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Depression Among the Elderly Chinese in Canada*

Published online by Cambridge University Press:  29 November 2010

Daniel W.L. Lai
Daniel W.L. Lai
Affiliation:
The University of Calgary
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Abstract

This research investigated the prevalence of depression among the elderly Chinese in Canada. The respondents totalled 96 randomly selected elderly Chinese living in Calgary. A 15-item Chinese version of the Geriatric Depression Scale was used as the depression measure. Results show that among the respondents, 9.4 per cent were mildly depressed and 11.5 per cent were moderately to severely depressed. The overall prevalence rate of depression in the elderly Chinese is higher than that of the general elderly population in Canada, but lower than that of the elderly Chinese in the United States. Findings from regression analysis show that having more illnesses, having lived in Canada longer, not knowing English, being younger in age, and having poor physical health are the significant predictors of depression in the elderly Chinese. The results indicate the mental health needs of this group of ethnic elderly. Other research and practice implications of the findings are also discussed in the paper.

Résumé

Cette recherche examine la prévalence de la dépression chez les Chinois(es) aîné(e)s du Canada. On a interrogé 96 Chinois(es) aîné(e)s choisi(e)s au hasard et vivant à Calgary. On a utilisé vine version chinoise en 15 points du Geriatric Depression Scale (échelle de l'évaluation de l'état dépressif des aîné(e)s) comme instrument de mesure. Les résultats indiquent que 9,4 pour 100 des personnes interrogées étaient légèrement déprimées et que 11,5 pour 100 étaient moyennement ou gravement déprimées. Le taux de prévalence général chez les Chinois(es) aîné(e)s est plus élevé que celui de l'ensemble de la population aînée du Canada et plus faible que celui des Chinois(es) aîné(e)s des États-Unis. Les résultats de l'analyse de régression font ressortir les principaux prédicteurs de la dépression de ce groupe de la population: la maladie, le fait d'habiter le Canada depuis longtemps, ne pas connaître l'anglais, être plus jeune, et avoir une mauvaise santé physique. Les résultats soulignent également les besoins du groupe sur le plan de la santé mentale. La recherche présente de plus d'autres éléments et les répercussions pratiques des résultats.

Keywords

Elderly ChineseDepressionMeasurementGDS.Chinois(es) aîné(e)sdépressionmesureGDS.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 19 , Issue 3 , Automne/Fall 2000 , pp. 409 - 429
Copyright
Copyright © Canadian Association on Gerontology 2000

