Depression and disability associated with impaired vision: The MoVIES project
Depression and disability associated with impaired vision: The MoVIES project
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DOI：
10.1111/j.1532-5415.1998.tb01080.x
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发表时间：
1998-05-01
影响因子：
6.3
通讯作者：
Ganguli, M
中科院分区：
文献类型：
--
作者：
Rovner, BW;Ganguli, M
目的：评估抑郁症和视力受损与老年人残疾的关系。设计：年龄分层随机社区样本的流行病学调查。设置：在宾夕法尼亚州西南部的莫农加希拉山谷中部农村。参与者：共有872名年龄在68岁及以上的非机构化的老人，英语流利，至少有6级教育。测量：人口统计学、自我报告的视力损害、OARS日常生活活动量表（IADL）和改良的流行病学中心抑郁量表来评估抑郁症。与视力完好的受试者相比，视力受损的受试者更容易出现五种或五种以上的抑郁症状（29.7% vs 8.5%; OR = 4.6，95% CI = 2.2，9.6）和功能受损程度更高（OR = 9.7，95% CI = 4.9，19.2）。抑郁症状的数量（1-4：OR = 2.4，CI = 1.8，3.4）和（5 +：OR = 5.9，CI = 3.6，9.8）与IADL损害独立相关后，控制视力，年龄，和gender.CONCLUSIONS：视力受损和抑郁症都与功能障碍在这个社区人口的老年人。然而，抑郁症增加了独立于视力损害的功能损害的几率。治疗抑郁症可以减少与视力受损相关的过度残疾。
OBJECTIVE: To assess how depression and impaired vision relate to disability in older people.DESIGN: An epidemiological survey of an age-stratified random community sample.SETTING: The rural mid-Monongahela Valley in Southwestern Pennsylvania.PARTICIPANTS: A total of 872 noninstitutionalized per sons aged 68 and older, fluent in English, and with at least a grade 6 education.MEASUREMENTS: Demographics, self-reported vision impairment, OARS Instrumental Activities of Daily Living (IADL), and modified Center for Epidemiologic Studies-Depression scale to assess depression.RESULTS: Compared with subjects with intact vision, those with impaired vision were more likely to have five or more depressive symptoms (29.7% vs 8.5%; OR = 4.6, 95% CI = 2.2, 9.6) and to be more functionally impaired (OR = 9.7, 95% CI = 4.9, 19.2). The number of depressive symptoms (1-4: OR = 2.4, CI = 1.8, 3.4) and (5 +: OR = 5.9, CI = 3.6, 9.8) was associated independently with IADL impairment after controlling for vision, age, and gender.CONCLUSIONS: Impaired vision and depression are both associated strongly with functional impairment in this community population of older adults. Depression, however, increases the odds of functional impairment independent of vision impairment. Treating depression may reduce excess disability associated with impaired vision.