Sing Lee
Biographic Data
| ID | 3583595 |
|---|---|
| NAME | Sing Lee |
| GIVEN NAMES | Sing |
| FAMILY NAME | Lee |
| SIGNATURE | LEE S |
| AFFILIATIONS | Chinese University of Hong Kong |
| ORCID | 0000-0002-9377-7390 |
| VERIFIED | Yes |
| TOTAL WORKS | 60 |
| TOTAL CITATIONS | 501 |
| AUTHOR COUNT | 60 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1993 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 8 |
Healing Through Empowerment and Active Listening
BACKGROUND: The rising prevalence of diabetic foot ulcers (DFUs) highlights the need for effective self-care interventions. Despite strong evidence supporting their effectiveness, patient engagement, uptake, and integration into routine care remain limited. Co-design approaches can enhance the relevance and adoption of interventions but are underutilized in DFU management. OBJECTIVES: This study outlines the development of Healing through Empower…
Measuring social desirability bias in a multi-ethnic cohort sample
The construct of social desirability bias was fundamentally different in a multicultural context than previously understood. Only a small proportion of variance of self-report lifestyle scores was explained by social desirability, thus providing support for data integrity
Sources of information on diabetes and its demographic correlates
Diabetes is a major public health concern in Singapore, and the Singapore Government declared a ‘War on Diabetes’, which included a nationwide public health campaign. It is important to identify what sources of diabetes information reach the general population, whether this differs by socio-demographic characteristics and if the sources of information influence knowledge of diabetes to aid the successful dissemination of health information. Two t…
Acceptance of healthy lifestyle nudges in the general population of Singapore
Individuals prefer less intrusive approaches for promoting healthy lifestyle. Ethnicity and lifestyle behaviours are associated with acceptance of nudges and should be taken into consideration during the formulation and implementation of behaviourally informed health policies
A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour
Individuals can be motivated to overcome internal barriers (fatigue, lack of time, cost and age) through social support and emphasis on exercise benefits. External barriers (weather and lack of pavements or parks) can be reduced by raising awareness of existing infrastructure. Sedentary behaviour can be improved by implementing workplace measures, such as reducing the time spent sitting
Health Literacy and Diabetes Knowledge
Health literacy is a key determinant of the public health and health climate of the nation. This study examined the functional health literacy of the nation, factors associated with health literacy, and its relationship with diabetes recognition. This cross-sectional survey recruited participants (N = 2895) who were 18 years and above from a population registry through disproportionate stratified sampling. The Brief Health Literacy Screen and oth…
The Prevalence and Correlates of Disability in Singapore
Although this prevalence is lower than other countries, it is a significant finding in terms of actual numbers and impact at both the individual and the societal levels. Our findings also highlight the need to strengthen health services and preventive interventions targeting older adults and those who are physically inactive to reduce the burden of disability in these groups
The prevalence of multimorbidity in primary care
MM3+ was better at identifying a smaller number of patients with multimorbidity requiring higher needs compared to MM2+. Using the Fortin list seemed more appropriate than the CDMP list because the chronic conditions in Fortin's list were more commonly seen in primary care. A consistent definition of multimorbidity will help researchers and clinicians to understand the epidemiology of multimorbidity better
Prevalence and patterns of physical activity, sedentary behaviour, and their association with health-related quality of life within a multi-ethnic Asian population
About 17% of the population did not meet the minimum requirements for physical activity, while around half of the population spent a considerable time being sedentary. As insufficient physical activity was associated with poorer physical HRQoL, policymakers should promote moderate physical activity and encouraging the breaking up of prolonged sedentary periods within the middle- and high-income groups, especially at the workplace. Increased leisu…
Community case managers' challenges collaborating with primary care when managing complex patients in the community
