Brief Screening for Four Mental Illnesses of the Elderly in Community Mental Health Services: the BS4MI-Elderly
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective Early detection and proper management of mental illness can help to prevent severe deterioration. However, with limited financial and human resources of community mental health services, it is not practical to carry out all conventional screening tools simultaneously. In this study, we aimed to develop and validate a brief but comprehensive screening questionnaire for four common mental illnesses of the elderly. Methods The brief screening for four mental illnesses of elderly (BS4MI-elderly) is a 14-item binary response questionnaire that covers dementia, depressive disorder, sleep disorder, and hwa-byung. To test validity, we compared conventional scale scores for three groups of participants classified using the BS4MI-elderly. The sensitivity, specificity, predictive value of positive test, likelihood ratio of positive test and internal consistency of the BS4MI-elderly were assessed. Finally, a correlation analysis between the BS4MI-elderly and general mental health scales was conducted. Results A total of 254 participants aged over 65 years were recruited. The BS4MI-elderly showed moderate to high sensitivity for the test that distinguishes the normal group from the risk and disorder groups (dementia: 0.61, depressive disorder: 0.88, sleep disorder: 0.85, hwa-byung: 0.94) and high specificity for the test that distinguishes the disorder group from the normal and risk groups (dementia: 0.91, depressive disorder: 0.93, hwa-byung: 0.84, sleep disorder: 0.84). The BS4MI-elderly also exhibited good internal consistency and significant correlations with general mental health scales. Conclusion The BS4MI-elderly, a brief but comprehensive screening tool, could be a useful instrument for screening the elderly in community mental health services.
Abstract
Objective Early detection and proper management of mental illness can help to prevent severe deterioration. However, with limited financial and human resources of community mental health services, it is not practical to carry out all conventional screening tools simultaneously. In this study, we aimed to develop and validate a brief but comprehensive screening questionnaire for four common mental illnesses of the elderly. Methods The brief screening for four mental illnesses of elderly (BS4MI-elderly) is a 14-item binary response questionnaire that covers dementia, depressive disorder, sleep disorder, and hwa-byung. To test validity, we compared conventional scale scores for three groups of participants classified using the BS4MI-elderly. The sensitivity, specificity, predictive value of positive test, likelihood ratio of positive test and internal consistency of the BS4MI-elderly were assessed. Finally, a correlation analysis between the BS4MI-elderly and general mental health scales was conducted. Results A total of 254 participants aged over 65 years were recruited. The BS4MI-elderly showed moderate to high sensitivity for the test that distinguishes the normal group from the risk and disorder groups (dementia: 0.61, depressive disorder: 0.88, sleep disorder: 0.85, hwa-byung: 0.94) and high specificity for the test that distinguishes the disorder group from the normal and risk groups (dementia: 0.91, depressive disorder: 0.93, hwa-byung: 0.84, sleep disorder: 0.84). The BS4MI-elderly also exhibited good internal consistency and significant correlations with general mental health scales. Conclusion The BS4MI-elderly, a brief but comprehensive screening tool, could be a useful instrument for screening the elderly in community mental health services.
