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Quality of Life Research
Gepubliceerd in: Quality of Life Research 4/2015

01-04-2015

Why visually impaired older adults often do not receive mental health services: the patient’s perspective

Auteurs: Hilde P. A. van der Aa, Mirke Hoeben, Linda Rainey, Ger H. M. B. van Rens, Hilde L. Vreeken, Ruth M. A. van Nispen

Gepubliceerd in: Quality of Life Research | Uitgave 4/2015

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Abstract

Purpose

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.

Methods

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).

Results

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.

Conclusions

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.
vorige artikel Quality of life profile in Italian long-term cancer survivors
volgende artikel Validation of clinical symptom IRT scores for diagnosis and severity assessment of common mental disorders
Literatuur
1.
2.
Brody, B. L., Gamst, A. C., Williams, R. A., Smith, A. R., Lau, P. W., Dolnak, D., et al. (2001). Depression, visual acuity, comorbidity, and disability associated with age-related macular degeneration. Ophthalmology, 108(10), 1893–1900.CrossRefPubMed
3.
Bookwala, J., & Lawson, B. (2011). Poor vision, functioning, and depressive symptoms: A test of the activity restriction model. Gerontologist, 51(6), 798–808.CrossRefPubMedCentralPubMed
4.
Hayman, K. J., Kerse, N. M., La Grow, S. J., Wouldes, T., Robertson, M. C., & Campbell, A. J. (2007). Depression in older people: Visual impairment and subjective ratings of health. Optometry and Vision Science, 84(11), 1024–1030.CrossRefPubMed
5.
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
6.
Huang, C. Q., Dong, B. R., Lu, Z. C., Yue, J. R., & Liu, Q. X. (2010). Chronic diseases and risk for depression in old age: A meta-analysis of published literature. Ageing Research Reviews, 9(2), 131–141.CrossRefPubMed
7.
Evans, J. R., Fletcher, A. E., & Wormald, R. P. L. (2007). Depression and anxiety in visually impaired older people. Ophthalmology, 114(2), 283–288.CrossRefPubMed
8.
Casten, R. J., Rovner, B. W., & Tasman, W. (2004). Age-related macular degeneration and depression: A review of recent research. Current Opinion in Ophthalmology, 15(3), 181–183.CrossRefPubMed
9.
Casten, R. J., & Rovner, B. W. (2013). Update on depression and age-related macular degeneration. Current Opinion in Ophthalmology, 24(3), 239–243.CrossRefPubMed
10.
Beekman, A. T., Copeland, J. R., & Prince, M. J. (1999). Review of community prevalence of depression in later life. British Journal of Psychiatry, 174, 307–311.CrossRefPubMed
11.
Geiselmann, B., Linden, M., & Helmchen, H. (2001). Psychiatrists’ diagnoses of subthreshold depression in old age: Frequency and correlates. Psychological Medicine, 31(1), 51–63.CrossRefPubMed
12.
Bryant, C., Jackson, H., & Ames, D. (2008). The prevalence of anxiety in older adults: Methodological issues and a review of the literature. Journal of Affective Disorders, 109(3), 233–250.CrossRefPubMed
13.
Hermens, M. L., van Hout, H. P., Terluin, B., van der Windt, D. A., Beekman, A. T., van Dyck, R., & de Haan, M. (2004). The prognosis of minor depression in the general population: A systematic review. General Hospital Psychiatry, 26(6), 453–462.CrossRefPubMed
14.
Licht-Strunk, E., van der Windt, D. A. W. M., van Marwijk, H. W. J., de Haan, M., & Beekman, A. T. F. (2007). The prognosis of depression in older patients in general practice and the community: A systematic review. Family Practice, 24(2), 168–180.CrossRefPubMed
15.
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.
16.
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.
17.
Fitzgerald, R. G., Ebert, J. N., & Chambers, M. (1987). Reactions to blindness: A four-year follow-up study. Perceptual and Motor Skills, 64(2), 363–378.CrossRefPubMed
18.
Horowitz, A., Reinhardt, J. P., & Kennedy, G. J. (2005). Major and subthreshold depression among older adults seeking vision rehabilitation services. The American Journal of Geriatric Psychiatry, 13(3), 180–187.CrossRefPubMed
19.
Casten, R., & Rovner, B. (2008). Depression in age-related macular degeneration. Journal of Visual Impairment & Blindness, 102(10), 591–599.
20.
Jones, G. C., Rovner, B. W., Crews, J. E., & Danielson, M. L. (2009). Effects of depressive symptoms on health behavior practices among older adults with vision loss. Rehabilitation Psychology, 54(2), 164–172.CrossRefPubMed
21.
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
22.
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
23.
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.
24.
Rees, G., Fenwick, E. K., Keeffe, J. E., Mellor, D., & Lamoureux, E. L. (2009). Detection of depression in patients with low vision. Optometry and Vision Science, 86(12), 1328–1336.CrossRefPubMed
25.
Fenwick, E. K., Lamoureux, E. L., Keeffe, J. E., Mellor, D., & Rees, G. (2009). Detection and management of depression in patients with vision impairment. Optometry and Vision Science, 86(8), 948–954.CrossRefPubMed
26.
Prins, M. A., Verhaak, P. F. M., Bensing, J. M., & van der Meer, K. (2008). Health beliefs and perceived need for mental health care of anxiety and depression: The patients’ perspective explored. Clinical Psychology Review, 28(6), 1038–1058.CrossRefPubMed
27.
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.
28.
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
29.
Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59(1), 77–84.CrossRefPubMed
30.
