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Quality of Life Research
Erschienen 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

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

Erschienen in: Quality of Life Research | Ausgabe 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.
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Metadaten
Titel
Why visually impaired older adults often do not receive mental health services: the patient’s perspective
verfasst von
Hilde P. A. van der Aa
Mirke Hoeben
Linda Rainey
Ger H. M. B. van Rens
Hilde L. Vreeken
Ruth M. A. van Nispen
Publikationsdatum
01.04.2015
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 4/2015
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0835-0

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