Centre for Eye Research Australia, the Royal Victorian Eye and Ear Hospital, University of Melbourne, East Melbourne, VIC, Australia.
Invest Ophthalmol Vis Sci. 2010 Jun;51(6):2891-6. doi: 10.1167/iovs.09-5080. Epub 2010 Feb 17.
To determine the unique contribution of vision-specific distress in predicting depressive symptoms in people with vision impairment attending a tertiary eye care clinic.
In this cross-sectional study, interview-administered surveys were conducted with 143 adult patients who had presenting visual acuity <0.3 logMAR. Depressive symptoms were assessed with the Patient Health Questionnaire-9 and vision-specific distress was assessed with the Impact of Vision Impairment (IVI) Questionnaire emotional well-being subscale. In addition, level of restriction of participation in common daily activities due to vision impairment was assessed with the IVI and measures of general physical health and social support were included.
Twenty-one (14.7%) of 143 participants reported clinically significant depressive symptoms and an additional 27.3% (n = 39) had mild depressive symptoms. Vision-specific distress was the strongest unique predictor of depressive symptoms (beta = 0.37, P < 0.001), with physical health (beta = -0.22, P < 0.01), age (beta = -0.18, P < 0.05), and experience of a negative life event (beta = 0.15, P < 0.05) also contributing significantly to depressive symptoms. Results also indicated that vision-specific distress mediates the impact of participation restriction due to vision impairment on depressive symptoms.
An assessment of vision-specific distress may be a useful tool with which to identify those at risk of depression or in need of early intervention in eye care or rehabilitation settings. Depression treatment approaches or depression prevention strategies for people with vision impairment may benefit from a focus on vision-specific distress.
确定视功能障碍特有的困扰对视功能障碍患者在 tertiary eye care 诊所就诊时抑郁症状的预测作用。
在这项横断面研究中，对 143 名视力低于 0.3 logMAR 的成年患者进行了访谈式问卷调查。使用患者健康问卷-9（PHQ-9）评估抑郁症状，使用视功能障碍影响问卷（IVI）情绪健康量表评估视功能障碍特有的困扰。此外，还使用 IVI 评估了由于视力障碍而导致的日常活动受限程度，并纳入了一般身体健康和社会支持的衡量标准。
143 名参与者中有 21 名（14.7%）报告了临床显著的抑郁症状，另有 27.3%（n=39）存在轻度抑郁症状。视功能障碍特有的困扰是抑郁症状的最强独立预测因素（β=0.37，P<0.001），身体健康状况（β=-0.22，P<0.01）、年龄（β=-0.18，P<0.05）和生活负性事件的经历（β=0.15，P<0.05）也显著影响抑郁症状。结果还表明，视功能障碍特有的困扰可以作为识别有抑郁风险或需要在眼科护理或康复环境中进行早期干预的有用工具。针对视力障碍者的抑郁治疗方法或抑郁预防策略可能受益于对视功能障碍特有的困扰的关注。