Community case managers (CCMs) play a crucial role in the continuity of care for complex patients in the community. However, they are often considered as non-members of the healthcare team and not actively engaged by the primary care team because of the unique landscape of social services in Singapore. Given that these two distinct professional groups had minimal collaboration previously, integrating CCMs as partners of patient care within the pr…
Patterns of physical activity and health-related quality of life amongst patients with multimorbidity in a multi-ethnic Asian population
The low levels of physical activity among patients with multimorbidity, and its association with overweight status and poorer HRQoL emphasizes the importance of increasing physical activity in this population. Family physicians treating patients with chronic diseases need to continue encouraging and helping individuals to initiate and maintain appropriate physical activity levels
The epidemiology of drug use disorders cross-nationally
Deep China
Deep China investigates the emotional and moral lives of the Chinese people as they adjust to the challenges of modernity. Sharing a medical anthropology and cultural psychiatry perspective, Arthur Kleinman, Yunxiang Yan, Jing Jun, Sing Lee, Everett Zhang, Pan Tianshu, Wu Fei, and Guo Jinhua delve into intimate and sometimes hidden areas of personal life and social practice to observe and narrate the drama of Chinese individualization. The essays…
Treatment gap for anxiety disorders is global
BACKGROUND: Anxiety disorders are a major cause of burden of disease. Treatment gaps have been described, but a worldwide evaluation is lacking. We estimated, among individuals with a 12-month DSM-IV (where DSM is Diagnostic Statistical Manual) anxiety disorder in 21 countries, the proportion who (i) perceived a need for treatment; (ii) received any treatment; and (iii) received possibly adequate treatment. METHODS: Data from 23 community surveys…
The cross-national epidemiology of social anxiety disorder
BACKGROUND: There is evidence that social anxiety disorder (SAD) is a prevalent and disabling disorder. However, most of the available data on the epidemiology of this condition originate from high income countries in the West. The World Mental Health (WMH) Survey Initiative provides an opportunity to investigate the prevalence, course, impairment, socio-demographic correlates, comorbidity, and treatment of this condition across a range of high, …
The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys
Undertreatment of people with major depressive disorder in 21 countries
BACKGROUND: Major depressive disorder (MDD) is a leading cause of disability worldwide. AIMS: To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. METHOD: Representative community household surveys from 21 countries as part of the World Health Organiz…
Trauma and PTSD in the WHO World Mental Health Surveys
Background: Although post-traumatic stress disorder (PTSD) onset-persistence is thought to vary significantly by trauma type, most epidemiological surveys are incapable of assessing this because they evaluate lifetime PTSD only for traumas nominated by respondents as their ‘worst.’Objective: To review research on associations of trauma type with PTSD in the WHO World Mental Health (WMH) surveys, a series of epidemiological surveys that obtained r…
A community-based study of the relationship between somatic and psychological distress in Hong Kong
Although the predominantly somatic presentation of distress has been used to explain low rates of emotional illnesses and health service use in Chinese communities, this concept of somatization has not been examined by concurrently studying the profile of somatically and psychologically distressed Chinese individuals. A random population-based sample of 3014 adults underwent a structured telephone interview that examined their sociodemographic ch…
What matters most
Empowering caregivers
BACKGROUND: Education and support for caregivers is lacking in Asia and the peer-led FamilyLink Education Programme (FLEP) is one of the few provisions to address this service gap. This study aims to evaluate quantitatively its efficacy in reducing subjective burdens and empowering the participants. METHOD: One hundred and nine caregiver participants in three Asian cities were successfully surveyed at pre-intervention, post-intervention and six-m…
Gastrointestinal dysfunction in Chinese patients with fat-phobic and nonfat-phobic anorexia nervosa
Although gastrointestinal and other somatic symptoms are common in patients with anorexia nervosa (AN), and a growing cross-national literature indicates that not all anorexic patients exhibit the core diagnostic symptom of fat phobia, the relationship between somatic symptoms and anorexic illness remains unclear. Our objective was to evaluate gastrointestinal dysfunction (GD) in Chinese patients with fat phobic (FP) and nonfat phobic (NFP) anore…
