题名

Positive Psychiatry: A Dementia and Depression Prevention Program in Singapore

DOI

10.4103/TPSY.TPSY_43_21

作者

Ee Heok Kua

关键词

aging ; psychosocial intervention ; the Age Well Everyday program ; the Jurong Aging Study

期刊名称

台灣精神醫學

卷期/出版年月

35卷4期(2021 / 12 / 01)

页次

160 - 165

内容语文

英文

中文摘要

Background: There is a dearth of data on positive psychiatry. There should be a greater emphasis on this aspect of mental health in all countries. The emphasis is not just on treatment but more importantly prevention. Positive psychiatry should involve the wide spectrum of mental health professionals including psychiatrists, nurses, psychologists, counselors, art and music therapists, as well as and the public. Methods: In this review, the author summarizes the Age Well Everyday (AWE) program on dementia and depression prevention for seniors conducted by the Mind Science Center, National University of Singapore. The program which started 10 years ago, is supported by volunteers in the community with funding from philanthropists. Results: Interventional strategies in the AWE program include health education, diet, exercise, art therapy, music reminiscence, gardening, and mindfulness practice. Randomized controlled trials have been conducted for all the interventional strategies, and the results are presented. This multi-modal program is a community endeavor and is now adopted by many community centers in Singapore. Conclusion: The AWE program is a nondrug and inexpensive program that can be adapted for other countries. It reflects positive psychiatry and a relevant strategy for the anti-stigma campaign in Singapore. The challenge ahead is translating research results into public health policies.

