Increased Incidence of Mental Disorders in Children with Cataract: Findings from a Population-based Study

Al‐Bakri, Moug; Skovgaard, Anne Mette; Bach‐Holm, Daniella; Larsen, Dorte Ancher; Siersma, Volkert; Kessel, Line

doi:10.1016/j.ajo.2021.09.034

Cited by 7 publications

(6 citation statements)

References 47 publications

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“…A cross-sectional study involving 11 832 850 subjects reported that congenital cataract ( n =17 214) had a 1.45-fold and 1.27-fold increased risk of anxiety and depressive disorders, respectively 78 . Another national cohort study in Denmark reported that children with cataracts were 4.1 times more likely to develop anxiety disorders than healthy control 79 . In addition, cataract surgery, by improving visual impairment, presents a positive ripple effect on mental health.…”

Section: Discussionmentioning

confidence: 99%

The association between cataract surgery and mental health in older adults: a review

Wang,

Du,

Lai

et al. 2024

International Journal of Surgery

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Background: Although cataract surgery has been proposed as a potentially modifiable protective factor for enhancing emotional well-being in cataract patients, studies examining the relationship between anxiety or depression and cataract surgery have yielded inconsistent findings. This review summarizes existing evidence to establish whether cataract surgery is associated with depression and anxiety in older adults. Methods: A literature search was conducted across PubMed, Medline, Web of Science, and Embase databases. An initial screening by abstracts and titles was performed, followed by a review and assessment of the methodological quality of the relevant full papers, and final inclusion of 44 studies were deemed eligible for inclusion in this review. Results: Among 44 included studies, 36 studies (81.8%) were observational studies concerning the association of cataract surgery or cataracts with anxiety or depression, four studies (9.1%) were interventional studies, and four studies (9.1%) were reviews. Cataract surgery notably enhances the mental health of individuals with impaired vision. However, the multifaceted nature of psychological well-being, influenced by various factors, suggests that cataract surgery may not address all aspects comprehensively. Additionally, preoperative anxiety and depression significantly impact cataract surgery outcomes. Conclusion: Vision impairment in older adults is closely associated with increased symptoms of depression and anxiety. While surgical intervention for cataracts improves these symptoms, it might be less effective for mental disorders with multifactorial causes. Notably, anxiety or depression poses challenges to successful preoperative and intraoperative cataract surgeries.

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Section: Discussionmentioning

confidence: 99%

The association between cataract surgery and mental health in older adults: a review

Wang,

Du,

Lai

et al. 2024

International Journal of Surgery

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“…Children operated for unilateral cataract may have impaired depth perception, but this do not necessarily influence their national school test results, which were all performed on a computer. Notably, the incidence of mental disorders has been shown to be increased in children with cataract with comorbid somatic diseases compared with children who have cataracts without comorbidities, underscoring the complexities of needs of care and support to these children 3. The high frequencies of systemic diseases and neurodevelopmental disorders seen in children with bilateral cataracts1 2 underscore the necessity of rehabilitative activities and special training modules from early school life.…”

Section: Discussionmentioning

confidence: 99%

“…Notably, the incidence of mental disorders has been shown to be increased in children with cataract with comorbid somatic diseases compared with children who have cataracts without comorbidities, underscoring the complexities of needs of care and support to these children. 3 The high frequencies of systemic diseases and neurodevelopmental disorders seen in children with bilateral cataracts 1 2 underscore the necessity of rehabilitative activities and special training modules from early school life. Overall, early intervention and differentiated support systems are vital components to ensure the optimal development.…”

Section: Discussionmentioning

confidence: 99%

“…Congenital cataract is a chronic condition, which may be associated with congenital and severe systemic somatic disorders, for example, trisomy 21, neurodevelopmental disorders or congenital infections. [1][2][3] Bilateral cataracts are often caused by genetic changes and they are also more often associated with systemic diseases, while unilateral cataracts are typically related to eye malformations or traumatic cataracts. 1 2 These conditions may all potentially influence the child's learning capacities.…”

