caa a22 4500 606179585 CHVBK 20210128100801.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s11136-014-0835-0 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0835-0 Why visually impaired older adults often do not receive mental health services: the patient's perspective [Elektronische Daten] [Hilde van der Aa, Mirke Hoeben, Linda Rainey, Ger van Rens, Hilde Vreeken, Ruth van Nispen] Purpose: Older adults with a visual impairment are particularly vulnerable for increased depression and anxietysymptoms; 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 73years) 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. Springer International Publishing Switzerland, 2014 Low vision nationallicence Depression nationallicence Anxiety nationallicence Mental health services nationallicence Perceived needs nationallicence PNCQ : Perceived Need for Care Questionnaire nationallicence CES-D : Centre for Epidemiologic Studies Depression nationallicence HADS-A : Hospital Anxiety and Depression Scale-Anxiety subscale nationallicence MINI : Mini International Neuropsychiatric Interview nationallicence EQ5D : EuroQol-5 Dimensions nationallicence van der Aa Hilde Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut Hoeben Mirke Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut Rainey Linda Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut van Rens Ger Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut Vreeken Hilde Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut van Nispen Ruth Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut Quality of Life Research Springer International Publishing 24/4(2015-04-01), 969-978 0962-9343 24:4<969 2015 24 11136 https://doi.org/10.1007/s11136-014-0835-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0835-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- van der Aa Hilde Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Hoeben Mirke Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Rainey Linda Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- van Rens Ger Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Vreeken Hilde Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- van Nispen Ruth Department of Ophthalmology, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/4(2015-04-01), 969-978 0962-9343 24:4<969 2015 24 11136