Psychologic Adjustment to Irreversible Vision Loss in Adults

Senra, Hugo; Barbosa, Fernando; Ferreira, Patrı́cia; Vieira, Cristina Pereira; Perrin, Paul B.; Rogers, Heather; Rivera, Diego; Leal, Isabel

doi:10.1016/j.ophtha.2014.10.022

Cited by 93 publications

(98 citation statements)

References 85 publications

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“…They attributed their result to problems in social inclusion faced by young people with VI such as finding a job (Langelaan et al 2007). Contrary to Langelann's explanation, we consider plausible that lower scores 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 with increasing age would be due to unemployment or early retirement that increase difficulties in dealing with vision loss (Senra et al 2011;Senra et al 2015). Our results indicate that the EQ-5D-3L is an instrument that can be used to assess the impact of VI and to compute other important measures such as quality-adjusted life-years (QALY).…”

Section: Discussionmentioning

confidence: 99%

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Macedo

Ramos

Hernández-Moreno

et al. 2017

Acta Ophthalmologica

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PurposeGeneric instruments to assess health utilities can be used to express the burden of health problems in widely used indexes. That is in contrast with what can be obtained with condition-specific instruments, outcomes are very specific and difficult to compare across conditions. The purpose of this study was to assess health and visual outcomes and its determinants in patients with visual impairment (VI) using the EQ-5D-3L and the Activity-inventory (AI). MethodsParticipants were recruited in different hospitals during the PCVIP-study. A total of 134 patients with acuity 0.30 logMAR or less in the better eye were interviewed. The AI includes 46 goals split between three objectives: social functioning, recreation and daily living, was used to measure visual ability. The EQ-5D consists of five questions covering one domain each and was used to provide a measure of health states. Responses to each domain were combined to produce a single individual index.ResultsThe AI and the EQ-5D-3L showed enough discriminatory power between VI levels (p<.001) and their results were strongly correlated r(134)=.825, (p<.001). Explanatory factors for visual ability were level of VI in better eye, age and gender, R 2 =.43, (p<.001). Explanatory factors for the EQ-5D-3L were level of VI in the better eye, comorbidities and gender, R 2 =.36, (p<.001). ConclusionsOur results showed that the EQ-5D-3L is useful when characterizing the burden of VI and to compute, when necessary, quality-adjusted-life-years (QALY) changes due to VI. However, is important to consider that the EQ-5D-3L uses a coarse response scale, assesses a limited spectrum of domains and is influenced by comorbidities. This might limit its responsiveness to small changes in visual ability.

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Section: Discussionmentioning

confidence: 99%

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Macedo

Ramos

Hernández-Moreno

et al. 2017

Acta Ophthalmologica

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“…The prevalence of subthreshold anxiety and depression in adults with visual impairments have been shown to range between 9.3 15.6% and 11.3 32.2% (Evans, Fletcher, & Wormald, 2007;van der Aa, Comijs, Penninx, van Rens, & van Nispen, 2015Zhang et al, 2013), and the estimates are equal or higher than found in general adult populations (Johansson, Carlbring, Heedman, Paxling, & Andersson, 2013;Nes & Clench-Aas, 2011). The aetiology of anxiety and depression among adults with visual impairment is less known, but are suggested to be related to difficulties adjusting to the vision loss, identity problems, dependency, social exclusion, and functional limitations (Senra et al, 2015). If not treated, mental health problems could have additional impact on the health and functioning of individuals with visual impairments (Crews, Jones, & Kim, 2006).…”

Section: Introductionmentioning

confidence: 99%

Self-reported visual impairment, physical activity and all-cause mortality: The HUNT Study

Brunes

Flanders

Augestad

2016

Scand J Public Health

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Printed by NTNU Grafisk senter i Sammendrag på norskFysisk aktivitet, mental helse og dødelighet hos personer med synsnedsettelse: Resultater fra HUNT-studien Å fremme fysisk aktivitet i befolkningen er ansett som en av de beste strategiene for folkehelsen grunnet dens gunstige effekter på mental helse, samt i forebygging av ikke-smittsomme sykdommer og tidlig død. Allikevel, fordelene av regelmessig fysisk aktivitet kan variere mellom ulike grupper i befolkningen. Personer som lever med synstap opplever oftere problemer med å delta i fysisk aktivitet sammenlignet med personer uten synstap, samt at de har større utfordringer med helse, sosialisering og det å fungere i dagliglivet. Det er per i dag uklart hvilken betydning fysisk aktivitet har på helsen hos personer som lever med synstap.Hensikten med denne doktorgradsavhandlingen var å undersøke betydningen av fysisk aktivitet på fritiden hos personer med og uten selv-rapportert synstap i dens sammenheng med psykiske plager og dødelighet. I alle de tre studiene som er inkludert i denne avhandlingen er det blitt benyttet data fra ungdom og voksendelen av Helseundersøkelsen i Nord Trøndelag (HUNTstudien). I tillegg ble data fra Dødsårsaksregisteret benyttet i en av studiene.Resultatene fra de tre studiene viste at ukentlig fysisk aktivitet, helst i moderat til høy intensitet, reduserte risikoen for depresjonssymptomer og tidlig død hos personer med selv-rapportert synstap, og styrken på sammenhengen var tilnaermet lik eller sterkere hos denne gruppen sammenlignet med personer uten selv-rapportert synsnedsettelse. Sammenhengene varierte mellom alder, kjønn og personlighet hos personer med selv-rapportert synsnedsettelse, noe som tyder på at responsen av fysisk aktivitet kan virke ulikt innad i denne populasjonen. Fysisk aktivitet hadde ingen sammenheng med angstsymptomer.Studiene bidrar til kunnskap om fysisk aktivitet og dens sammenheng med mental helse og dødelighet hos ungdom og voksne som rapporterer å ha nedsatt syn. Funnene tyder på at fysisk aktivitet kan vurderes som et sykdomsforebyggende og helsefremmende tiltak hos denne populasjonen. Allikevel, sammenhengen ser ut til å vaere kompleks og videre forskning er nødvendig. I sincerely thank Professor Liv Berit Augestad for her guidance, patient, support, and friendship.Her mentorship has made it possible for me to reach my goals. She has supported me through all the joys and frustrations of the work in connection with this thesis, and has never stopped believing in me. She has not only encouraged me to develop as a researcher and an independent thinker, but has also allowed me to focus on the aspects I consider important in life.I also thank my co-supervisor, Professor Dana Flanders, for his assistance and statistical guidance, as well as for introducing me to the wonderful world of causality. He, too, has made me feel very welcome during my stay in Atlanta. His intelligence, honesty, conscientiousness, friendliness, and humbleness is admirable, and he has become my scientific role model. viIn addition, I w...

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“…Also previous studies have found a link between depressive symptoms and level of visual acuity (9)(10)(11)(12)14,15,24,(35)(36)(37)(38)(39)(40)(41)(42)(43).…”

Section: Discussionmentioning

confidence: 82%

Visual acuity and depressive symptoms before and after first eye cataract surgery in elderly patients

Radotić¹,

Djonovic²,

Sarenac-Vulovic³

et al. 2016

Medicinski casopis

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Psychologic Adjustment to Irreversible Vision Loss in Adults

Cited by 93 publications

References 85 publications

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Self-reported visual impairment, physical activity and all-cause mortality: The HUNT Study

Visual acuity and depressive symptoms before and after first eye cataract surgery in elderly patients

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