primary care. The prevalence and risk factors of unrecognised psychological problems were also determined. Methods: A cross-sectional study on consecutive patients aged ≥60 with no known psychological diseases were screened by the Hospital Anxiety and Depression Scale (HADS) when they consulted at two primary care clinics in Hong Kong. Data on socio-demographic characteristics, chronic morbidity, consultation rates, and health-related quality of life (HROQL) were collected. Multivariable regressions were used to determine the effect of a positive HADS score on HRQOL scores and consultation rates, and the risk factors of unrecognised psychological problems. Results: One thousand eight hundred and fifty-four subjects (mean age 72.6 years and 52% male) were screened and the estimated prevalence of unrecognised psychological diseases was 23% (95% CI = 13.1-33.8%). A positive screening result was associated with poorer SF-36 HROQL scores and higher episodic consultation rates. An increased risk of unrecognised psychological problems was associated with the presence of more than two chronic diseases. Other risk factors included female gender, no formal education and having chronic pulmonary disease or heart disease. Living with a spouse increased the risk in elderly women. Conclusions: 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. Copyright © 2009 John Wiley & Sons, Ltd.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294en_US
dc.relation.ispartofInternational Journal of Geriatric Psychiatryen_US
dc.rightsInternational Journal of Geriatric Psychiatry. Copyright © John Wiley & Sons Ltd.-
dc.subjectChinese-
dc.subjectElderly-
dc.subjectMental health-
dc.subjectQuality of life-
dc.subjectScreening-
dc.subjectService utilization-
dc.subject.meshAgeden_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshGeriatric Assessment - Methodsen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMental Disorders - Diagnosis - Epidemiology - Psychologyen_US
dc.subject.meshPrevalenceen_US
dc.subject.meshPsychiatric Status Rating Scalesen_US
dc.subject.meshQuality Of Health Care - Standardsen_US
dc.subject.meshQuality Of Life - Psychologyen_US
dc.subject.meshRisk Factorsen_US
dc.titleUnrecognised psychological problems impair quality of life and increase consultation rates in Chinese elderly patientsen_US
dc.typeArticleen_US
dc.identifier.emailLam, CLK:clklam@hku.hken_US
dc.identifier.emailChin, WY:chinwy@hku.hken_US
dc.identifier.emailLo, YYC:yve_lo@yahoo.com.hken_US
dc.identifier.authorityLam, CLK=rp00350en_US
dc.identifier.authorityChin, WY=rp00290en_US
dc.identifier.authorityLo, YYC=rp00512en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/gps.2210en_US
dc.identifier.pmid19353580-
dc.identifier.scopuseid_2-s2.0-70350778512en_US
dc.identifier.hkuros156845-
dc.identifier.hkuros182378-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70350778512&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume24en_US
dc.identifier.issue9en_US
dc.identifier.spage979en_US
dc.identifier.epage989en_US
dc.identifier.eissn1099-1166-
dc.identifier.isiWOS:000269428100012-
dc.publisher.placeUnited Kingdomen_US
dc.relation.projectA randomised controlled trial on the effectiveness of screening and brief problem-solving counselling for elderly patients with undiagnosed psychological problems in primary care-
dc.identifier.scopusauthoridLam, CLK=24755913900en_US
dc.identifier.scopusauthoridChin, WY=35117470300en_US
dc.identifier.scopusauthoridLee, PWH=7406120357en_US
dc.identifier.scopusauthoridLo, YYC=16022308000en_US
dc.identifier.scopusauthoridFong, DYT=35261710300en_US
dc.identifier.scopusauthoridTai, PL=36464329400en_US

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