Swipe om te navigeren naar een ander artikel
Older adults with a visual impairment are particularly vulnerable for increased depression and anxiety symptoms; however, they tend to underutilise mental health services. The present study aims to characterise the perceived need for and barriers to use mental health services in visually impaired older adults based on Andersen’s behavioural model.
A cross-sectional study in 871 visually impaired older adults (mean age 73 years) from outpatient low vision rehabilitation services was conducted. A multinomial logistic regression analysis was performed to assess potential-related factors to perceived need for mental health services, measured with the Perceived Need for Care Questionnaire (PNCQ).
About 35 % of the population had subthreshold depression and/or anxiety, and 13 % had a mood and/or anxiety disorder according to the DSM-IV. Almost 34 % of the participants with an actual disorder did not receive mental health services, even though 57 % perceived to be in need of these services. Participants who had more severe depression and/or anxiety, comorbid depression and anxiety, no history of major depressive disorder, a lower perceived health status and a younger age were more likely to be in need of mental health services. Barriers to receive these services were lack of knowledge and self-reliance.
Findings support the implementation of counselling methods, instead of medication, and patient empowerment to reduce an unmet need of mental health services in visually impaired older adults, for which extensive research is warranted.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Mariotto, S. P. (2012). Global data on visual impairments 2010. Resource document. World Health Organisation. Accessed August 29, 2014 from http://www.who.int/blindness/GLOBALDATAFINALforweb.pdf.
Kempen, G. I., Ballemans, J., Ranchor, A. V., van Rens, G. H., & Zijlstra, G. A. (2012). The impact of low vision on activities of daily living, symptoms of depression, feelings of anxiety and social support in community-living older adults seeking vision rehabilitation services. Quality of Life Research, 21(8), 1405–1411. CrossRefPubMedCentralPubMed
Karlsson, J. (1998). Self-reports of psychological distress in connection with various degrees of visual impairment. Journal of Visual Impairment & Blindness, 92(7), 483–490.
King, E., Sarah, E., & Peveler, R. (2006). Psychosocial needs of elderly visually impaired patients: Pilot study of patients’ perspectives. Primary Care Mental Health, 4(3), 185–197.
Casten, R., & Rovner, B. (2008). Depression in age-related macular degeneration. Journal of Visual Impairment & Blindness, 102(10), 591–599.
Augustin, A., Sahel, J. A., Bandello, F., Dardennes, R., Maurel, F., Negrini, C., et al. (2007). Anxiety and depression prevalence rates in age-related macular degeneration. Investigative Ophthalmology & Visual Science, 48(4), 1498–1503. CrossRef
Horowitz, A., Reinhardt, J. P., Boerner, K., & Travis, L. A. (2003). The influence of health, social support quality and rehabilitation on depression among disabled elders. Aging & Mental Health, 7(5), 342–350. CrossRef
Horowitz, A., & Reinhardt, J. P. (2006). Adequacy of the mental health system in meeting the needs of adults who are visually impaired. Journal of Visual Impairment & Blindness, 100, 871–874.
Babitsch, B., Gohl, D., & Von Lengerke, T. (2012). Re-revisiting Andersen’s Behavioral Model of Health Services Use: A systematic review of studies from 1998 to 2011. GMS Psycho-Social-Medicine, 9, Doc11.
Garrido, M. M., Kane, R. L., Kaas, M., & Kane, R. A. (2009). Perceived need for mental health care among community-dwelling older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 64(6), 704–712. CrossRef
van Beljouw, I., Verhaak, P., Prins, M., Cuijpers, P., Penninx, B., & Bensing, J. (2010). Reasons and determinants for not receiving treatment for common mental disorders. Psychiatric Services (Washington, DC), 61(3), 250–257. CrossRef
Sturrock, B. A., Xie, J., Holloway, E. E., Lamoureux, E. L., Keeffe, J. E., Fenwick, E. K., & Rees, G. (2014). The prevalence and determinants of desire for and use of psychosocial support in patients with low vision. Asia-Pacific Journal of Ophthalmology,. doi: 10.1097/APO.0000000000000012.
Vreeken, H., van Rens, G., Limburg, H., & van Nispen, R. (2011). Definitions, epidemiology and organisation of care for the blind and visually impaired in the Netherlands. In G. van Rens, H. Vreeken & R. van Nispen (Eds.), Guideline vision disorders: Rehabilitation and referral (pp. 15–30). Resource document. http://www.rep-online.nl/uploads/hC/sf/hCsfyQHBvekdnF3fp-z2xw/Richtlijn-visusstoornissen-revalidatie-en-verwijzing.pdf. Accessed 12 Nov 2014.
Haringsma, R., Engels, G. I., Beekman, A. T., & Spinhoven, P. (2004). The criterion validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a sample of self-referred elders with depressive symptomatology. International Journal of Geriatric Psychiatry, 19(6), 558–563. CrossRefPubMed
Beekman, A. T., Deeg, D. J., van Limbeek, J., Braam, A. W., De Vries, M. Z., & van Tilburg, W. (1997). Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): Results from a community-based sample of older subjects in The Netherlands. Psychological Medicine, 27(1), 231–235. CrossRefPubMed
Olssøn, I., Mykletun, A., & Dahl, A. A. (2005). The Hospital Anxiety and Depression Rating Scale: A cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry, 14(5), 46. CrossRef
van Vliet, I., & de Beurs, E. (2007). The MINI-International Neuropsychiatric Interview: A brief structured diagnostic psychiatric interview for DSM-IV en ICD-10 psychiatric disorders. Tijdschrift voor psychiatrie, 49(6), 393–397. PubMed
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33. PubMed
Lamers, L. M., Stalmeier, P. F., McDonnell, J., Krabbe, P. F., & van Busschbach, J. J. (2005). Measuring the quality of life in economic evaluations: The Dutch EQ-5D tariff. Nederlands Tijdschrift voor Geneeskunde, 149(28), 1574–1578. PubMed
Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50(6), 613–621. PubMed
Holloway, E. E., Sturrock, B. A., Lamoureux, E. L., Keeffe, J. E., & Rees, G. (2014). Depression screening among older adults attending low-vision rehabilitation and eye-care services: Characteristics of those who screen positive and client acceptability of screening. Australasian Journal on Ageing,. doi: 10.1111/ajag.12159. PubMed
- Why visually impaired older adults often do not receive mental health services: the patient’s perspective
Hilde P. A. van der Aa
Ger H. M. B. van Rens
Hilde L. Vreeken
Ruth M. A. van Nispen
- Springer International Publishing