Vision, quality of life and depressive symptoms after first eye cataract surgery
Vision, quality of life and depressive symptoms after first eye cataract surgery
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DOI：
10.1111/psyg.12028
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发表时间：
2013-12-01
期刊：
影响因子：
2
通讯作者：
Morlet, Nigel
中科院分区：
文献类型：
--
作者：
Fraser, Michelle L.;Meuleners, Lynn B.;Morlet, Nigel
背景白内障不仅影响视力，而且影响日常工作的表现、社会活动的参与、生活质量，并可能影响抑郁症。抑郁症是老年人的主要健康问题。据估计，6%-20%的澳大利亚社区老年人患有抑郁症。本研究的目的是调查视力相关的生活质量和抑郁症状的变化后，第一眼白内障手术，并确定哪些视觉措施影响这些outcome.MethodsIn 2009年和2010年的变化，99名参与者与双边白内障被招募。在第一眼白内障手术前1周和手术后12周对视力、对比敏感度和立体视进行评估。视力相关的生活质量采用25项国家眼科研究所视觉功能问卷进行测量。抑郁症状由流行病学研究中心的20项抑郁量表评估。进行单独的回归分析，以确定视力的措施和视力相关的生活质量和抑郁症状的变化之间的关联后，第一眼白内障手术。ResultsOverall，视力相关的生活质量改善后，第一眼白内障手术。手术后抑郁症状有一个小的，无临床意义的改善。第一眼白内障手术后视力相关生活质量的改善与手术眼对比敏感度的改善相关（P
BackgroundCataract affects not only vision, but also performance of everyday tasks, participation in social activities, quality of life and possibly depression. Depression is a major health issue for older adults. It is estimated that 6%-20% of community-dwelling older Australians experience depression. The aim of this study was to investigate changes in vision-related quality of life and depressive symptoms after first eye cataract surgery and to determine which visual measures affect the change in these outcomes.MethodsIn 2009 and 2010, 99 participants with bilateral cataract were recruited. Visual measures including visual acuity, contrast sensitivity and stereopsis were assessed 1 week before and 12 weeks after first eye cataract surgery. Vision-related quality of life was measured using the 25-item National Eye Institute Visual Function Questionnaire. Depressive symptoms were assessed by the 20-item Center for Epidemiological Studies Depression Scale. Separate regression analyses were undertaken to determine the association between visual measures and changes in vision-related quality of life and depressive symptoms after first eye cataract surgery.ResultsOverall, vision-related quality of life improved after first eye cataract surgery. There was a small, non-clinically significant improvement in depressive symptoms after surgery. Improvement in vision-related quality of life after first eye cataract surgery was associated with improved contrast sensitivity in the operated eye (P