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References

Bachrach, L. L. (1975). Marital status and mental disorder: An analytical review. National Institute of Mental Health DHEW Publication No. (ADM) 75-217. Washington, DC: US Government Printing Office.Google Scholar
Bagley, C.R. (1993). Mental health and social adjustment of elderly Chinese immigrants in Canada. Canada's Mental Health, 41(3), 6–10.Google Scholar
Beiser, M. (1988). Influence of time, ethnicity, and attachment on depression in Southeast Asian refugees. American Journal of Psychiatry, 145(1), 46–51.Google ScholarPubMed
Blazer, D. (1980). The diagnosis of depression in the elderly. Journal of the American Geriatrics Society, 28, 52–58.CrossRefGoogle ScholarPubMed
Blazer, D., Birchett, B., Service, C., & George, L.C. (1991). The association of age and depression among the elderly: An epidemiologic exploration. Journal of Gerontology, 46, M210–215.CrossRefGoogle ScholarPubMed
Blazer, D., Hughes, D.C., & George, L.K. (1987). The epidemiology of depression in an elderly community population. Journal of the American Geriatric Society, 27, 281–287.Google Scholar
Blazer, D.G. (1993). Depression in later life. St. Louis, MI: Mosby.Google Scholar
BlazerD., G., George, L. K., Landerman, R., Pennybacker, M., Melville, M. L., & Woodbury, M. (1985). Psychiatric disorders: A rural/urban comparison. Archives of General Psychiatry, 42, 651–656.Google Scholar
Boey, K. W., & Chi, I. (1998). A study of life events and psychological well-being of the older adults in Hong Kong. Journal of Clinical Geropsychology, 4(1), 55–64.Google Scholar
Brink, T. L., Yesavage, J. A., Lum, B., Heersema, P., Adey, M., & Rose, T. A., (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1, 37–44.Google Scholar
Briscoe, C. W., & Smith, J. B., (1975). Depression and bereavement and divorce. Archives of General Psychiatry, 32, 439.CrossRefGoogle Scholar
Brown, G. W., & Harris, T. O., (1978). Social origins of depression. London, Tavistock.Google ScholarPubMed
Burke, W. J., Roccaforte, W. H., Wengel, S. P., Conley, D. M., & Potter, J. F., (1995). The reliability and validity of the Geriatric Depression Rating Scale administered by telephone. Journal of American Geriatrics Society, 43(6), 674–679.CrossRefGoogle ScholarPubMed
Carpiniello, B., Carta, M. G., & Rudas, N. (1989). Depression among elderly people: A psycho-social study of urban and rural populations. Ada Psychiatrica Scandinavica, 80, 445–450.CrossRefGoogle Scholar
Chappell, N. L., & Lai, D. (1998). Health care service use by Chinese seniors in British Columbia, Canada. Journal of Cross-Cultural Gerontology, 13, 21–37.CrossRefGoogle ScholarPubMed
Chiou, Y. F., Chang, C. J., & Yeh, T. L., (1991). [The prevalence of cognitive impairment of depressive symptoms among the aged in Peimen village: questionnaire survey]. [Chinese Psychiatry], 5, 123–131. [in Chinese]Google Scholar
Dean, A., Kolody, B., & Wood, P. (1990). Effects of social support from various sources on depression in elderly person. Journal of Health and Social Behavior, 31, 148–161.CrossRefGoogle Scholar
Eaton, W. W., & Kessler, L. G., (1985). Epidemiologic field methods in psychiatry: the NIMH epidemiologic catchment area program. New York: Academic.Google Scholar
Emmerson, J. P., Burvill, P. W., Finlay-Jones, R., & Hall, W. (1989). Life events, life difficulties and confiding relationships in the depressed elderly. British Journal of Psychiatry, 155, 787–792.CrossRefGoogle ScholarPubMed
Frey, J. H., (1989). Survey research by telephone. Newbury Park, CA: SAGE.Google Scholar
Gaines, A. D., & Farmer, P. E., (1986). Visible saints: Social cynosures and dysphoria in the Mediterranean tradition. Culture, Medicine and Psychiatry, 10, 295–330.CrossRefGoogle ScholarPubMed
Gelfand, D., & Yee, B. W. K., (1991). Influence of immigration, migration, and acculturation on the fabric of aging in America. Generations, 15(4), 7–10.Google Scholar
George, L. K., Blazer, D. G., Hughes, D. C., & Fowler, N. (1989). Social support and the outcome of major depression. British Journal of Psychiatry, 154, 445–478.CrossRefGoogle ScholarPubMed
Good, B., Good, J. J., & Moradi, R. (1985). The interpretation of Iranian depressive illness and dysphoric affect. In Kleinman, A. & Good, B. (Eds.), Culture and depression: Studies in the anthropology and cross-cultural psychiatry of affect and disorder. Berkeley, CA: University of California Press.CrossRefGoogle Scholar
Gotlib, I. H., & Hammen, C. L., (1992). Psychological aspects of depression: Toward a cognitive-interpersonal integration. New York: John Wiley & Sons.Google Scholar
