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Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk
OBJECTIVE: To identify the risk factors for significant depressive symptoms in people with visual impairment in England and Wales to provide information on who is most at risk and to whom support services could be targeted in future. DESIGN: A cross-sectional study using baseline data from a pragmat...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340416/ https://www.ncbi.nlm.nih.gov/pubmed/30782756 http://dx.doi.org/10.1136/bmjopen-2018-026163 |
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author | Nollett, Claire Ryan, Barbara Bray, Nathan Bunce, Catey Casten, Robin Edwards, Rhiannon Tudor Gillespie, David Smith, Daniel J Stanford, Miles Margrain, Tom H |
author_facet | Nollett, Claire Ryan, Barbara Bray, Nathan Bunce, Catey Casten, Robin Edwards, Rhiannon Tudor Gillespie, David Smith, Daniel J Stanford, Miles Margrain, Tom H |
author_sort | Nollett, Claire |
collection | PubMed |
description | OBJECTIVE: To identify the risk factors for significant depressive symptoms in people with visual impairment in England and Wales to provide information on who is most at risk and to whom support services could be targeted in future. DESIGN: A cross-sectional study using baseline data from a pragmatic randomised controlled trial. SETTING AND PARTICIPANTS: 990 participants aged 18 or over attending 1 of 14 low-vision rehabilitation primary care optometry-based clinics in South Wales or two hospital clinics in London. OUTCOME MEASURE: A score of ≥6 on the Geriatric Depression Scale-15 was classed as clinically significant depressive symptoms. RESULTS: In a multivariable logistic regression model, significant depressive symptoms were associated with age (adjusted OR (AOR)=0.82, 95% CI: 0.66 to 0.90, p<0.001), ethnicity (AOR non-white compared with white=1.72, 95% CI: 1.05 to 2.81, p=0.031), total number of eye conditions (AOR for two vs one condition=0.98, 95% CI: 0.67 to 1.43; three or more vs one condition=0.34, 95% CI: 0.15 to 0.75, p=0.026), self-reported health (AOR for excellent vs poor=0.01, 95% CI: 0.00 to 0.12; very good vs poor=0.06, 95% CI: 0.03 to 0.13; good vs poor=0.14, 95% CI: 0.08 to 0.24; fair vs poor=0.28, 95% CI: 0.18 to 0.46, p<0.001) and self-reported visual functioning (AOR=1.45, 95% CI: 1.31 to 1.61, p<0.001). CONCLUSION: Younger age, a non-white ethnicity, fewer eye conditions and poorer self-reported health and visual function are risk factors for significant depressive symptoms in this population. TRIAL REGISTRATION NUMBER: ISRCTN46824140; Pre-results. |
format | Online Article Text |
id | pubmed-6340416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-63404162019-02-02 Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk Nollett, Claire Ryan, Barbara Bray, Nathan Bunce, Catey Casten, Robin Edwards, Rhiannon Tudor Gillespie, David Smith, Daniel J Stanford, Miles Margrain, Tom H BMJ Open Ophthalmology OBJECTIVE: To identify the risk factors for significant depressive symptoms in people with visual impairment in England and Wales to provide information on who is most at risk and to whom support services could be targeted in future. DESIGN: A cross-sectional study using baseline data from a pragmatic randomised controlled trial. SETTING AND PARTICIPANTS: 990 participants aged 18 or over attending 1 of 14 low-vision rehabilitation primary care optometry-based clinics in South Wales or two hospital clinics in London. OUTCOME MEASURE: A score of ≥6 on the Geriatric Depression Scale-15 was classed as clinically significant depressive symptoms. RESULTS: In a multivariable logistic regression model, significant depressive symptoms were associated with age (adjusted OR (AOR)=0.82, 95% CI: 0.66 to 0.90, p<0.001), ethnicity (AOR non-white compared with white=1.72, 95% CI: 1.05 to 2.81, p=0.031), total number of eye conditions (AOR for two vs one condition=0.98, 95% CI: 0.67 to 1.43; three or more vs one condition=0.34, 95% CI: 0.15 to 0.75, p=0.026), self-reported health (AOR for excellent vs poor=0.01, 95% CI: 0.00 to 0.12; very good vs poor=0.06, 95% CI: 0.03 to 0.13; good vs poor=0.14, 95% CI: 0.08 to 0.24; fair vs poor=0.28, 95% CI: 0.18 to 0.46, p<0.001) and self-reported visual functioning (AOR=1.45, 95% CI: 1.31 to 1.61, p<0.001). CONCLUSION: Younger age, a non-white ethnicity, fewer eye conditions and poorer self-reported health and visual function are risk factors for significant depressive symptoms in this population. TRIAL REGISTRATION NUMBER: ISRCTN46824140; Pre-results. BMJ Publishing Group 2019-01-17 /pmc/articles/PMC6340416/ /pubmed/30782756 http://dx.doi.org/10.1136/bmjopen-2018-026163 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Ophthalmology Nollett, Claire Ryan, Barbara Bray, Nathan Bunce, Catey Casten, Robin Edwards, Rhiannon Tudor Gillespie, David Smith, Daniel J Stanford, Miles Margrain, Tom H Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk |
title | Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk |
title_full | Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk |
title_fullStr | Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk |
title_full_unstemmed | Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk |
title_short | Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk |
title_sort | depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk |
topic | Ophthalmology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340416/ https://www.ncbi.nlm.nih.gov/pubmed/30782756 http://dx.doi.org/10.1136/bmjopen-2018-026163 |
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