Does psychological distress vary between younger and older adults in health and disease?

Goulia, Panagiota; Papadimitriou, Ilias; Machado, Myrela O.; Mantas, Christos; Pappa, Christina; Tsianos, Epameinondas V.; Pavlidis, Nicholas; Drosos, Alexandros A.; Carvalho, André F.; Hyphantis, Thomas

doi:10.1016/j.jpsychores.2011.11.011

Cited by 23 publications

(25 citation statements)

References 59 publications

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“…However in an evaluation of IES after 20 years of use, no gender difference was detected [23]. Goulia et al assessed distress in younger and older patients with chronic medical conditions using GHQ-28 [24]. Stress levels were not influenced by gender [24].…”

Section: Discussionmentioning

confidence: 99%

Paternal psychological response after ultrasonographic detection of structural fetal anomalies with a comparison to maternal response: a cohort study

Kaasen

Helbig

Malt

et al. 2013

BMC Pregnancy Childbirth

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BackgroundIn Norway almost all pregnant women attend one routine ultrasound examination. Detection of fetal structural anomalies triggers psychological stress responses in the women affected. Despite the frequent use of ultrasound examination in pregnancy, little attention has been devoted to the psychological response of the expectant father following the detection of fetal anomalies. This is important for later fatherhood and the psychological interaction within the couple. We aimed to describe paternal psychological responses shortly after detection of structural fetal anomalies by ultrasonography, and to compare paternal and maternal responses within the same couple.MethodsA prospective observational study was performed at a tertiary referral centre for fetal medicine. Pregnant women with a structural fetal anomaly detected by ultrasound and their partners (study group,n=155) and 100 with normal ultrasound findings (comparison group) were included shortly after sonographic examination (inclusion period: May 2006-February 2009). Gestational age was >12 weeks. We used psychometric questionnaires to assess self-reported social dysfunction, health perception, and psychological distress (intrusion, avoidance, arousal, anxiety, and depression): Impact of Event Scale. General Health Questionnaire and Edinburgh Postnatal Depression Scale. Fetal anomalies were classified according to severity and diagnostic or prognostic ambiguity at the time of assessment.ResultsMedian (range) gestational age at inclusion in the study and comparison group was 19 (12–38) and 19 (13–22) weeks, respectively. Men and women in the study group had significantly higher levels of psychological distress than men and women in the comparison group on all psychometric endpoints. The lowest level of distress in the study group was associated with the least severe anomalies with no diagnostic or prognostic ambiguity (p < 0.033). Men had lower scores than women on all psychometric outcome variables. The correlation in distress scores between men and women was high in the fetal anomaly group (p < 0.001), but non-significant in the comparison group.ConclusionSeverity of the anomaly including ambiguity significantly influenced paternal response. Men reported lower scores on all psychometric outcomes than women.This knowledge may facilitate support for both expectant parents to reduce strain within the family after detection of a fetal anomaly.

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Section: Discussionmentioning

confidence: 99%

Paternal psychological response after ultrasonographic detection of structural fetal anomalies with a comparison to maternal response: a cohort study

Kaasen

Helbig

Malt

et al. 2013

BMC Pregnancy Childbirth

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“…For example, younger age has been demonstrated in several studies to be associated with lower patient satisfaction scores [7][8][9][10][11][12][13][14][15][16][17][18] . Goulia et al found that younger patients with medical illnesses had a higher prevalence of severe psychological distress including symptoms of anxiety, depression, hostility, and somatization 37 . These findings, taken together, suggest that the effect of age on patient satisfaction may be mediated at least in part by psychological factors.…”

Section: Association Between Pat I E N T-reported P S Yc H O Lo G I Cmentioning

confidence: 99%

“…Although a significant percentage of patients presenting for orthopaedic evaluation have some level of psychological distress, the prevalence of psychological distress has been found to vary between different patient populations [24][25][26][27][28][29][30][31][32]37,38 . The finding that psychological distress influences patient satisfaction challenges the validity of comparing patient satisfaction scores between populations that may differ with regard to their level of psychological distress.…”

Section: Association Between Pat I E N T-reported P S Yc H O Lo G I Cmentioning

confidence: 99%

Association Between Patient-Reported Measures of Psychological Distress and Patient Satisfaction Scores in a Spine Surgery Patient Population

Abtahi

Brodke

Lawrence

et al. 2015

The Journal of Bone and Joint Surgery

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“…Some researchers have found serious PD is less common in those with higher education and income (Goulia et al, 2012; SAMHSA, June 26, 2008). Older African Americans tend to have lower socioeconomic status (SES) (Lincoln et al, 2010), so they are at greater risk for PD.…”

mentioning

confidence: 99%

“…Regarding health, death rates for chronic illnesses are much higher in African Americans than in Caucasians. Chronic illness and poor self-rated health has been associated with greater PD among African Americans (Goulia et al, 2012; Hu, 2007). Some posit negative affect leads to suboptimal care of one’s health, which worsens mental and physical health further (Hu & Gruber, 2008).…”

mentioning

confidence: 99%

Does Race Moderate Social Support and Psychological Distress Among Rural Older Adults?

Hyams

Wayde

Crowther

et al. 2015

Clinical Gerontologist

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Greater social support is associated with decreased psychological distress among older adults. Researchers have found racial differences in psychological distress. Might race moderate social support and psychological distress? The authors hypothesized African American collectivistic values could increase the importance of social support. Participants were rural adults aged 60 and older (N = 100). Multiple regression analyses controlled for health, income, education, and sex. Race moderated satisfaction with social support and psychological distress. However, greater satisfaction predicted less psychological distress among Caucasians while it was not associated with African Americans’ distress in this sample. Achieving satisfaction with social support may be particularly important for Caucasians receiving therapy. Interventions may also address strategies to improve physical health, emotional support, and quality of social support, which significantly predicted psychological distress for both groups.

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Does psychological distress vary between younger and older adults in health and disease?

Cited by 23 publications

References 59 publications

Paternal psychological response after ultrasonographic detection of structural fetal anomalies with a comparison to maternal response: a cohort study

Paternal psychological response after ultrasonographic detection of structural fetal anomalies with a comparison to maternal response: a cohort study

Association Between Patient-Reported Measures of Psychological Distress and Patient Satisfaction Scores in a Spine Surgery Patient Population

Does Race Moderate Social Support and Psychological Distress Among Rural Older Adults?

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