Section: Introductionmentioning

confidence: 99%

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School performances in children with cataract: results from a population-based cohort study

et al. 2023

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ObjectivesChildhood cataract is a chronic condition that may interfere with the child’s learning capacities. We aimed to investigate whether childhood cataract influences academic development by comparing school performance in reading and mathematics in children with cataract to a matched control group.DesignNationwide registry-based cohort study.SettingsTwo surgical centres that perform all treatments for childhood cataract in Denmark.ParticipantsChildren born between 2000 and 2009 diagnosed with cataract before 10 years of age (n=275) and an age-matched and sex-matched control group (n=2473).Main outcome measuresSchool performance was assessed as test scores in national tests performed at regular intervals from grade 2 to grade 8 in reading and mathematics. Analyses were corrected for birth origin, child somatic and mental disorder and parental socioeconomic status and mental disorders.ResultsOf 275 children, 85 (30.9%) were operated for bilateral cataract, 79 (28.7%) unilateral cataract and 111 (40,4%) were not operated. We found that children with cataract have lower participation rate in the tests (62.5%) compared with the control cohort (77.2%) (p value=0.0001). After adjusting the pooled analyses for birth origin, somatic and mental disease in the child and parental socioeconomic status and mental disorders, we found that the children with cataract scored significantly lower in mathematics compared with those without cataract (mean difference=−4.78, 95% CI: −8.18 to −1.38, p value=0.006), whereas no difference was found regarding scores in reading (p=0.576). The lower score in mathematics was driven by children who had been operated for bilateral cataract (p-value=0.004).ConclusionChildren with cataract without somatic or neurodevelopmental comorbidities or psychosocial adversities seem to do well in school, whereas children operated for bilateral cataract have higher frequencies of difficulties in mathematical tasks.

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“…Employment status was defined as the current employment status. The employment status was coded as 'employed' or 'unemployed' (which also includes the answer options 'studying' and 'stay-at-home') if both parents were unemployed (Al-Bakri et al, 2022). For education status, the highest level from either parent was used (Lepe et al, 2021).…”

Section: Demographic Datamentioning

confidence: 99%

Known groups validity of the SPARK36: To guide nurse‐led consultations for the early detection of child developmental and parenting problems

Keymeulen

Staal

Kroon

et al. 2023

Journal of Advanced Nursing

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AimEarly detection of child developmental and parenting problems is important for timely prevention. The SPARK36 (Structured Problem Analysis of Raising Kids aged 36 months) is a novel broad‐scope structured interview guide aimed at assessing parenting concerns and needs for support for child developmental and parenting problems, using the parental and professional's (Youth Health Care nurses) perspective. The applicability of the SPARK36 in practice was already demonstrated. Our aim was to evaluate its known groups validity.Desing/MethodsSPARK36 data were collected in a cross‐sectional study in 2020–2021. The known groups validity was assessed by testing two hypotheses: the SPARK36 risk assessment shows a higher risk of parenting and child developmental problems in children (1) from parents with a lower socioeconomic status and (2) from families with ≥4 risk factors for child maltreatment. To test the hypotheses, Fisher's exact tests were applied.ResultsIn total, 29 Youth Health Care nurses from four School Health Services performed SPARK36‐led consultations with 599 parent–child pairs to assess the risk for child developmental and parenting problems. Both hypotheses were accepted at a significant p level.ConclusionThe results of the known groups validity support the hypothesis that the SPARK36 risk assessment for child developmental and parenting problems is carried out in a valid way. Future research is needed to assess other aspects of the validity and reliability of the SPARK36.ImpactThis is a first step in validating the instrument for use during a nurse‐led consultation with parents of 3‐year‐olds in Flemish School Health Services. Thereby, SPARK36 supports the nurses in accomplishing their assignment, making a risk assessment, and contributes to quality of care.Patient or Public ContributionThis study aimed to evaluate the known groups validity of the SPARK36. Therefore, it was not conducted using input from the public or the patient population.

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Increased Incidence of Mental Disorders in Children with Cataract: Findings from a Population-based Study

Cited by 7 publications

References 47 publications

The association between cataract surgery and mental health in older adults: a review

The association between cataract surgery and mental health in older adults: a review

School performances in children with cataract: results from a population-based cohort study

Known groups validity of the SPARK36: To guide nurse‐led consultations for the early detection of child developmental and parenting problems

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