Low mental health literacy and its association with depression, anxiety and poor sleep quality in Chinese elderly

IF 2.8 3区医学 Q2 PSYCHIATRY

Asia‐Pacific Psychiatry Pub Date : 2022-10-09 DOI:10.1111/appy.12520

Kai-Rong Ding MSc, Shi-Bin Wang PhD, Wen-Qi Xu MSc, Li-Hua Lin MSc, Dan-Dan Liao MSc, Hong-Bei Chen MSc, Wen-Yan Tan MSc, Jia-Hao Huang MSc, Cai-Lan Hou PhD, Fu-Jun Jia PhD

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引用次数: 6

Abstract

Background

Mental health literacy (MHL) is rarely reported in the Chinese elderly. This study explored the pattern of MHL in the Chinese elderly in relation to depression, anxiety and poor sleep quality.

Methods

A cross-sectional study was conducted among older adults in Guangzhou, south China. Participants were investigated face-to-face using the Chinese National Mental Health Literacy Scale, the Patient Health Questionnaire-9 item (PHQ-9), the 7-item Generalized Anxiety Disorder (GAD-7) and the Pittsburgh Sleep Quality Index (PSQI). Mental Health Literacy Scale contains three dimensions: mental health knowledge, mental health skills (such as social support, cognitive reappraisal and attentional distraction) and mental health awareness. Multivariate logistic regression was used for examining the association between MHL and mental health.

Results

A total of 506 older adults were recruited. The percentage of depression, anxiety, and poor sleep quality were 16.6%, 7.9% and 40.9%, respectively. MHL dimensions independently associated with depression included cognitive reappraisal (OR = 1.95, p < .001), attentional distraction (OR = 0.61, p = 0.044) and awareness (OR = 0.56, p = 0.027). MHL dimensions independently associated with anxiety symptoms included cognitive reappraisal (OR = 1.90, p = 0.011) and attentional distraction (OR = 0.44, p = 0.016). MHL dimensions independently associated with poor sleep quality included social support (OR = 0.75, p = 0.022), cognitive reappraisal (OR = 1.55, p = 0.003) and attentional distraction (OR = 0.65, p = 0.016).

Conclusion

Given the low MHL and its association with poor mental health in the Chinese elderly, policymakers and health professionals should improve the older adults' MHL, which could be conducive to the prevention and control of their mental health problems.

查看原文本刊更多论文

中国老年人心理健康素养低下及其与抑郁、焦虑和睡眠质量差的关系

背景心理健康素养(MHL)在我国老年人中报道较少。本研究探讨中国老年人MHL与抑郁、焦虑和睡眠质量差的关系。方法对中国南方广州的老年人进行横断面研究。采用中国全国心理健康素养量表、患者健康问卷第9项(PHQ-9)、广泛性焦虑障碍量表第7项(GAD-7)和匹兹堡睡眠质量指数(PSQI)对参与者进行面对面调查。心理健康素养量表包含三个维度:心理健康知识、心理健康技能(如社会支持、认知重评和注意力分散)和心理健康意识。多因素logistic回归检验MHL与心理健康的关系。结果共招募了506名老年人。抑郁、焦虑和睡眠质量差的比例分别为16.6%、7.9%和40.9%。与抑郁独立相关的MHL维度包括认知重评(OR = 1.95, p < .001)、注意力分散(OR = 0.61, p = 0.044)和意识(OR = 0.56, p = 0.027)。与焦虑症状独立相关的MHL维度包括认知重评(OR = 1.90, p = 0.011)和注意力分散(OR = 0.44, p = 0.016)。与睡眠质量差独立相关的MHL维度包括社会支持(OR = 0.75, p = 0.022)、认知重评(OR = 1.55, p = 0.003)和注意力分散(OR = 0.65, p = 0.016)。结论考虑到中国老年人低MHL及其与不良心理健康的关系，决策者和卫生专业人员应提高老年人的MHL水平，从而有利于老年人心理健康问题的预防和控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia‐Pacific Psychiatry PSYCHIATRY-

CiteScore

7.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.