Gove, W. R., (1972). The relationship between sex roles, marital status, and mental illness. Social Forces, 51(1), 33–44.CrossRefGoogle Scholar
Holihan, C. K., & Holihan, C. J., (1987). Self-efficacy, social support, and depresssion and aging: A longitudinal analysis. Journal of Gerontology, 42, 65–68.CrossRefGoogle Scholar
Hwu, H. G., Chang, I. H., Yeh, E.K, Chang, C. J., & Yeh, L. L., (1996). Major depressive disorder in Taiwan defined by the Chinese Diagnostic Interview Schedule. The Journal of Nervous and Mental Disease, 184(8), 497–502.CrossRefGoogle ScholarPubMed
Katona, C. L. E. (1994). Depression in old age. New York, NY: John Wiley & Sons.Google ScholarPubMed
Kay, D. W. K., Henderson, A. S., Scott, R., Wilson, J., Rickwood, D., & Grayson, D. A., (1985). Dementia and depression among the elderly living in the Hobart community: the effect of diagnostic criteria on prevalence rates. Psychological medicine, 15, 771–788.CrossRefGoogle ScholarPubMed
Kennedy, G. J., Kelman, H. R., & Thomas, C. (1990). The emergence of depressive symptoms in late life: The importance of declining health and increasing disability. Journal of Community Health, 15, 93–104.CrossRefGoogle ScholarPubMed
Kleinman, A., & Good, B. (Eds.) (1985). Culture and depression: Studies in the anthropology and cross-cultural psychology of affect and disorder. Berkeley, CA: University of California Press.CrossRefGoogle Scholar
Krause, N. (1987). Chronic financial strain, social support and depressive symptoms among older adults. Psychology and Aging, 2, 185–192.CrossRefGoogle ScholarPubMed
Kua, E. H., (1990). Depressive disorder in elderly Chinese people. Ada Psychiatrica Scandinavica, 81(4), 386–388.CrossRefGoogle ScholarPubMed
Lam, R. E., Pacala, J. T., & Smith, S. L., (1997). Factors related to depressive symptoms in an elderly Chinese American sample. Clinical Gerontologist, 17(4), 57–70.CrossRefGoogle Scholar
Lee, H. C. B. (1992). Chinese translation of geriatric depression scale. Clinical Gerontologist, 12(1), 90–91.Google Scholar
Lee, H. C. B., Chiu, H. E. K., Kwok, W. Y., Leung, CM., Kwong, P. K., & Chung, D.W.S. (1993). Chinese elderly and the GDS short form: a preliminary study. Clinical Gerontologist, 14(2), 37–42.Google Scholar
Lin, T. Y., (1982). Culture and psychiatry: A Chinese perspective. Australian and New Zealand Journal of Psychiatry, 16(4), 235–245.CrossRefGoogle ScholarPubMed
Linn, M. W., Hunter, K., & Harris, R. (1980). Symptoms of depression and recent life events in the community elderly. Journal of Clinical Psychology, 36, 675–682.3.0.CO;2-N>CrossRefGoogle ScholarPubMed
Liu, C. Y., Lu, C. H., Yu, S., & Yang, Y.Y. (1998). Correlations between scores on Chinese versions of long and short forms of the Geriatric Depression Scale among elderly Chinese. Psychological Reports, 82, 211–214.CrossRefGoogle ScholarPubMed
Liu, C. Y., Wang, S. J., Teng, E. L., Fuh, J. L., Lin, C. C., & Lin, K. N., (1997). Depressive disorders among older residents in a Chinese rural community. Psychological Medicine, 27(4), 943–949.CrossRefGoogle Scholar
Lu, C. H., Liu, C. Y., & Yu, S. (1998). Depressive disorders among the Chinese elderly in a suburban community. Public Health Nursing, 15(3), 196–200.CrossRefGoogle Scholar
McEwan, K. L., Donnelly, M., Robertson, D., & Hertzman, C. (1991). Mental health problems among Canada's seniors: Demographic and epidemiologic consideration. Ottawa: Mental Health Division, Health Services and Promotion Branch, Department of National Health and Welfare.Google Scholar
Moos, R. H., (1991). Life stressors, social resources, and the treatment of depression. In Becker, J. & Kleinman, A. (Eds.), Psychosocial aspects of depression (pp. 187–214). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Mui, A. C., (1996a). Depression among elderly Chinese immigrants- An exploratory study. Social Work, 41(6), 633–645.Google ScholarPubMed
Mui, A. C., (1996b). Geriatric Depression Scale as a community screening instrument for elderly Chinese immigrants. International Psychogeriatrics, 8(3), 445–458.CrossRefGoogle ScholarPubMed
Murphy, E. (1982). Social origins of depression in old age. British Journal of Psychiatry, 141, 135–142.CrossRefGoogle ScholarPubMed
Oxman, T. E., Berkman, L. F., Kasl, S., Freeman, D. H. Jr & Barrett, J. (1992). Social support and depressive symptoms in the elderly. American Journal of Epidemiology, 135, 356–368.CrossRefGoogle ScholarPubMed
Parmelee, P. A., Lawton, M. P., & Katz, I. (1989). Psychometric properties of the Geriatric Depression Scale among the institutionalized aged. Psychological Assessment, 2(4), 331–338.CrossRefGoogle Scholar