참고문헌 (35)
- Dieleman JL, "National spending on health by source for 184 countries between 2013and 2040", Lancet, 387, pp.2521~2535 (2016)
- Kyu HH, "Global, regional, and national disability-adjusted life-years(DALYs)for 359 diseases and injuries and healthy life expectancy(HALE)for 195 countries and territories, 1990–2017 : a systematic analysis for the Global Burden of Disease Study 2017", Lancet, 392, pp.1859~1922 (2018)
- "Mental health of older adults-World Health Organization"[URL]
- Prince MJ, "The burden of disease in older people and implications for health policy and practice", Lancet, 385, pp.549~562 (2015)
- Ki Jung Chang, "A 12-Week Multi-Domain Lifestyle Modification to Reduce Depressive Symptoms in Older Adults: A Preliminary Report", PSYCHIATRY INVESTIGATION, 15(3), pp.279~284 (2018), 대한신경정신의학회[DOI]
- Lee KS, "Effects of a multidomain lifestyle modification on cognitive function in older adults : an eighteen-month community-based cluster randomized controlled trial", Psychother Psychosom, 83, pp.270~278 (2014)
- Roh HW, "Participation in physical, social, and religious activity and risk of depression in the elderly : a community-based three-year longitudinal study in Korea", PLoS One, 10, pp.e0132838~ (2015)
- Galesic M, "Effects of questionnaire length on participation and indicators of response quality in a web survey", Public Opin Q, 73, pp.349~360 (2009)
- Stanton JM, "Development of a compact measure of job satisfaction : The abridged Job Descriptive Index", Educ Psychol Meas, 62, pp.173~191 (2002)
- Grassi M, "Performance comparison of Likert and binary formats of SF-36 version 1. 6 across ECRHS II adults populations", Value Health, 10, pp.478~488 (2007)
- Blanchard MR, "The nature of depression among older people in inner London, and the contact with primary care", Br J Psychiatry, 164, pp.396~402 (1994)
- Skoog I, "Psychiatric disorders in the elderly", Can J Psychiatry, 56, pp.387~397 (2011)
- Kim KW, "Prevalence and clinical characteristics of insomnia and its subtypes in the Korean elderly", Arch Gerontol Geriatr, 68, pp.68~75 (2017)
- You Joung Kim, "Prevalence and Trends of Dementia in Korea: A Systematic Review and Meta-Analysis", Journal of Korean Medical Science, 29(7), pp.903~912 (2014), 대한의학회
- Lim GY, "Prevalence of depression in the community from 30 countries between 1994 and 2014", Sci Rep, 8, pp.2861~ (2018)
- Neikrug AB, "Sleep disorders in the older adult-a minireview", Gerontology, 56, pp.181~189 (2010)
- Prince M, "The global prevalence of dementia : a systematic review and metaanalysis", Alzheimers Dement, 9, pp.63~75.e2 (2013)
- Yoo JS, "Prevalence and predictive factors of depression in community-dwelling older adults in South Korea", Res Theory Nurs Pract, 30, pp.200~211 (2016)
- Min SK, "An epidemiological study of hwabyung", J Korean Neuropsychiatr Assoc, 29, pp.867~874 (1990)
- 민성길, "Symptoms to Use for Diagnostic Criteria of Hwa-Byung, an Anger Syndrome", PSYCHIATRY INVESTIGATION, 6(1), pp.7~12 (2009), 대한신경정신의학회
- Min SK, "The anger syndrome hwa-byung and its comorbidity", J Affect Disord, 124, pp.211~214 (2010)
- Celle S, "Prevalence and clinical correlates of restless legs syndrome in an elderly French population : the synapse study", J Gerontol A Biol Sci Med Sci, 65, pp.167~173 (2010)
- Evaluation of Validity and Reliability of Dementia Screening and Secondary Evaluation Tools on the Elderlies in a Community, "Cheong HK", Sungkyunkwan University School of Medicine, ~, pp.Report NO.: TRKO201500006877 (2007)
- Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
- 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
- 최윤희, "화병군과 비화병군의 의사소통 유형 및 스트레스 대처 방식 비교 연구", 동의신경정신과학회지, 26(4), pp.365~381 (2015), 대한한방신경정신과학회
- 권정혜, "화병척도의 개발과 타당도 연구", Korean Journal of Clinical Psychology, 27(1), pp.237~252 (2008), 한국임상심리학회[DOI]
- Goldberg DP, "A scaled version of the General Health Questionnaire", Psychol Med, 9, pp.139~145 (1979)
- Goldberg DP, "The validity of two versions of the GHQ in the WHO study of mental illness in general health care", Psychol Med, 27, pp.191~197 (1997)
- 김영주, "The 12-Item General Health Questionnaire as an Effective Mental Health Screening Tool for General Korean Adult Population", PSYCHIATRY INVESTIGATION, 10(4), pp.352~358 (2013), 대한신경정신의학회
- Smith BW, "The brief resilience scale : assessing the ability to bounce back", Int J Behav Med, 15, pp.194~200 (2008)
- Elo AL, "Validity of a single-item measure of stress symptoms", Scand J Work Environ Health, 29, pp.444~451 (2003)
- Jeste DV, "A call for a new positive psychiatry of ageing", Br J Psychiatry, 202, pp.81~83 (2013)
- Ranson JM, "Predictors of dementia misclassification when using brief cognitive assessments", Neurol Clin Pract, 9, pp.109~117 (2019)
- Farias ST, "Degree of discrepancy between self and other-reported everyday functioning by cognitive status : dementia, mild cognitive impairment, and healthy elders", Int J Geriatr Psychiatry, 20, pp.827~834 (2005)
