Relationship Between Legal Blindness and Depression

Mati­as Osaba; Jimena Doro; Malena Liberal; Jennifer Lagunas; Irene C Kuo; VÃ­ctor E Reviglio

Relationship Between Legal Blindness and Depression

Medical hypothesis discovery and innovation in ophthalmology, Vol. 8 No. 4 (2019), 29 December 2019 , Page 306-311
Published

Abstract

The higher prevalence rates of depression in visually-impaired individuals than the general population indicates that the condition per se increases the risk of depression. A person that is aware of the progressive loss of visual acuteness may have feelings of insecurity, anxiety, loss of independence and changes in social functioning, leading to depression. Several studies assessing the association between depressive symptoms and severity of vision loss have yielded inconsistent results. Some do not show any association, whereas others reported that depression severity is higher in those with substantial vision loss. The general aim of this manuscript was to determine the prevalence of depression in patients diagnosed with legal blindness in the Eye Care Service at the Hospital CÃ³rdoba between June 2016 and June 2017. The study sample consisted of 41 patients. The level of depression was assessed using the Zung scale and the degree of dependence in daily life activities was defined using the Barthel index. Data was anonymized for inclusion in a computer database and statistical confidentiality was protected. Data was analyzed using InfoStat statistical software. The results revealed a relation between legal blindness, degrees of dependency and depressive symptoms in patients of the Eye Care Service of the Hospital CÃ³rdoba. It is very important for health professionals to be trained to detect early signs and symptoms of depression and have the necessary tools for such an approach.Â Epub: October 1, 2019.

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References

Horowitz A. The Prevalence and Consequences of Vision Impairment in Later Life. Top Geriatr Rehabil. 2004;20(3):185-95. doi: 10.1097/00013614-200407000-00006

Stelmack JA, Tang XC, Wei Y, Massof RW, Low-Vision Intervention Trial Study G. The effectiveness of low-vision rehabilitation in 2 cohorts derived from the veterans affairs Low-Vision Intervention Trial. Arch Ophthalmol. 2012;130(9):1162-8. doi: 10.1001/archophthalmol.2012.1820 pmid: 22965592

Bruijning JE, van Rens G, Fick M, Knol DL, van Nispen R. Longitudinal observation, evaluation and interpretation of coping with mental (emotional) health in low vision rehabilitation using the Dutch ICF Activity Inventory. Health Qual Life Outcomes. 2014;12:182. doi: 10.1186/s12955-014-0182-4 pmid: 25539603

Williams RA, Brody BL, Thomas RG, Kaplan RM, Brown SI. The psychosocial impact of macular degeneration. Arch Ophthalmol. 1998;116(4):514-20. doi: 10.1001/archopht.116.4.514 pmid: 9565052

Bourne RRA, Flaxman SR, Braithwaite T, Cicinelli MV, Das A, Jonas JB, et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(9):e888-e97. doi: 10.1016/S2214-109X(17)30293-0 pmid: 28779882

Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96(5):614-8. doi: 10.1136/bjophthalmol-2011-300539 pmid: 22133988

De la Fuente, InÃ©s. Encuesta rÃ¡pida ceguera evitable 2013, Programa de Salud Ocular y PrevenciÃ³n de la Ceguera, pp. 1 - 72.

Ministerio de Salud. Datos EstadÃsticos: Anuario EstadÃstico Nacional Sobre Discapacidad. Buenos Aires, Argentina: Servicio Nacional de RehabilitaciÃ³n, 2016.

OrganizaciÃ³n Mundial de la Salud. DepresiÃ³n (nota descriptiva). Buenos Aires, Argentina, 2017.

Horowitz A, Reinhardt JP, Kennedy GJ. Major and subthreshold depression among older adults seeking vision rehabilitation services. Am J Geriatr Psychiatry. 2005;13(3):180-7. doi: 10.1176/appi.ajgp.13.3.180 pmid: 15728748

van der Aa HP, Comijs HC, Penninx BW, van Rens GH, van Nispen RM. Major depressive and anxiety disorders in visually impaired older adults. Invest Ophthalmol Vis Sci. 2015;56(2):849-54. doi: 10.1167/iovs.14-15848 pmid: 25604690

Rees G, Tee HW, Marella M, Fenwick E, Dirani M, Lamoureux EL. Vision-specific distress and depressive symptoms in people with vision impairment. Invest Ophthalmol Vis Sci. 2010;51(6):2891-6. doi: 10.1167/iovs.09-5080 pmid: 20164466

Rovner BW, Casten RJ, Tasman WS. Effect of depression on vision function in age-related macular degeneration. Arch Ophthalmol. 2002;120(8):1041-4. doi: 10.1001/archopht.120.8.1041 pmid: 12149057

Tournier M, Moride Y, Ducruet T, Moshyk A, Rochon S. Depression and mortality in the visually-impaired, community-dwelling, elderly population of Quebec. Acta Ophthalmol. 2008;86(2):196-201. doi: 10.1111/j.1600-0420.2007.01024.x pmid: 17888085

Augustin A, Sahel JA, Bandello F, Dardennes R, Maurel F, Negrini C, et al. Anxiety and depression prevalence rates in age-related macular degeneration. Invest Ophthalmol Vis Sci. 2007;48(4):1498-503. doi: 10.1167/iovs.06-0761 pmid: 17389477

American Psychiatric A. Diagnostic and statistical manual of mental disorders : DSM-5. Arlington (VA): American Psychiatric Association, 2013.

