4858 Mental Health Report - National University of Ireland, Galway

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Findings from the Compatibility and Comparability of Mental Health and Related Health Data Sources Self-rated General Health Most commonly used general health measures related to self-rated general health, with nine surveys (six in Republic and three in Northern Ireland) recording this information using some level of Likert type scale. The Northern Ireland Survey of Health and Social Wellbeing used the following question within the SF- 36 scale: In general would you say your health is: Excellent Very Good Good Fair Poor 1 2 3 4 5 The National Health and Lifestyle Survey and the Living in Ireland Survey in the Republic of Ireland asked this question in exactly the same way, although not as part of the SF-36. Each of the remaining adult surveys used the same measure for general health and the children’s HBSC survey used a similar three-point scale. General Health Status and Quality of Life Health status was also commonly recorded with seven surveys doing so (five in the Republic and two in Northern Ireland). Two different generic health status measures were used for this purpose, the EuroQoL-5D and the SF-36. The EuroQoL-5D is a generic multi-dimensional health profile, which includes five domains; mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Overall perceived health status is also recorded on a visual analogue scale of 1-100 (EuroQoL group 1990). The Short Form-36 (SF-36) health survey scale comprises 36 items which measure the following eight dimensions: physical functioning, role limitations (physical), role limitations (social), social functioning, mental health, energy/vitality, pain and general health perception. This widely used scale has been found to have good psychometric properties (Ware et al. 1993). Four studies in the Republic measured quality of life using a combination of the WHOQoL-BREF, single item Likert scale and the SEIQoL scale. There were no such measures in any of the Northern Ireland surveys. The recently developed UK WHOQoL-BREF instrument (WHOQoL Group 1998) is an abbreviated version of the WHOQoL-100 quality of life assessment. There are 26 individual items in the WHOQoL-BREF that represent four domains related to quality of life: physical health, psychological, social relationships and environment. The psychological dimension covers a number of mental health related items. The single Likert scale used was the following and was taken from the WHOQoL-BREF. 97
Findings from the Compatibility and Comparability of Mental Health and Related Health Data Sources How would you rate your quality of life: Very poor Poor Neither poor nor good Good Very good 1 2 3 4 5 The Schedule for Evaluation of Individual Quality of Life (SEIQoL) is an Irish developed scale which measures general quality of life from the perspective of the individual respondent (Browne et al. 1997). The individual names five areas most important to their quality of life, describes current functioning in each of the areas and outlines the relative weighting or importance they give to each area in their judgement of quality of life. Psychological distress Psychological distress was measured by seven surveys (four in Republic and two in North) each using the GHQ-12. The GHQ-12, a widely applied instrument to indicate psychological distress, is the short form of the General Health Questionnaire (GHQ) designed by Goldberg (1978) as a self-administered instrument for use in community settings. The cross national survey also measured psychological well-being using the Questionnaire on Resources and Stress (QRS-F) and life satisfaction using the Philadelphia Geriatric Centre Morale Scale. Many of the other mental health indicators were recorded by single surveys only. Mental and Physical Health Problems Each national survey recorded information relating to self-reported mental and physical health morbidity and health service utilisation. As was also the case in the regional or specific population surveys, reported diagnosis of depression and anxiety were the most commonly noted mental health problems. Those needing mental health services were identified in the Health and Social Services for Older People survey using the Hospital Anxiety and Depression Scales (HADS). Among the depression scales used in individual surveys were the Zung Self-Rating Depression Scale (Zung 1965) and the Centre for Epidemiologic Studies Depression Scale (CES-D) (Radloff 1977). Physical morbidity was mainly recorded using the long term limiting illness indicator. Social Support and Stress Measures The Northern Ireland Survey of Health and Social Wellbeing survey used the same perceived social support seven item scale as that in the Health Survey for England 1994. However, there was no such comparable measure in the National Health and Lifestyle Survey in the Republic of Ireland. Respondents were asked about their perceived level of stress in the past year in the Northern Ireland national survey but not in the Republic’s. 98
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A Report for the Centre For Cross B
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About the Authors Dr. Margaret Barr
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Acknowledgements We would like to t
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Introductory comments by the Depart
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Background and Rationale 1 There is
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Background and Rationale of mental
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Background and Rationale underlined
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Background and Rationale • Produc
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Project Aims and Objectives 2 This
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Methodology 3 Phase 1: Methodology
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Methodology semi-structured intervi
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Methodology Methods for Review and
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Methodology Lifestyle risk factors
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Methodology • To identify the str
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The Centre for Cross Border Studies
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4858 Mental Health Report - National University of Ireland, Galway

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