Seekles, W. M., Cuijpers, P., van de Ven, P., Penninx, B. W., Verhaak, P. F., Beekman, A. T., et al. (2012). Personality and perceived need for mental health care among primary care patients. Journal of Affective Disorders, 136(3), 666–674.CrossRefPubMed
31.
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
32.
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​.
33.
van der Aa, H. P., van Rens, G. H., Comijs, H. C., Bosmans, J. E., Margrain, T. H., & van Nispen, R. M. (2013). Stepped-care to prevent depression and anxiety in visually impaired older adults-design of a randomised controlled trial. BMC Psychiatry, 13, 209.CrossRefPubMedCentralPubMed
34.
35.
Callahan, C. M., Unverzagt, F. W., Hui, S. L., Perkins, A. J., & Hendrie, H. C. (2002). Six-item screener to identify cognitive impairment among potential subjects for clinical research. Medical Care, 40(9), 771–781.CrossRefPubMed
36.
Meadows, G., Harvey, C., Fossey, E., & Burgess, P. (2000). Assessing perceived need for mental health care in a community survey: Development of the Perceived Need for Care Questionnaire (PNCQ). Social Psychiatry and Psychiatric Epidemiology, 35(9), 427–435.CrossRefPubMed
37.
Penninx, B. W. J. H., Beekman, A. T. F., Smit, J. H., Zitman, F. G., Nolen, W. A., & Spinhoven, P. (2008). The Netherlands Study of Depression and Anxiety (NESDA): Rationale, objectives and methods. International Journal of Methods in Psychiatric Research, 17(3), 121–140.CrossRefPubMed
38.
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
39.
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
40.
Breslau, N. (1985). Depressive symptoms, major depression, and generalized anxiety: A comparison of self-reports on CES-D and results from diagnostic interviews. Psychiatry Research, 15(3), 219–229.CrossRefPubMed
41.
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
42.
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.CrossRefPubMed
43.
Mykletun, A., Stordal, E., & Dahl, A. A. (2001). Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses and internal consistency in a large population. The British Journal of Psychiatry, 179, 540–544.CrossRefPubMed
44.
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
45.
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
46.
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
47.
Meadows, G., Burgess, P., Bobevski, I., Fossey, E., Harvey, C., & Liaw, S. T. (2002). Perceived need for mental health care: Influences of diagnosis, demography and disability. Psychological Medicine, 32(2), 299–309.CrossRefPubMed
48.
Klap, R., Unroe, K. T., & Unutzer, J. (2003). Caring for mental illness in the United States: A focus on older adults. The American Journal of Geriatric Psychiatry, 11(5), 517–524.CrossRefPubMed
49.
Mackenzie, C. S., Pagura, J., & Sareen, J. (2010). Correlates of perceived need for and use of mental health services by older adults in the collaborative psychiatric epidemiology surveys. The American Journal of Geriatric psychiatry, 18(12), 1103–1115.CrossRefPubMedCentralPubMed
50.
Wetherell, J. L., Kaplan, R. M., Kallenberg, G., Dresselhaus, T. R., Sieber, W. J., & Lang, A. J. (2004). Mental health treatment preferences of older and younger primary care patients. International Journal of Psychiatry in Medicine, 34(3), 219–233.CrossRefPubMed
51.
Wang, S., & Boerner, K. (2008). Staying connected: Re-establishing social relationships following vision loss. Clinical Rehabilitation, 22(9), 816–824.CrossRefPubMed
52.
Boerner, K., & Wang, S. (2010). How it matters when it happens: Life changes related to functional loss in younger and older adults. International Journal of Aging and Human Development, 70(2), 163–179.CrossRefPubMedCentralPubMed
53.
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
54.
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
55.
Samoocha, D., Bruinvels, D. J., Elbers, N. A., Anema, J. R., & van der Beek, A. J. (2010). Effectiveness of web-based interventions on patient empowerment: A systematic review and meta-analysis. Journal of Medical Internet Research, 12(2), e23.CrossRefPubMedCentralPubMed
56.
Bower, P., Richards, D., & Lovell, K. (2001). The clinical and cost-effectiveness of self-help treatments for anxiety and depressive disorders in primary care: A systematic review. British Journal of General Practice, 51(471), 838–845.PubMedCentralPubMed
57.
Spek, V., Cuijpers, P., Nyklicek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37(3), 319–328.CrossRefPubMed
58.
Brody, B. L., Roch-Levecq, A. C., Kaplan, R. M., Moutier, C. Y., & Brown, S. I. (2006). Age-related macular degeneration: Self-management and reduction of depressive symptoms in a randomized, controlled study. Journal of the American Geriatrics Society, 54(10), 1557–1562.CrossRefPubMed
59.
Girdler, S. J., Boldy, D. P., Dhaliwal, S. S., Crowley, M., & Packer, T. L. (2010). Vision self-management for older adults: A randomised controlled trial. British Journal of Ophthalmology, 94(2), 223–228.CrossRefPubMed
60.
Rovner, B. W., & Casten, R. J. (2008). Preventing late-life depression in age-related macular degeneration. The American Journal of Geriatric Psychiatry, 16(6), 454–459.CrossRefPubMedCentralPubMed
Metagegevens
Titel
Why visually impaired older adults often do not receive mental health services: the patient’s perspective
Auteurs
Hilde P. A. van der Aa
Mirke Hoeben
Linda Rainey
Ger H. M. B. van Rens
Hilde L. Vreeken
Ruth M. A. van Nispen
Publicatiedatum
01-04-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0835-0

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