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The association of vision loss and dimensions of depression over 12 years in older adults: Findings from the Three City study.
- Source :
-
Journal of Affective Disorders . Jan2019, Vol. 243, p477-484. 8p. - Publication Year :
- 2019
-
Abstract
- <bold>Background: </bold>The established relationship between vision impairment and depression is limited by the examination of depression only as a unidimensional construct. The present study explores the vision-depression relationship using a dimensional approach.<bold>Methods: </bold>9036 participants aged 65 years and above enrolled in the Three-City study were included. Relationships between baseline near Vision Impairment (VI) or self-reported distance Visual Function (VF) loss with trajectory of four dimensions of depression - depressed affect, positive affect, somatic symptoms and interpersonal problems - over 12 years were examined using mixed-effects models. Depression dimensions were determined using the four-factor structure of the Centre for Epidemiology Studies-Depression Scale (CESD).<bold>Results: </bold>In the fully adjustment models, mild near VI predicted poorer depressed affect (b = 0.04, p = .002) and positive affect (b = -0.06, p < 0.001) over time, with evidence of longer term adjustment. Distance VF loss was associated with poorer depressed affect (b = 0.27, p ≤ .001), positive affect (b = -0.15, p = .002), and somatic symptoms (b = 0.18, p ≤ .001) at baseline, although only the association with depressed affect was significant longitudinally (b = 0.01, p = .001). Neither near VI nor distance VF loss was associated with interpersonal problems.<bold>Limitations: </bold>This paper uses a well-supported model of depression dimensions, however, there remains no definite depression dimension model. Distance VF loss was self-reported, which can be influenced by depression symptoms.<bold>Conclusions: </bold>Vision impairment in older adults is primarily associated with affective dimensions of depression. A reduction in social connectedness and ability to engage in pleasurable activities may underlie the depression-vision relationship. Older adults with vision impairment may benefit from targeted treatment of affective symptoms, and pleasant event scheduling. [ABSTRACT FROM AUTHOR]
- Subjects :
- *VISION disorders
*MENTAL depression
*BLINDNESS
*AFFECT (Psychology)
*INTERPERSONAL relations
*ATTRIBUTION (Social psychology)
*COMPARATIVE studies
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*SELF-evaluation
*VISUAL acuity
*EVALUATION research
*DISEASE incidence
*SEVERITY of illness index
*PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 01650327
- Volume :
- 243
- Database :
- Academic Search Index
- Journal :
- Journal of Affective Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 132288777
- Full Text :
- https://doi.org/10.1016/j.jad.2018.09.071