Prevalence and Correlates of Bipolar Spectrum Disorder in the World Mental Health Survey Initiative
CONTEXT: There is limited information on the prevalence and correlates of bipolar spectrum disorder in international population-based studies using common methods. OBJECTIVES: To describe the prevalence, impact, patterns of comorbidity, and patterns of service utilization for bipolar spectrum disorder (BPS) in the World Health Organization World Mental Health Survey Initiative. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional, face-to-face, hou…
Twelve-Month Prevalence of and Risk Factors for Suicide Attempts in the World Health Organization World Mental Health Surveys
OBJECTIVE: Although suicide is a leading cause of death worldwide, clinicians and researchers lack a data-driven method to assess the risk of suicide attempts. This study reports the results of an analysis of a large cross-national epidemiologic survey database that estimates the 12-month prevalence of suicidal behaviors, identifies risk factors for suicide attempts, and combines these factors to create a risk index for 12-month suicide attempts …
Deep China
Culture and stigma
Deep China
Deep China investigates the emotional and moral lives of the Chinese people as they adjust to the challenges of modernity. Sharing a medical anthropology and cultural psychiatry perspective, Arthur Kleinman, Yunxiang Yan, Jing Jun, Sing Lee, Everett Zhang, Pan Tianshu, Wu Fei, and Guo Jinhua delve into intimate and sometimes hidden areas of personal life and social practice to observe and narrate the drama of Chinese individualization. The essays…
What matters most
Reconsidering the status of anorexia nervosa as a western culture-bound syndrome
Self-starvation in context
Stigmatizing experience and structural discrimination associated with the treatment of schizophrenia in Hong Kong
The experience of Sars-related stigma at Amoy Gardens
Chinese Taoist Cognitive Psychotherapy in the Treatment of Generalized Anxiety Disorder in Contemporary China
Chinese Taoist cognitive psychotherapy (CTCP) combines elements of cognitive therapy and Taoist philosophy. Empirical evidence of its efficacy and mechanisms of action is lacking. This study compared the efficacy of CTCP, benzodiazepines (BDZ), and combined treatment in Chinese patients with generalized anxiety disorder (GAD). In total, 143 patients with GAD were randomly assigned to one of three treatment groups: CTCP only, BDZ only, or combined…
How lay is lay? Chinese students' perceptions of anorexia nervosa in Hong Kong
Higher earnings, bursting trains and exhausted bodies
The Vicissitudes of Neurasthenia in Chinese Societies
This essay begins with the position that the controversy between Chinese and Western researchers over the nosological status of neurasthenia arises logically from their discrepant epistemological theories of disease. Next, it traces Chinese psychiatrists' continued effort to reorganize neurasthenia in a tradition that not only conforms substantively to Western cultural assumptions but also results in its transformation into the pro fessional disc…
Side effects of chronic lithium therapy in Hong Kong Chinese
The harmony of illusions
Community case managers' challenges collaborating with primary care when managing complex patients in the community
Community case managers (CCMs) play a crucial role in the continuity of care for complex patients in the community. However, they are often considered as non-members of the healthcare team and not actively engaged by the primary care team because of the unique landscape of social services in Singapore. Given that these two distinct professional groups had minimal collaboration previously, integrating CCMs as partners of patient care within the pr…
Too Costly to Be Ill
It has been estimated that there are now about 100 million economic migrants 'floating' in China's cities and towns. Although these rural people are subjected to profound discrimination vis-‡-vis employment, welfare, court-ship and legal rights, their mental health problems are largely unknown. The present study examines retrospectively the psychiatric morbidity and treatment of 112 migrant workers who were hospitalized in the only psychiatric ho…
Abstracts & Reviews
Side effects of chronic lithium therapy in Hong Kong Chinese
The Vicissitudes of Neurasthenia in Chinese Societies
This essay begins with the position that the controversy between Chinese and Western researchers over the nosological status of neurasthenia arises logically from their discrepant epistemological theories of disease. Next, it traces Chinese psychiatrists' continued effort to reorganize neurasthenia in a tradition that not only conforms substantively to Western cultural assumptions but also results in its transformation into the pro fessional disc…
