Publications by authors named "Cecilia Lai Wan Chan"

Article Synopsis
  • Family caregivers (FCs) are crucial for home-based end-of-life care, but their experiences in this role are not well understood.
  • The integrated community end-of-life support team (ICEST) model in Hong Kong was evaluated to see how it affects FCs, particularly spouses and adult children, regarding caregiving strain, psychological distress, and support.
  • The study found that ICEST effectively reduced caregiving strain and depression across all FCs, though spouses reported more negative perceptions and adult children had more intimacy with patients, highlighting the need for tailored interventions for both groups.
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Background: The suffering experienced by terminally-ill patients encompasses physiological, psychosocial and spiritual dimensions. While previous studies have investigated symptom burden intensity for specific disease groups, such as cancer or heart failure patients, a research gap exists in understanding major distressing symptoms among diverse terminally-ill patients. This study assessed symptom burden intensity and explored its influential factors among diverse patient disease groups.

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Foreign domestic workers (FDWs) face challenges that impact their psychosocial well-being and health behaviours. This study utilized bibliometric analyses to examine research trends on the psychosocial and health-related behaviours of FDWs in the Asia Pacific region. The bibliometric analysis comprised citation analysis and co-occurrence analysis.

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Article Synopsis
  • This study examines successful ageing in older adults, particularly those aged 95 and above, using data from the Hong Kong Centenarian Study 2 conducted between April 2021 and September 2022.
  • It highlights three distinct subphenotypes of successful ageing based on caregivers' assessments: one group with poor health (46.6%), another with good functional health (37.0%), and a third with overall good health (16.4%).
  • The findings emphasize the diversity in health outcomes among nonagenarians and centenarians, suggesting that tailored interventions are needed to promote healthier ageing in this vulnerable population.
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Objectives: One in five mothers will experience perinatal depression (PND) during pregnancy and within their first year following childbirth. Current evidence suggests the short-term efficacy of Mindfulness-based interventions (MBI) for perinatal women, but the extent to which this positive impact remains the early postpartum period is unclear. This study investigated the short- and maintenance efficacy of a mobile-delivered four-immeasurable MBI on PND, and obstetric and neonatal outcomes.

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The emotional consequences of infertility are well documented. However, relatively few studies have emphasized the dyadic emotional interaction within couples, despite infertility being a shared life event. This study adopted a dyadic (between two people) approach to explore the emotional complexity that infertile couples face.

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Background: Little is known about how sociodemographic and clinical factors affect the caregiving burden of persons with schizophrenia (PwSs) with transition in primary caregivers.

Aims: This study aimed to examine the predictive effects of sociodemographic and clinical factors on the caregiving burden of PwSs with and without caregiver transition from 1994 to 2015 in rural China.

Method: Using panel data, 206 dyads of PwSs and their primary caregivers were investigated in both 1994 and 2015.

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Introduction: Atopic dermatitis (AD) is the most common childhood inflammatory skin problem affecting 15%-30% of children. Although AD adversely impacts the psychosocial well-being of children and their parent caregivers, parents' psychosocial well-being is seldom mentioned in most non-pharmacological education programmes. A family-based psychosocial intervention, Integrative Body-Mind-Spirit (I-BMS) intervention, is examined.

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This study examines the 21-year longitudinal impacts and predictive effects of family caregiver transition and the presence of family caregiving on the clinical status of persons with schizophrenia (PwSs) in a rural area of China. Using panel data derived from the Chengdu Mental Health Project (CMHP), 250 dyads of PwSs and their family caregivers were investigated in 1994 and 2015. The Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning (GAF) were utilized.

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Background: Affiliate stigma of family caregivers may severely influence family caregiving, early treatment, and recovery of people with mental illness (PMI), and it may be impacted by the knowledge of mental illness and contact with PMI. However, little is known about the correlation between affiliate stigma of family caregivers of PMI and contact in Hong Kong.

Aims: This study aimed to investigate affiliate stigma and its influencing factors among family caregivers of PMI in Hong Kong.

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Article Synopsis
  • This study examined post-traumatic growth (PTG) among Hong Kong citizens during the initial COVID-19 outbreak in spring 2020, following a significant social movement.
  • Researchers conducted a longitudinal online survey with 327 participants, revealing that 28.4% showed signs of probable PTSD at the outbreak's peak, while 18.0% experienced notable PTG later on.
  • The findings indicated that PTG was influenced by a combination of high stress levels and a strong sense of coherence, suggesting that both coping resources and stress experiences are crucial for PTG to occur, alongside flexible risk perceptions as the situation evolved.
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Article Synopsis
  • Individuals with chronic illnesses experienced worse mental health during the COVID-19 pandemic, with around 26% reporting moderate to high levels of depression and anxiety.
  • A study in Hong Kong surveyed 408 adults and found significant lifestyle changes due to social distancing that correlated with poorer mental health outcomes.
  • The research emphasizes the need for healthcare professionals to support these individuals in maintaining their daily routines and enhancing their psychological resilience through practical interventions.
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Background: It remains unknown what the impacts of multiple dimensions of contact (e.g. level, quantity and quality) are on the stigma of mental illness.

