Self‐care tools to treat depressive symptoms in patients with age‐related eye disease: a randomized controlled clinical trial

Kamga, Hortence; McCusker, Jane; Yaffe⃰, Mark J.; Sewitch, Maida; Sussman, Tamara; Strumpf, Erin; Olivier, Sébastien; Wittich, Walter; Moghadaszadeh, Solmaz; Freeman, Ellen E.

doi:10.1111/ceo.12890

Cited by 13 publications

(6 citation statements)

References 31 publications

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“…153 Self-guided CBT has also led to a significantly greater reduction in depressive symptoms among patients with AMD relative to usual care, although improvements in other outcomes, including anxiety and self-efficacy, were not observed. 154 Cognitive and behavioral approaches have also been tested in other visually impaired populations, such as people with blindness. In one study, individuals with blindness receiving Rational Emotive Behavior Therapy (REBT), a type of cognitive therapy, reported significant reductions in irrational beliefs, depression, anxiety, and stress and improvements in self-esteem, while these same changes were not observed in the control group.…”

Section: Cognitive Behavioral Interventionsmentioning

confidence: 99%

<p>Visual Impairment and Mental Health: Unmet Needs and Treatment Options</p>

Demmin

Silverstein

2020

OPTH

153

134

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Purpose: An estimated 2.2 billion people are visually impaired worldwide. Given that agerelated vision loss is a primary cause of vision impairment, this number is projected to rise with increases in average lifespan. Vision loss often results in significant disability and is associated with a substantial economic burden, reduced quality-of-life, concurrent medical issues, and mental health problems. In this review, the mental health needs of people with vision impairment are examined. Patients and methods: A review of recent literature on mental health outcomes and current treatments in people with visual impairment was conducted. Results: Considerable data indicate that rates of depression and anxiety are elevated among people with visual impairments. Moreover, individuals of lower socioeconomic status may be at increased risk for vision impairment and subsequent mental health problems. Existing psychosocial interventions for improving mental health in people with visual impairment show some promise, but are limited by low adherence and lack generalizability. Conclusion: In order to improve outcomes, a better understanding of the mechanisms linking visual impairment and poor mental health is needed. It will also be essential to develop more effective interventions and expand access to services to improve the detection and treatment of mental health problems in this population.

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Section: Cognitive Behavioral Interventionsmentioning

confidence: 99%

<p>Visual Impairment and Mental Health: Unmet Needs and Treatment Options</p>

Demmin

Silverstein

2020

OPTH

153

134

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“…The studies included in this review examined the effectiveness of psychosocial and psychological interventions which were mainly composed of cognitive-behavioural techniques such as self-management, self-help, problem solving, behavioural activation, and emotion-focused intervention. Although all studies have tested the effectiveness of the intervention programme to reduce symptoms of depression, only four studies included anxiety as an outcome measure (59)(60)(61)(62). Five out of seven RCT studies suggested effective interventions to prevent and treat depression in AMD patients (53,55,57,59,61), and one of these studies also showed positive outcomes for anxiety (61).…”

Section: Discussionmentioning

confidence: 99%

“…Although all studies have tested the effectiveness of the intervention programme to reduce symptoms of depression, only four studies included anxiety as an outcome measure (59)(60)(61)(62). Five out of seven RCT studies suggested effective interventions to prevent and treat depression in AMD patients (53,55,57,59,61), and one of these studies also showed positive outcomes for anxiety (61). However, only 4 studies in our review had included an outcome measure for anxiety (60)(61)(62)(63), which suggests the need for additional research investigating the effect of psychological and psychosocial interventions on anxiety related to AMD.…”

Section: Discussionmentioning

confidence: 99%

Psychological and Psychosocial Interventions for Depression and Anxiety in Patients With Age-Related Macular Degeneration: A Systematic Review

