Mediating Effect of Adult Day Health Care (ADHC) and Family Network on Quality of Life Among Low-Income Older Korean Immigrants

BackgroundTargeting resources on cost-effective care strategies is important for the global mental health burden.AimsTo demonstrate cost–outcome methods in the evaluation of mental health care programmes in low-income countries.MethodFour rural populations were screened for psychiatric morbidity. Individuals with a diagnosed common mental disorder were invited to seek treatment, and assessed prospectively on symptoms, disability, quality of life and resource use.ResultsBetween 12% and 39% of the four screened populations had a diagnosable common mental disorder. In three of the four localities there were improvements over time in symptoms, disability and quality of life, while total economic costs were reduced.ConclusionEconomic analysis of mental health care in low-income countries is feasible and practicable. Our assessment of the cost-effectiveness of integrating mental health into primary care was confounded by the naturalistic study design and the low proportion of subjects using government primary health care services.

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Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities

International Journal of Hypertension ◽

10.1155/2021/5547190 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Meng Zhang ◽

Wenyan Zhang ◽

Yu Liu ◽

Meiliyang Wu ◽

Jin Zhou ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Low Income ◽

Mediating Effect ◽

Path Model ◽

Physical Component Score ◽

Mediation Effects ◽

Family Function ◽

Component Score

Background. Effective functional family was beneficial for older adults’ health, which may affect the quality of life (QoL) in hypertension patients. This study aimed to clarify the association between family function, anxiety, and QoL for older adults with hypertension in low-income communities. Methods. A questionnaire survey was conducted on 363 older adults with hypertension in low-income communities in Wuhan from September 2019 to November 2019. The relationships among the variables were examined by Pearson’s correlation analysis. Predictor effects were tested using hierarchical multiple regressions, controlling for demographic characteristics. The structural equation model (SEM) was used to test the mediation effects of anxiety on the pathway from family function to QoL. Results. Family function was negatively correlated with the self-rating anxiety scale (SAS) score and positively correlated with the mental component score (MCS), but had no influence on the physical component score (PCS). Both PCS and MCS were negatively correlated with SAS. Anxiety was the negative predictor of MCS and PCS. Family function was the positive predictor of MCS, but had no influence on PCS. The path model indicated that anxiety significantly mediated the link between family function and QoL (R2 = 32.8%), but only partially. Conclusion. A significant correlation between anxiety, family function, and QoL was found. Anxiety had a partial mediating effect on the relationship between family function and QoL. Further research should focus on increasing the level of family function and reducing the perceived anxiety of older adults with hypertension to improve their QoL level.

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Improving Access to Needed Health Care Improves Low-Income Children's Quality of Life

PsycEXTRA Dataset ◽

10.1037/e533062010-001 ◽

2006 ◽

Keyword(s):

Quality Of Life ◽

Health Care ◽

Low Income

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Antidepressant and Group Psychosocial Treatment for Depression: A Rater Blind Exploratory RCT from a Low Income Country

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465813000441 ◽

2013 ◽

Vol 42 (6) ◽

pp. 693-705 ◽

Cited By ~ 10

Author(s):

Nusrat Husain ◽

Nasim Chaudhry ◽

Batool Fatima ◽

Meher Husain ◽

Rizwana Amin ◽

...

Keyword(s):

Quality Of Life ◽

Health Care ◽

Primary Health Care ◽

Low Income ◽

Psychosocial Intervention ◽

Psychological Intervention ◽

Antidepressant Treatment ◽

Psychosocial Treatment ◽

Primary Health

Background: Research in the West shows that group psychological intervention together with an antidepressant treatment leads to more effective treatment of a depressive disorder. There are no treatment trials from low income countries comparing the efficacy of antidepressant treatment with a group psychological intervention. Aim: To conduct a feasibility trial to compare the efficacy of an antidepressant to a group psychosocial intervention, for low income women attending primary health care in Karachi, Pakistan. Method: This was a preliminary RCT in an urban primary health care clinic in Karachi, Pakistan. Consecutive eligible women scoring >12 on the CIS-R and >18 on Hamilton Depression Rating Scale (HDRS) (n = 66) were randomly assigned to antidepressants or a psychosocial treatment in group settings. The primary outcome measure was HDRS score; secondary outcome measures were disability and quality of life. Results: More than half of the patients in both groups improved (50% reduction in HDRS scores); at end of therapy at 3 months 19 (59.4%) vs 18 (56.2%), and at 6-month follow-up 21(67.7%) vs 20(62.5%) for antidepressants and psychosocial intervention respectively. Although HDRS, BDQ and EQ5-D scores all improved considerably in both groups from start to end of treatment, and these improvements were largely maintained after a further 3 months, the differences between the two treatments were not statistically significant. Conclusion: Psychosocial intervention was as effective as antidepressants in reducing depression and in improving quality of life and disability at the end of therapy. However, these findings need further exploration through a larger trial.

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