The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan
Chin-Pang Lee,1,2 Yu Chen,2–4 Kun-Hao Jiang,2,4,5 Chun-Lin Chu,1,2,4 Shih-Chieh Hsu,1,2,4 Jiun-Liang Chen,2,4,5 Ching-Yen Chen1,2,41Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taiwan; 2Men’s Health Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 3Depar...
Guardado en:
| Autores principales: | , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Dove Medical Press
2015
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/f94299a6c12043728e6f335138b15ec2 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:f94299a6c12043728e6f335138b15ec2 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:f94299a6c12043728e6f335138b15ec22021-12-02T03:01:43ZThe prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan1178-2021https://doaj.org/article/f94299a6c12043728e6f335138b15ec22015-01-01T00:00:00Zhttp://www.dovepress.com/the-prevalence-and-correlates-of-the-positive-androgen-deficiency-in-t-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Chin-Pang Lee,1,2 Yu Chen,2–4 Kun-Hao Jiang,2,4,5 Chun-Lin Chu,1,2,4 Shih-Chieh Hsu,1,2,4 Jiun-Liang Chen,2,4,5 Ching-Yen Chen1,2,41Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taiwan; 2Men’s Health Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 3Department of Urology, Chang Gung Memorial Hospital, Linkou, Taiwan; 4School of Medicine, Chang Gung University, Taoyuan; 5Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Linkou, TaiwanIntroduction: The Androgen Deficiency in the Aging Male (ADAM) questionnaire is widely used to screen for late-onset hypogonadism. The positive response to the ADAM questionnaire (positive ADAM) has been associated with depression and poorer quality of life in a number of studies. It is unclear whether there is any value of the ADAM questionnaire in psychiatric populations. In this study, we aimed to determine the utility of the ADAM questionnaire in a convenient sample of male psychiatric outpatients.Methods: One hundred and seventy-six men (mean age: 54.3 years; standard deviation: 10.7 years; range: 40–80 years) completed the ADAM questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the Aging Males’ Symptoms (AMS) scale. Anxiety was defined as a HADS anxiety subscore ≥8; depression as a HADS depression subscore ≥8; and moderate/severe impairment of health-related quality of life (HQoL) as AMS ≥37. ADAM, anxiety, and depression was used to model the moderate/severe impairment of HQoL.Results: One hundred and sixty-four (93%) men had positive ADAM. Positive ADAM was associated with a lower body mass index (P<0.05) and moderate/severe impairment of HQoL (P<0.001), but was not associated with anxiety or depression (P>0.05). Positive ADAM was associated with five symptoms of the AMS scale: “decline of one’s feeling of general well-being”, “depressive mood”, and three sexual symptoms. In regression analysis, positive ADAM was associated with increased risk of moderate/severe impairment of HQoL (unadjusted odds ratio 20.1, 95% confidence interval 3.77–372, P<0.01), which remained significant with covariates of anxiety and depression (adjusted odds ratio 15.6, 95% confidence interval 2.52–309, P<0.05).Conclusion: The ADAM questionnaire can be used to screen the sexual symptoms but not depression/anxiety in male psychiatric outpatients. Positive ADAM may indicate moderate/severe impairment of HQoL.Keywords: Aging Males’ Symptoms scale, anxiety, depression, health-related quality of lifeLee CPChen YJiang KHChu CLHsu SCChen JLChen CYDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 185-189 (2015) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
| spellingShingle |
Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Lee CP Chen Y Jiang KH Chu CL Hsu SC Chen JL Chen CY The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan |
| description |
Chin-Pang Lee,1,2 Yu Chen,2–4 Kun-Hao Jiang,2,4,5 Chun-Lin Chu,1,2,4 Shih-Chieh Hsu,1,2,4 Jiun-Liang Chen,2,4,5 Ching-Yen Chen1,2,41Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taiwan; 2Men’s Health Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 3Department of Urology, Chang Gung Memorial Hospital, Linkou, Taiwan; 4School of Medicine, Chang Gung University, Taoyuan; 5Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Linkou, TaiwanIntroduction: The Androgen Deficiency in the Aging Male (ADAM) questionnaire is widely used to screen for late-onset hypogonadism. The positive response to the ADAM questionnaire (positive ADAM) has been associated with depression and poorer quality of life in a number of studies. It is unclear whether there is any value of the ADAM questionnaire in psychiatric populations. In this study, we aimed to determine the utility of the ADAM questionnaire in a convenient sample of male psychiatric outpatients.Methods: One hundred and seventy-six men (mean age: 54.3 years; standard deviation: 10.7 years; range: 40–80 years) completed the ADAM questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the Aging Males’ Symptoms (AMS) scale. Anxiety was defined as a HADS anxiety subscore ≥8; depression as a HADS depression subscore ≥8; and moderate/severe impairment of health-related quality of life (HQoL) as AMS ≥37. ADAM, anxiety, and depression was used to model the moderate/severe impairment of HQoL.Results: One hundred and sixty-four (93%) men had positive ADAM. Positive ADAM was associated with a lower body mass index (P<0.05) and moderate/severe impairment of HQoL (P<0.001), but was not associated with anxiety or depression (P>0.05). Positive ADAM was associated with five symptoms of the AMS scale: “decline of one’s feeling of general well-being”, “depressive mood”, and three sexual symptoms. In regression analysis, positive ADAM was associated with increased risk of moderate/severe impairment of HQoL (unadjusted odds ratio 20.1, 95% confidence interval 3.77–372, P<0.01), which remained significant with covariates of anxiety and depression (adjusted odds ratio 15.6, 95% confidence interval 2.52–309, P<0.05).Conclusion: The ADAM questionnaire can be used to screen the sexual symptoms but not depression/anxiety in male psychiatric outpatients. Positive ADAM may indicate moderate/severe impairment of HQoL.Keywords: Aging Males’ Symptoms scale, anxiety, depression, health-related quality of life |
| format |
article |
| author |
Lee CP Chen Y Jiang KH Chu CL Hsu SC Chen JL Chen CY |
| author_facet |
Lee CP Chen Y Jiang KH Chu CL Hsu SC Chen JL Chen CY |
| author_sort |
Lee CP |
| title |
The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan |
| title_short |
The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan |
| title_full |
The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan |
| title_fullStr |
The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan |
| title_full_unstemmed |
The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan |
| title_sort |
prevalence and correlates of the positive androgen deficiency in the aging male (adam) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in taiwan |
| publisher |
Dove Medical Press |
| publishDate |
2015 |
| url |
https://doaj.org/article/f94299a6c12043728e6f335138b15ec2 |
| work_keys_str_mv |
AT leecp theprevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT cheny theprevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT jiangkh theprevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT chucl theprevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT hsusc theprevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT chenjl theprevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT chency theprevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT leecp prevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT cheny prevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT jiangkh prevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT chucl prevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT hsusc prevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT chenjl prevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan AT chency prevalenceandcorrelatesofthepositiveandrogendeficiencyintheagingmaleadamquestionnaireamongpsychiatricoutpatientsacrosssectionalsurveyof176meninageneralhospitalintaiwan |
| _version_ |
1718402018191605760 |