Rethinking neurasthenia
Self-starvation in context
Cultures in psychiatric nosology
Reconsidering the status of anorexia nervosa as a western culture-bound syndrome
The harmony of illusions
How lay is lay? Chinese students' perceptions of anorexia nervosa in Hong Kong
Unity and Hybridity
L'A. presente «Chinese Societies and Mental Health», edite en 1995 par T. Y. Lin, W. S. Tseng et E. K. Yeh. Il souligne son interet pour la psychiatrie transculturelle et pour les professionnels de la sante concernes par la sante mentale des Chinois residants en Chine ou dans les societes occidentales. Bien que les editeurs admettent avoir opte pour une approche d'examination monoculturelle, les matrices conceptuelles emic et etic sont invoquees …
Estranged Bodies, Simulated Harmony, and Misplaced Cultures
OBJECTIVE: To study the sociocultural transformation of neurasthenia (shenjing shuairuo, SJSR), as both disease and illness, in Chinese society. METHOD: This is based on a critical review of evidence drawn from the psychiatric and anthropological literature, and the use of a single case study. RESULTS: SJSR remains a ubiquitous illness in socio-politically different Chinese societies, but the Americanization of Chinese psychiatry has paradoxicall…
Higher earnings, bursting trains and exhausted bodies
A Ddse of Insanity
Fat, Fatigue and the Feminine
Diagnosis Postponed
Introduction to the Transformation of Social Experience in Chinese Society
Too Costly to Be Ill
It has been estimated that there are now about 100 million economic migrants 'floating' in China's cities and towns. Although these rural people are subjected to profound discrimination vis-‡-vis employment, welfare, court-ship and legal rights, their mental health problems are largely unknown. The present study examines retrospectively the psychiatric morbidity and treatment of 112 migrant workers who were hospitalized in the only psychiatric ho…
Chinese Taoist Cognitive Psychotherapy in the Treatment of Generalized Anxiety Disorder in Contemporary China
Chinese Taoist cognitive psychotherapy (CTCP) combines elements of cognitive therapy and Taoist philosophy. Empirical evidence of its efficacy and mechanisms of action is lacking. This study compared the efficacy of CTCP, benzodiazepines (BDZ), and combined treatment in Chinese patients with generalized anxiety disorder (GAD). In total, 143 patients with GAD were randomly assigned to one of three treatment groups: CTCP only, BDZ only, or combined…
Suicide as resistance in Chinese society
For Gentlemen of purpose and men of benevolence, while it is inconceivable that they should seek to stay alive at the expense of benevolence, it may happen that they have to accept death in order to have benevolence accomplished.
Engaging Culture
Experience of social stigma by people with schizophrenia in Hong Kong
BACKGROUND: Research on stigma often focuses on general public attitudes and overlooks patients' subjective experiences of everyday stigma arising from significant others. AIMS: To document and compare the interpersonal experiences of stigma in patients with schizophrenia and patients with diabetes mellitus in Hong Kong. METHOD: Four focus groups were conducted to generate a self-report questionnaire. Data were collected from out-patients with sc…
The experience of Sars-related stigma at Amoy Gardens
Personal Tragedy or System Failure
Background: Most studies agree that mental illness brings a heavy objective and subjective burden of care on the family and especially the caregivers. However, very little attention has been paid to the wider context in which this burden is shaped and sustained. Material: In-depth interviews were conducted with 11 caregivers in Hong Kong and Taiwan and subsequent analysis identified four major themes: mystical knowledge beyond understanding, pers…
Stigmatizing experience and structural discrimination associated with the treatment of schizophrenia in Hong Kong
Age of onset of mental disorders
PURPOSE OF REVIEW: The aim of this article is to review recent epidemiological research on age-of-onset of mental disorders, focusing on the WHO World Mental Health surveys. RECENT FINDINGS: Median and inter-quartile range (IQR; 25th-75th percentiles) of age-of-onset is much earlier for phobias (7-14, IQR 4-20) and impulse-control disorders (7-15; IQR 4-35) than other anxiety disorders (25-53, IQR 15-75), mood disorders (25-45, IQR 17-65), and su…
Medicine (42 works) · Psychiatry (42 works) · Psychology (40 works) · Mental health (27 works) · Mental Health Treatment and Access (21 works) · Environmental health (19 works) · Clinical Psychology (18 works) · Political science (15 works) · Sociology (15 works) · Population (14 works)