Depression literacy among older Chinese immigrants in Canada: a comparison with a population-based survey

Tieu, Yvonne; Konnert, Candace; Wang, JianLi

doi:10.1017/s1041610210001511

Cited by 33 publications

(33 citation statements)

References 27 publications

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“…T tests were conducted to determine mean differences in the causal belief indices between the ‘mental illness label’ and the ‘indigenous label’ group. From prior studies, we expect that specific sociodemographic variables (gender, older age, fewer years of education, lower income; Tieu et al 2010; Wong et al in press), less acculturation to U.S. society (foreign birth, fewer years in the U.S., Chinese- speaking; Li et al 1999) and greater illness severity (greater number of hospitalizations and longer illness duration; Wong 2007) might be associated with whether relatives identify problems with a ‘mental illness’ label or not. We first identify whether these potential covariates are significantly associated with both the causal belief index and the mental illness label; any variables meeting this criterion are then controlled for.…”

Section: Methodsmentioning

confidence: 99%

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Yang

Wonpat-Borja

2011

Community Ment Health J

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Identifying factors that facilitate treatment for psychotic disorders among Chinese-immigrants is crucial due to delayed treatment use. Identifying causal beliefs held by relatives that might predict identification of ‘mental illness’ as opposed to other ‘indigenous labels’ may promote more effective mental health service use. We examine what effects beliefs of ‘physical causes’ and other non-biomedical causal beliefs (‘general social causes’, and ‘indigenous Chinese beliefs’ or culture-specific epistemologies of illness) might have on mental illness identification. Forty-nine relatives of Chinese-immigrant consumers with psychosis were sampled. Higher endorsement of ‘physical causes’ was associated with mental illness labeling. However among the non-biomedical causal beliefs, ‘general social causes’ demonstrated no relationship with mental illness identification, while endorsement of ‘indigenous Chinese beliefs’ showed a negative relationship. Effective treatment- and community-based psychoeducation, in addition to emphasizing biomedical models, might integrate indigenous Chinese epistemologies of illness to facilitate rapid identification of psychotic disorders and promote treatment use.

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Section: Methodsmentioning

confidence: 99%

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Yang

Wonpat-Borja

2011

Community Ment Health J

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“…As expected, many of these studies were carried out in Australia by Jorm and his colleagues or other Australian researchers [15][16][17][18][19][20], and many others were conducted in other countries in different adult populations. For example, studies on mental health literacy among Chinese adults and elderly people had been conducted in China, Hong Kong, Australia, and Canada particularly in the area of depression and schizophrenia [18][19][20][21]. On the whole, the mental health literacy level among Chinese adults was not high [18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

“…For example, studies on mental health literacy among Chinese adults and elderly people had been conducted in China, Hong Kong, Australia, and Canada particularly in the area of depression and schizophrenia [18][19][20][21]. On the whole, the mental health literacy level among Chinese adults was not high [18][19][20][21]. For adolescents, studies on the MHL are far less in comparison to the adult population [22][23][24][25][26][27][28][29][30][31][32].…”

Section: Introductionmentioning

confidence: 99%

Mental health literacy and mental health status in adolescents: a population-based survey

Lam

2014

Child Adolesc Psychiatry Ment Health

127

120

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Background: This study aims to investigate the association between mental health literacy and the mental health status, particularly depression, among adolescents. Methods: This was a population-based health survey utilising a two-stage sampling technique. Mental health literacy was measured by the Australian National Mental Health Literacy and Stigma Youth Survey with the depression vignette only. Depression was assessed by the Depression sub-scale of the Depression, Anxiety, Stress Scale. Data were analysed using multiple logistic regression modelling techniques with adjustment for cluster sampling effect. Results: A total of 1678 students responded to the survey providing usable information. Only 275 (16.4%) respondents were classified as having an adequate mental health literacy level with correct identification of depression and also intended to seek help, with 392 (23.4%) of the total sample correctly identified the vignette as depression. Two hundred and forty eight (14.8%) were classified to have moderate to severe depression. Multiple logistic regression analysis results suggested that young people who had experienced moderate to severe level of depression in the week prior to the survey were more likely to have an inadequate level of MHL (OR = 1.52, 95% C.I. = 1.01-2.31) after adjusting for a potential confounding factors and cluster sampling effects. Conclusions: Results suggested that mental health literacy level was associated with mental health status, particularly depression of young people. The results have important implications, both clinically and on a population level, on the prevention of mental health problems and for the improvement of the mental health status of adolescents.

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“…Overall, members of immigrant and ethnic minority groups generally fared worse in recognising mental health issues compared to members of the dominant ethnic/racial group. One study reported lower depression recognition rates for Chinese immigrants compared to their Canadian born counterparts . In another study older participants were more likely to identify depression if they were White, compared to Hispanics and African‐Americans .…”

Section: Resultsmentioning

confidence: 99%

How well do older adults recognise mental illness? A literature review

et al. 2019

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Older adults tend to underutilise mental health services. Mental health literacy plays a critical role in identifying and overcoming barriers to accessing mental health care. The ability to recognise mental illness is an essential component of mental health literacy, with important implications to whether the person will seek professional help. We conducted a review of the literature on older adults’ abilities to recognise mental illness. Of the 421 papers that were retrieved in the comprehensive search in PubMed, 32 studies met inclusion criteria. Studies were heterogeneous in terms of target population and methodology, yet findings show that older adults are less likely to correctly recognise mental disorders. Cueing older participants with mental labels improved their recognition abilities. Recognition was particularly poor among immigrant and ethnic/racial older adults, likely due to linguistic and cultural barriers. Our findings demonstrate that older adults show low levels of mental illness recognition and tend to view some illnesses as normal parts of aging. Findings emphasise the need for developing educational programs tailored by the specific phenomenology, conceptualisations and cultural meanings of mental illness among older adults, with attention to informal sources of information and social networks.

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Depression literacy among older Chinese immigrants in Canada: a comparison with a population-based survey

Cited by 33 publications

References 27 publications

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Mental health literacy and mental health status in adolescents: a population-based survey

How well do older adults recognise mental illness? A literature review

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