Senra

Macedo

Nunes

et al. 2019

The American Journal of Geriatric Psychiatry

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Purpose: To review the current literature on psychosocial and psychological interventions to prevent and treat depression and anxiety in patients with age-related macular degeneration (AMD). Methods: We conducted a systematic review of literature evaluating psychosocial and psychological interventions for depression and anxiety in AMD patients. Primary searches of PubMed, Cochrane library, EMBASE, Global Health, Web of Science, EBSCO, and Science Direct were conducted to include all papers published until April 21 st. 2018. Results: Of a total of 398 citations retrieved, we selected 12 eligible studies published between 2002 and 2016. We found 9 randomized controlled trials (RCT), and 3 nonrandomised intervention (NRI) studies. RCT studies suggested that interventions using group self-management techniques, and individual behavioural activation plus low vision rehabilitation can be effective to treat and prevent depression in AMD patients, and one study suggested that a stepped-care intervention using cognitive-behavioural techniques can be effective to manage anxiety and depression over time. NRI studies highlighted a positive effect of self-help and emotion-focused interventions to reduce depression. Conclusions: Clinical practice with AMD patients can rely on some tailored cognitivebehavioural therapeutic protocols to improve patients' mental health, but further clinical trials will generate the necessary evidence-based knowledge to improve those therapeutic techniques and offer additional tailored interventions for AMD patients.

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“…Strategies to decrease depressive symptoms include greater screening and targeted interventions in high-risk groups. 44,45 Aging (CLSA) is provided by the Government of Canada through the Canadian Institutes of Health Research (CIHR) under grant reference: LSA 94473 and the Canada Foundation for Innovation. This research has been conducted using the CLSA dataset, Baseline Comprehensive Dataset…”

Section: Crosssectionalmentioning

confidence: 99%

Visual Impairment, Eye Disease, and the 3-year Incidence of Depressive Symptoms: The Canadian Longitudinal Study on Aging

Grant

Aubin

Buhrmann

et al. 2020

Ophthalmic Epidemiology

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Purpose: Our goal was to explore the longitudinal association between vision-related variables and incident depressive symptoms in a community-dwelling sample of older adults and to examine whether sex, education, or hearing loss act as effect modifiers. Methods: A 3-year prospective cohort study was performed using data from the Canadian Longitudinal Study on Aging consisting of 30,097 individuals aged 45-85 years. Visual acuity was evaluated with habitual distance correction using an illuminated Early Treatment of Diabetic Retinopathy Study chart. Visual impairment was defined as binocular presenting visual acuity worse than 20/40. Incident depressive symptoms was defined using a cutoff score of 10 or greater on the Center for Epidemiologic Studies Depression scale. Participants were asked if they had ever had a physician diagnosis of age-related macular degeneration (AMD), glaucoma, or cataract. Multivariable Poisson regression was used. Results: Of 22,558 participants without depressive symptoms at baseline, 7.7% developed depressive symptoms within 3 years. Cataract was associated with incident depressive symptoms (relative risk = 1.20, 95% confidence interval 1.05, 1.37) after adjusting for age, sex, income, education, partner status, smoking, level of comorbidity, hearing loss, and province. Visual impairment, AMD, and glaucoma were not associated with incident depressive symptoms. No effect modification was detected. Conclusions: Our longitudinal data confirm that the risk of depressive symptoms is higher in those who report ever having a cataract. Further research should confirm this and interventions should be considered.

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Self‐care tools to treat depressive symptoms in patients with age‐related eye disease: a randomized controlled clinical trial

Abstract: Self-care tools plus telephone coaching led to a modest improvement in depressive symptoms in patients with age-related eye disease. Additional research on how to maximize their effect is necessary.

Cited by 13 publications

References 31 publications

<p>Visual Impairment and Mental Health: Unmet Needs and Treatment Options</p>

<p>Visual Impairment and Mental Health: Unmet Needs and Treatment Options</p>

Psychological and Psychosocial Interventions for Depression and Anxiety in Patients With Age-Related Macular Degeneration: A Systematic Review

Visual Impairment, Eye Disease, and the 3-year Incidence of Depressive Symptoms: The Canadian Longitudinal Study on Aging

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