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Background: Although poverty associated with severe mental illness (SMI) has been documented in many studies, little long-term evidence of social drift exists. This study aimed to unravel the poverty transitions among persons with SMI in a fast change community in China.

Methods: Two mental health surveys, using the International Classification of Disease (ICD-10), were conducted in the same six townships of Xinjin county, Chengdu, China in 1994 and 2015.

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Background: A burgeoning literature has found relationships between telomere length, telomerase activity, and human health and longevity. Although some research links a history of childhood adversity with shortened telomere length, our review found no prior research on the relationship between child maltreatment history and telomerase activity in adulthood. We hypothesized a negative relationship between child maltreatment and telomerase activity and hypothesized that the association would be moderated by sex.

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COVID-19 has brought tremendous and abrupt threats to various aspects of our daily lives, from school and work to interpersonal relationships. Self-compassion is put forth as a salutogenic perspective on oneself that buffers the adverse mental health impacts of these threats. During the peak of a local outbreak in Hong Kong in Spring 2020, 761 participants completed questionnaires on self-compassion, perceived threats, as well as perceived benefits and psychological distress.

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Background: Although knowledge is a crucial component in contact theory delineating how prejudice changes toward out-groups with stigmatized conditions, little is known about the mediating role of knowledge on contact, stigmatizing attitudes, and behaviors toward mental illness.

Aim: This study aimed to examine the mechanism underlie contact and stigma change by knowledge.

Methods: A total of 366 participants including family members (FM), mental health providers (MHP), and community residents (CR) recruited across communities in Hong Kong and completed measures of contact level, contact quantity, contact quality, mental health related knowledge, prejudice, and discriminatory behaviors.

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Purpose: This study aimed to (1) explore the prevalence and relevant influencing factors of different mental disorders 5 years after the Lushan earthquake in Ya'an, China.

Methods: An epidemiological mental health survey was conducted to identify the prevalence of mental disorders in general population in Ya'an. A multi-stage, group-matching random sampling method was adopted.

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Background: Self-stigma exerts a range of adversities for persons with severe mental illness (SMI), however, little is known about the association between peer contact, social support and self-stigma.

Aims: This study aimed to explore the mediating role of social support on the relationship between peer contact and self-stigma among persons with SMI in Hong Kong.

Methods: A total of 159 persons with SMI (schizophrenia and mood disorder) in community service centres participated in the study through completing a survey on self-stigma, social functioning, social support, perception of peer contact and mass media.

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Background: Little is known about poverty trends in people with severe mental illness (SMI) over a long time span, especially under conditions of fast socioeconomic development.

Aims: This study aims to unravel changes in household poverty levels among people with SMI in a fast-changing rural community in China.

Method: Two mental health surveys, using ICD-10, were conducted in the same six townships of Xinjin county, Chengdu, China.

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Background: It is unknown whether and how poverty influences the long-term outcome of persons with severe mental illness (SMI).

Aims: To explore the change of poverty status in persons with SMI from 1994 to 2015 and examine the impact of poverty status on patients' outcome in rural China.

Method: Two mental health surveys using identical methods and International Classification of Disease (ICD-10) were conducted in 1994 and 2015 in the same six townships of Xinjin County, Chengdu, China.

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Polycystic ovary syndrome (PCOS) has been proposed to be associated with several mental health problems, including anxiety, depression, diminished sexual satisfaction, and lowered health-related quality of life, etc. A systematic review and meta-analysis of published literature was conducted comparing the mental health of women with and without PCOS. Ten English and Chinese databases were searched up to 12/31/2018.

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Purpose: Household poverty associated with schizophrenia has been long described. However, the mechanisms by which schizophrenia may have influenced the economic status of a household in rural communities are still unclear. This study aimed to test an integrated model of schizophrenia, social support and caregiving burden on household poverty in a rural community in China.

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Background: Maternal psychopathology can be an important factor associated with psychological adjustment of children. However, there is limited research on long-term impacts of maternal posttraumatic stress disorder (PTSD) on children's mental health. This study examined how PTSD trajectories of women exposed to the 2008 Wenchuan earthquake in China predicted their children's mental health symptoms 10 years after the earthquake.

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