Association of vision loss and depressive symptomatology in older adults assessed for ocular health in senior living facilities.
Association of vision loss and depressive symptomatology in older adults assessed for ocular health in senior living facilities.
复制标题
在老年生活设施中评估老年人视力丧失与抑郁症状之间的关系，评估其眼部健康状况。
DOI：
10.1111/opo.12869
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Ramchandran,RajeevS
中科院分区：
文献类型：
--
作者：
Silverstein,StevenM;Sörensen,Silvia;Sunkara,Anoop;Lai,Adriann;Fradkin,SamanthaI;Ramchandran,RajeevS
目的视力丧失的人患重度抑郁症和亚临床抑郁症的风险增加。然而，抑郁症的筛查很少在眼科护理机构或已知患有视力障碍的普通人群中进行，我们使用患者健康问卷-2（PHQ-2）在一组老年人中检查了抑郁症的患病率（N= 204;平均年龄= 82.15），并确定抑郁症的严重程度与客观视觉结果，视觉功能，关于在自己的眼睛护理中发挥积极作用的信念（即，结果大约50%的样本至少有一只眼睛视力受损，接近30%的样本获得了PHQ-2评分，表明可能存在重度抑郁症。视觉测试结果与视觉功能相关（例如，阅读能力，但不是抑郁症。患者的激活与抑郁水平也没有显着相关。然而，视觉功能受损和较少的社会支持都是抑郁症的强预测因子。这两个变量和他们的相互作用占17%的总PHQ-2评分variation.ConclusionsThese数据表明，潜在的效用筛查抑郁症的一部分，视力保健人群可能有显着的视力丧失。研究结果还表明，预防和/或减少SLF和类似人群的抑郁症的综合方法可能需要干预措施来解决视觉功能下降和加强社交网络的方法。
PurposePeople with vision loss are at increased risk for major depressive disorder (MDD) and subclinical depression. However, screening for depression is rarely done in eye care settings or among groups in the general population known to have vision disorders.MethodsWe examined the prevalence of depression, using the Patient Health Questionnaire – 2 (PHQ‐2), among a group of older adults (N= 204; mean age = 82.15) at two senior living facilities (SLFs) and determined the relationships between severity of depression and objective visual findings, visual function, beliefs about taking an active role in one's own eye care (i.e., patient activation) and level of social support.ResultsApproximately 50% of the sample had impaired vision in at least one eye, and close to 30% of the sample obtained a score on the PHQ‐2 indicating the likely presence of major depressive disorder. Visual testing findings were related to visual function (e.g., ability to read), but not to depression. Patient activation was also not significantly related to the level of depression. However, impaired visual functioning and less social support were both strong predictors of depression. These two variables and their interaction accounted for 17% of the total PHQ‐2 score variance.ConclusionsThese data indicate the potential utility of screening for depression as part of vision care in populations likely to have significant vision loss. The findings also suggest that a comprehensive approach to depression prevention and/or reduction in SLF and similar populations may require interventions to address reduced visual functioning and methods to strengthen social networks.