{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T03:34:20Z","timestamp":1779939260467,"version":"3.53.1"},"reference-count":45,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p><jats:bold>Purpose:<\/jats:bold> This study examines health literacy among older outpatients in two Community Healthcare Service Centers in Shanghai, China to facilitate the design of public education programs for the aged population on mood disorders (both depression and mania).<\/jats:p><jats:p><jats:bold>Patients and Methods:<\/jats:bold> A total of 173 outpatients aged 60 years or more with a chronic physical illness were randomly sampled. A health literacy questionnaire was used to assess participants' awareness of depression and mania. Participants were then asked to label two vignettes depicting depression and mania and to give their recommendations for how to seek help for those in the vignettes and how mood disorders should be managed.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> In all, 86.1 and 36.4% of participants had heard of depression and mania, respectively, with the most common source of information being relatives and friends. Over half of the participants attributed the possible causes of mood disorders to psychological trauma, pressure or stress in daily life, taking things too hard, and personality problems. Almost two-thirds of participants correctly labeled the depression vignette, but only 26.6% correctly labeled the mania vignette. The most common methods recommended by the participants as being helpful for the individuals portrayed in the vignettes were \u201ctraveling\u201d and help-seeking from a psychological therapist\/counselor, a psychiatrist, or a close family member or friend.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> The older individuals attending community healthcare service settings in Shanghai have good depression literacy but relatively poor mania literacy. However, most participants had a positive attitude toward psychiatric treatment for mood disorders.<\/jats:p>","DOI":"10.3389\/fpsyt.2021.512689","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T06:01:20Z","timestamp":1615442480000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Lower Health Literacy of Mania Than Depression Among Older People: A Random Survey of a Community Healthcare Service Center"],"prefix":"10.3389","volume":"12","author":[{"given":"Leping","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruyan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Fei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taosheng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Mellor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiyun","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinxia","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongjie","family":"Mao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiru","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiguo","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuowei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,3,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2105","DOI":"10.2147\/NDT.S94643","article-title":"Mood disorders in the elderly: prevalence, functional impact, and management challenges","volume":"12","author":"Valiengo Lda","year":"2016","journal-title":"Neuropsychiatr Dis Treat."},{"key":"B2","doi-asserted-by":"publisher","first-page":"2041","DOI":"10.1016\/S0140-6736(09)60660-7","article-title":"Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001-05: an epidemiological survey","volume":"373","author":"Phillips","year":"2009","journal-title":"Lancet."},{"key":"B3","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/S2215-0366(18)30511-X","article-title":"Prevalence of mental disorders in China: a cross-sectional epidemiological study","volume":"6","author":"Huang","year":"2019","journal-title":"Lancet Psychiatry."},{"key":"B4","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.biopsych.2005.05.001","article-title":"Mood disorders in the medically ill: scientific review and recommendations","volume":"58","author":"Evans","year":"2005","journal-title":"Biol Psychiatry"},{"key":"B5","doi-asserted-by":"publisher","first-page":"381","DOI":"10.3760\/cma.j.issn.1674-6554.2015.04.02","article-title":"The survey on outpatients with depressive disorders in a community health service center of Shanghai","volume":"24","author":"Xue","year":"2015","journal-title":"Chin J Behav Med Brain Sci."},{"key":"B6","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/s0006-3223(03)00530-4","article-title":"Prevalence, etiology, and treatment of depression in Parkinson's disease","volume":"54","author":"McDonald","year":"2003","journal-title":"Biol Psychiatry."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.1016\/j.jagp.2013.12.176","article-title":"Psychiatric and medical comorbidities: results from a bipolar elderly cohort study","volume":"22","author":"Dols","year":"2014","journal-title":"Am J Geriatr Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1177\/0706743716659416","article-title":"Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 clinical guidelines for the management of adults with major depressive disorder: section 1. 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