Phifer, J. F., & Murrell, S. A., (1986). Etiologic factors in the onset of depressive symptoms in older adults. Journal of Abnormal Psychology, 95, 282–291.CrossRefGoogle ScholarPubMed
Rankin, S. H., Galbraith, M. E., & Johnson, S. (1993). Reliability and validity data for a Chinese translation of the CES-D. Psychological Reports, 73, 1291–1298.CrossRefGoogle Scholar
Ren, X. S., Amick, B., Zhou, L., & Gandek, B. (1998). Translation and psychometric evaluation of a Chinese version of the SF-36 Health Survey in the United States. Journal of Clinical Epidemiology, 51(11), 1129–1138.CrossRefGoogle ScholarPubMed
Ren, X. S., & Chang, K. (1998). Evaluating health status of elderly Chinese in Boston. Journal of Clinical Epidemiology, 51(5), 429–435.CrossRefGoogle ScholarPubMed
Robins, L. N., Helzer, J. E., Croughan, J., & Ratcliff, K. S., (1981). The NIMH Diagnostic Interview Schedule: Its history, characteristics and validity. Archives of General Psychiatry, 38, 381–389.CrossRefGoogle ScholarPubMed
Russell, D. W., & Cutrona, C. E., (1991). Social support, stress and depressive symptoms among the elderly: Test of a process model. Psychological and Aging, 6, 190–201.CrossRefGoogle ScholarPubMed
Sheikh, J. I., & Yesavage, J. A., (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist, 5(1-2), 165–173.Google Scholar
Smallegan, M. (1989). Level of depressive symptoms and life stresses for culturally diverse older adults. The Gerontologist, 29, 45–50.CrossRefGoogle ScholarPubMed
Smith, J. C., March, J. A., & Conn, J. M., (1988). Marital status in the risk of suicide. American Journal of Public Health, 78, 78–80.CrossRefGoogle ScholarPubMed
Starr, P. D., & Roberts, A. E., (1982). Community structure and Vietnamese refugee adaptation: The significance of context. International Migration Review, 16(3), 595–618.CrossRefGoogle ScholarPubMed
Statistics Canada. (1998). Nation series package no. 6: Ethnic origin and visible minority population (data products: The nation: 1996 census of population) [CD-ROM]. Ottawa, ON: Statistics Canada.Google Scholar
Sue, S., Zane, N., & Young, K. (1994). Research on psychotherapy with culturally diverse populations. In Bergin, A.E., & Garfield, S.L. (Eds.), Handbook of psychotherapy and behavior change (4th ed.). New York: John Wiley & Sons.Google Scholar
Ware, J. E. Jr, (1993). SF-36 Health Survey: Manual and interpretation guide. Boston, MA: The Health Institute, New England Medical Centre.Google Scholar
Ware, J. E. Jr, Kosinski, M., & Keller, S. D., (1995). SF-12: How to score the SF-12 Physical & Mental Health Summary Scales. Boston, MA: The Health Institute, New English Medical Centre.Google Scholar
Warheit, G. H., Holzer, C. E., & Arez, S. A., (1975). Race and mental illness: An epidemiologic update. Journal of Health and Social Behavior, 16, 243–256.CrossRefGoogle ScholarPubMed
Weissman, M., & Boyd, J. (1983). The epidemiology of bipolar and nonbipolar depression: Rates and risks. In Angst, J. (Ed.), The origins of depression: Current concepts and approaches. New York: Springer-Verlag.Google Scholar
Westermeyer, J., Neider, J., & Vang, T. F., (1984). Acculturation and mental health: A study of Hmong refugees at 1.5 and 3.5 years postmigration. Social Science and Medicine, 18(1), 87–93.CrossRefGoogle ScholarPubMed
Williams, H., & Carmichael, A. (1985). Depression in mothers in a multi-ethnic urban industrial municipality in Melbourne. Aetiological factors and effects on infants and preschool children. Journal of Child Psychology and Psychiatry, 26(2), 277–288.CrossRefGoogle Scholar
Woo, J., Ho, S. C., Lau, J., Yuen, Y.K., Chiu, H., Lee, H. C., & Chi, I. (1994). The prevalence of depressive symptoms and predisposing factors in an elderly Chinese population. Ada Psychiatrica Scandinavica, 89(1), 8–13.CrossRefGoogle Scholar
Wu, I. H., & Windle, C. (1980). Ethnic specificity in the relationship of minority use and staffing of community mental health centers. Community Mental Health Journal, 16, 156–169.CrossRefGoogle ScholarPubMed
Yeh, T. L., Iiao, I. C., Yang, Y. K., Ko, H. C., Chang, C. J., & Lu, F. H., (1995). Geriatric Depression Scale (Taiwanese and Mandarin translations). Clinical Gerontologist, 15, 58–60.Google Scholar
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., & Leirer, V. O., (1983). Development and validation of a screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49.CrossRefGoogle Scholar
Yu, E. S. H. (1986). Health of the Chinese elderly in America. Research on Aging, 8(1), 84–109.CrossRefGoogle ScholarPubMed
Zhang, A. Y., Yu, L. C., Yuan, J., Tong, Z., Yang, C, & Foreman, S. E., (1997). Family nd cultural correlates of depression among Chinese elderly. International Journal of Social Psychiatry, 43(2,), 199–212.CrossRefGoogle Scholar