Halpern A, Fuhrer M. Functional Assessment in Rehabilitation. Baltimore: Paul H Brookes; 1984.

Gresham G, Phillips T, Labi M. ADL status in stroke: relative merits of three standard indexes. Arch Phys Med Rehabil. 1980;61(8):355-8.

Donaldson SW, Wagner CC, Gresham GE. A unified ADL evaluation form. Arch Phys Med Rehabil. 1973;54(4):175-9 passim. pmid: 4697224

Wade DT, Hewer RL. Functional abilities after stroke: measurement, natural history and prognosis. J Neurol Neurosurg Psychiatry. 1987;50(2):177-82. doi: 10.1136/jnnp.50.2.177 pmid: 3572432

Magruder-Habib K, Zung WW, Feussner JR. Improving physicians' recognition and treatment of depression in general medical care. Results from a randomized clinical trial. Med Care. 1990;28(3):239-50. pmid: 2179650

Romera I, Delgado-Cohen H, Perez T, Caballero L, Gilaberte I. Factor analysis of the Zung self-rating depression scale in a large sample of patients with major depressive disorder in primary care. BMC Psychiatry. 2008;8:4. doi: 10.1186/1471-244X-8-4 pmid: 18194524

Biggs JT, Wylie LT, Ziegler VE. Validity of the Zung Self-rating Depression Scale. Br J Psychiatry. 1978;132:381-5. doi: 10.1192/bjp.132.4.381 pmid: 638392

Powell R. Psychometric Properties of the Beck Depression Inventory and the Zung Self Rating Depression Scale in Adults With Mental Retardation. Ment Retard. 2003;41(2):88-95. doi: 10.1352/0047-6765(2003)041<0088:ppotbd>2.0.co;2

Range L, Antonelli K. A Factor Analysis of Six Commonly Used Instruments Associated With Suicide Using College Students. J Pers Assess. 1990;55(3):804-11. doi: 10.1207/s15327752jpa5503&4_37

Patito J. Medicina Legal. Buenos Aires: Ediciones Centro Norte; 2000.

Beekman AT, Copeland JR, Prince MJ. Review of community prevalence of depression in later life. Br J Psychiatry. 1999;174:307-11. doi: 10.1192/bjp.174.4.307 pmid: 10533549

Rovner BW, Shmuely-Dulitzki Y. Screening for depression in low-vision elderly. Int J Geriatr Psychiatry. 1997;12(9):955-9. pmid: 9309476

Campo-Arias A, DÃaz-MartÃnez LA, Rueda-Jaimes GE, Barros-BermÃºdez JA. ValidaciÃ³n de la escala de Zung para depresiÃ³n en universitarias de Bucaramanga, Colombia. Rev Colombia Psiquiatr. 2005;34(1):54-62.

GÃ³mez-Feria Prieto I, JimÃ©nez GarcÃa-BÃ³veda R. ValidaciÃ³n al espaÃ±ol de la escala BASDEC (Escala Breve de ValoraciÃ³n de la DepresiÃ³n Con Tarjetas) para la depresiÃ³n en ancianos. Psiquiatr Biol. 2004;11(1):1-4.

Cid-Ruzafa J, Damian-Moreno J. [Disability evaluation: Barthel's index]. Rev Esp Salud Publica. 1997;71(2):127-37. pmid: 9546856

Lee PP, Spritzer K, Hays RD. The impact of blurred vision on functioning and well-being. Ophthalmology. 1997;104(3):390-6. doi: 10.1016/s0161-6420(97)30303-0 pmid: 9082261

Wang JJ, Mitchell P, Smith W, Cumming RG, Attebo K. Impact of visual impairment on use of community support services by elderly persons: the Blue Mountains Eye Study. Invest Ophthalmol Vis Sci. 1999;40(1):12-9. pmid: 9888421

Ruiz-Grosso P, Loret de Mola C, Vega-Dienstmaier JM, Arevalo JM, Chavez K, Vilela A, et al. Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: a comparative validation study. PLoS One. 2012;7(10):e45413. doi: 10.1371/journal.pone.0045413 pmid: 23056202

Ip SP, Leung YF, Mak WP. Depression in institutionalised older people with impaired vision. Int J Geriatr Psychiatry. 2000;15(12):1120-4. pmid: 11180468

Lamoureux EL, Fenwick E, Moore K, Klaic M, Borschmann K, Hill K. Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care. Invest Ophthalmol Vis Sci. 2009;50(9):4103-9. doi: 10.1167/iovs.08-3294 pmid: 19357359

Abe T, Hamano T, Onoda K, Takeda M, Okuyama K, Yamasaki M, et al. Additive Effect of Physical Activity and Sedentary Time on Depressive Symptoms in Rural Japanese Adults: A Cross-Sectional Study. J Epidemiol. 2019;29(6):227-32. doi: 10.2188/jea.JE20180017 pmid: 30146527

Pan CW, Liu H, Sun HP, Xu Y. Increased Difficulties in Managing Stairs in Visually Impaired Older Adults: A Community-Based Survey. PLoS One. 2015;10(11):e0142516. doi: 10.1371/journal.pone.0142516 pmid: 26545238

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