Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey

BACKGROUND: People with sensory impairments may be at increased risk of depression and anxiety but experience barriers to accessing treatment. AIMS: To investigate whether people with sensory impairment have more depressive and anxiety symptoms than people without, whether this is mediated by social...

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Autores principales: Shoham, Natalie, Lewis, Gemma, McManus, Sally, Cooper, Claudia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6854354/
https://www.ncbi.nlm.nih.gov/pubmed/31685070
http://dx.doi.org/10.1192/bjo.2019.81
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author Shoham, Natalie
Lewis, Gemma
McManus, Sally
Cooper, Claudia
author_facet Shoham, Natalie
Lewis, Gemma
McManus, Sally
Cooper, Claudia
author_sort Shoham, Natalie
collection PubMed
description BACKGROUND: People with sensory impairments may be at increased risk of depression and anxiety but experience barriers to accessing treatment. AIMS: To investigate whether people with sensory impairment have more depressive and anxiety symptoms than people without, whether this is mediated by social functioning and whether they report greater non-treatment. METHOD: We analysed data from the English 2014 Adult Psychiatric Morbidity Survey using regression models, with the Clinical Interview Schedule-Revised (CIS-R) score as the primary outcome and self-reported hearing and vision impairment as exposures. A secondary outcome was self-reported receipt of mental health diagnosis and treatment. We used structural equation modelling to assess for mediation by social functioning. RESULTS: A total of 19.0% of people with hearing impairment, and 30.9% and 24.5% with distance and near visual impairments, respectively, had clinically significant psychological morbidity. Adjusted mean CIS-R score was 1.86 points higher in people with hearing impairment compared with those without (95% CI 1.30–2.42, P<0.001). People with distance and near vision impairment had mean CIS-R scores 3.61 (95% CI 2.58–4.63, P<0.001) and 2.74 (95% CI 2.12–3.37, P<0.001) points higher, respectively, than those without. Social functioning accounted for approximately 50% of these relationships between sensory impairment and psychological morbidity. We found no evidence of an increased treatment gap for people with sensory impairment. CONCLUSIONS: Social functioning, a potentially modifiable target, may mediate an association between sensory impairment and depressive and anxiety symptoms.
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spelling pubmed-68543542019-11-22 Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey Shoham, Natalie Lewis, Gemma McManus, Sally Cooper, Claudia BJPsych Open Papers BACKGROUND: People with sensory impairments may be at increased risk of depression and anxiety but experience barriers to accessing treatment. AIMS: To investigate whether people with sensory impairment have more depressive and anxiety symptoms than people without, whether this is mediated by social functioning and whether they report greater non-treatment. METHOD: We analysed data from the English 2014 Adult Psychiatric Morbidity Survey using regression models, with the Clinical Interview Schedule-Revised (CIS-R) score as the primary outcome and self-reported hearing and vision impairment as exposures. A secondary outcome was self-reported receipt of mental health diagnosis and treatment. We used structural equation modelling to assess for mediation by social functioning. RESULTS: A total of 19.0% of people with hearing impairment, and 30.9% and 24.5% with distance and near visual impairments, respectively, had clinically significant psychological morbidity. Adjusted mean CIS-R score was 1.86 points higher in people with hearing impairment compared with those without (95% CI 1.30–2.42, P<0.001). People with distance and near vision impairment had mean CIS-R scores 3.61 (95% CI 2.58–4.63, P<0.001) and 2.74 (95% CI 2.12–3.37, P<0.001) points higher, respectively, than those without. Social functioning accounted for approximately 50% of these relationships between sensory impairment and psychological morbidity. We found no evidence of an increased treatment gap for people with sensory impairment. CONCLUSIONS: Social functioning, a potentially modifiable target, may mediate an association between sensory impairment and depressive and anxiety symptoms. Cambridge University Press 2019-11-05 /pmc/articles/PMC6854354/ /pubmed/31685070 http://dx.doi.org/10.1192/bjo.2019.81 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Papers
Shoham, Natalie
Lewis, Gemma
McManus, Sally
Cooper, Claudia
Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey
title Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey
title_full Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey
title_fullStr Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey
title_full_unstemmed Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey
title_short Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey
title_sort common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey
topic Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6854354/
https://www.ncbi.nlm.nih.gov/pubmed/31685070
http://dx.doi.org/10.1192/bjo.2019.81
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