主题分类 醫藥衛生 > 社會醫學
参考文献
  1. Kua, EH,Mahendran, R,Feng, L(2013).Preventive psychiatry in late life: studies on depression and dementia from the Singapore gerontology research program.Taiwan J Psychiatry,27,267-275.
    連結:
  2. American Psychiatric Association(1994).Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).Washington, DC, USA:American Psychiatric Association.
  3. Angelia, S,Tam, WW,Fogel, A(2020).Nature-based activities improve the well-being of older adults.Nat Res Sci Rep,10,18718.
  4. Chuan, SK,Kumar, R,Matthew, N(2008).Subsyndromal depression in old age: clinical significance and impact in a multi-ethnic community sample of elderly Singaporeans.Int Psychogeriatr,20,188-200.
  5. de Groot, M,Anderson, R,Freedland, KE(2001).Association of depression and diabetes complications: a meta-analysis.Psychosom Med,63,619-630.
  6. Fam, J,Sun, Y,Qi, P(2020).Mindfulness practice alters brain connectivity in community-living elders with mild cognitive impairment.Psychiatry Clin Neurosci,74,257-262.
  7. Feng, L,Gwee, X,Kua, EH(2010).Cognitive function and tea consumption in community dwelling older Chinese in Singapore.J Nutr Health Aging,14,433-438.
  8. Feng, L,Li, J,Yap, KB(2009).Vitamin B-12, apolipoprotein E genotype, and cognitive performance in community-living older adults: evidence of a gene-micronutrient interaction.Am J Clin Nutr,89,1263-1268.
  9. Feng, L,Ng, TP,Chuah, L(2006).Homocysteine, folate, and vitamin B-12 and cognitive performance in older Chinese adults: findings from the Singapore longitudinal ageing study.Am J Clin Nutr,84,1506-1512.
  10. Feng, L,Romero-Garcia, R,Suckling, J(2020).Effects of choral singing versus health education on cognitive decline and aging: a randomized controlled trial.Aging,12,24798-24816.
  11. Glen, CL,Ng, TK,Lee, JL(2020).Horticultural therapy reduces biomarkers of immuno-senescence and inflammaging in community-dwelling older adults: a feasibility pilot randomized controlled trial.J Gerontol Med Sci,20,1-11.
  12. Khine, WW,Voong, ML,Ng, TK(2020).Mental awareness improved mild cognitive impairment and modulated gut microbiome.Aging,12,24371-24393.
  13. Klainin-Yobas, P,Kowitlawakul, Y,Lopez, V(2019).The effects of mindfulness and health education programs on the emotional state and cognitive function of elderly individuals with mild cognitive impairment: a randomized controlled trial.J Clin Neurosci,68,211-207.
  14. Kua, EH(1992).A community study of mental disorders in elderly Singaporean Chinese using the GMS-AGECAT package.Aust N Z J Psychiatry,26,502-506.
  15. Kua, EH(2017).Colours of Ageing: Write Edition.Singapore:Tan Chinkar.
  16. Kua, EH,Chong, V,Sia, A(2021).Nature Health Happiness: Write Edition.Singapore:Tan Chinkar.
  17. Kua, EH,Sia, A(2016).Green environment and mental health in the city.Mental Health and Illness in the City,Singapore:
  18. Kua, EH,Tan, SL,Lee, KS(1997).The NUH memory clinic. National university hospital, Singapore.Singapore Med J,38,112-115.
  19. Lam, J,Aftab, A,Lee, E(2020).Positive psychiatry interventions in geriatric mental health.Curr Treat Options Psychiatry,7,471-488.
  20. Lee, R,Wong, J,Wong, LS(2019).Art therapy for the prevention of cognitive decline.Arts Psychother,64,20-5.
  21. Mahendran, R,Gandhi, M,Moorakonda, RB(2018).Art therapy is associated with sustained improvement in cognitive function in the elderly with mild neurocognitive disorder: findings from a pilot randomized controlled trial for art therapy and music reminiscence activity versus usual care.Trials,19,615.
  22. Ng, KS,Sia, A,Ng, MK(2018).Effects of horticultural therapy on Asian older adults: a randomized controlled trial.Int J Environ Res Public Health,15,1705.
  23. Ng, TK,Fam, J,Feng, L(2020).Mindfulness improves inflammatory biomarker levels in older adults with mild cognitive impairment: a randomized controlled trial.Transl Psychiatry,10,21.
  24. Ng, TP,Feng, L,Niti, M(2008).Tea consumption and cognitive impairment and decline in older Chinese adults.Am J Clin Nutr,88,224-231.
  25. Ng, TP,Leong, T,Chiam, PC(2010).Ethnic variations in dementia: the contributions of cardiovascular, psychosocial and neuropsychological factors.Dement Geriatr Cogn Disord,29,131-138.
  26. Niti, M,Ng, TP,Kua, EH(2007).Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status.Int J Geriatr Psychiatry,22,1087-1094.
  27. Niti, M,Yap, KB,Kua, EH(2008).Physical, social and productive leisure activities, cognitive decline and interaction with APOE-epsilon 4 genotype in Chinese older adults.Int Psychogeriatr,20,237-251.
  28. Petersen, RC(2011).Clinical practice. Mild cognitive impairment.N Engl J Med,364,2227-2234.
  29. Rawtaer, I,Mahendran, R,Yu, J(2015).Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: a naturalistic study in Singapore.Asia Pac Psychiatry,7,240-250.
  30. Sia, A,Ng, KS,Ng, M(2018).The effect of therapeutic horticulture on the psychological well-being of elderly in Singapore: a randomized controlled trial.J Ther Hortic,28,1-20.
  31. Simonsick, EM,Wallace, RB,Blazer, DG(1995).Depressive symptomatology and hypertension-associated morbidity and mortality in older adults.Psychosom Med,57,427-435.
  32. Wu, DX,Feng, L,Yao, SQ(2014).The early dementia prevention programme in Singapore.Lancet Psychiatry,1,9-11.
  33. Yu, J,Kanchi, MM,Rawtaer, I(2020).The functional and structural connectomes of telomere length and their association with cognition in mild cognitive impairment.Cortex,132,29-40.
  34. Yu, J,Rawtaer, I,Feng, L(2021).Mindfulness intervention for mild cognitive impairment led to attention-related improvements and neuroplastic changes: results from a 9-month randomized control trial.J Psychiatr Res,135,203-211.
  35. Yu, J,Rawtaer, I,Goh, LG(2021).The art of remediating age-related cognitive decline: art therapy enhances cognition and increases cortical thickness in mild cognitive impairment.J Int Neuropsychol Soc,27,79-88.
  36. Zung, WW(1965).A self-rating depression scale.Arch Gen Psychiatry,12,63-70.