The incidence and predictors of depressive and anxiety symptoms in older adults with vision impairment: a longitudinal prospective cohort study

Heesterbeek, Thomas J.; Aa, Hilde P. A. van der; Rens, Ger H. M. B. van; Twisk, J W R; Nispen, Ruth M. A. van

doi:10.1111/opo.12388

“…In apparent contrast to results from previous cross-sectional (10,76) and longitudinal studies (60,77), an association between vision loss and anxiety was not found. A recent longitudinal cohort study in older adults (n=7584) by Frank et al also found no association between self-reported visual impairment and anxiety (64).…”

Section: Discussioncontrasting

confidence: 99%

“…Visual impairment was found to be associated with depression over time. Previous longitudinal studies reported con icting results: some found an association between visual impairment and the development of depression (13,(60)(61)(62)(63)(64)(65), while others did not (66,67). We provide additional evidence based on a large sample and longitudinal follow-up supporting the hypothesis that visual impairment predicts depression.…”

Section: Discussionsupporting

confidence: 51%

Mastery and self-esteem mediate the association between visual acuity and mental health: a population-based longitudinal cohort study

Maaswinkel

¹

,

Aa

²

,

Rens

³

et al. 2020

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0

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Background: With deteriorating eyesight, people often become dependent on others for many aspects of their daily lives. As a result, they feel less ‘in control’ and experience lower self-esteem. Lower sense of mastery and self-esteem are known to predict depression, but their roles in people with visual impairment have only marginally been investigated. Therefore, this study aimed to determine the influence of mastery and self-esteem on the relationship between visual acuity and mental health.Methods: A longitudinal cohort study was performed using data from the Longitudinal Aging Study Amsterdam (LASA), collected between 2001 and 2012. A community-based population of 2599 older adults (mean age 72 years) were included, who were randomly selected from population registers. Outcomes of interest were the Pearlin Mastery Scale, Rosenberg Self-Esteem Scale, Center for Epidemiologic Studies – Depression scale and the Hospital Anxiety Depression Scale – Anxiety subscale. Linear mixed models were used to establish the association between visual acuity and mental health over time.Results: Mean age was 72 years, 56% was female and 1.2% qualified as having low vision. Visual impairment was associated with a lower sense of mastery (β = -0.477, p < 0.001), lower self-esteem (β = -0.166, p = 0.008) and more depression (β = 0.235, p < 0.001). No significant association between visual acuity and anxiety was found. The relationship between visual acuity and depression was mediated by self-esteem (25%) and sense of mastery (79%).Conclusions: Vision loss was associated with depression. This association was mediated by self-esteem and sense of mastery. This provides us with new possibilities to identify, support and treat those at risk for developing depression by aiming to increase their self-esteem and sense of mastery.

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“…In apparent contrast to results from previous cross-sectional (10,76) and longitudinal studies (60,77), an association between vision loss and anxiety was not found. A recent longitudinal cohort study in older adults (n=7584) by Frank et al also found no association between self-reported visual impairment and anxiety (64).…”

Section: Discussioncontrasting

confidence: 99%

Mastery and self-esteem mediate the association between visual acuity and mental health: a population-based longitudinal cohort study

Maaswinkel

¹

,

Aa

²

,

Rens

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: With deteriorating eyesight, people often become dependent on others for many aspects of their daily lives. As a result, they feel less ‘in control’ and experience lower self-esteem. Lower sense of mastery and self-esteem are known to predict depression, but their roles in people with visual impairment have only marginally been investigated. Therefore, this study aimed to determine the influence of mastery and self-esteem on the relationship between visual acuity and mental health.Methods: A longitudinal cohort study was performed using data from the Longitudinal Aging Study Amsterdam (LASA), collected between 2001 and 2012. A community-based population of 2599 older adults (mean age 72 years) were included, who were randomly selected from population registers. Outcomes of interest were the Pearlin Mastery Scale, Rosenberg Self-Esteem Scale, Center for Epidemiologic Studies – Depression scale and the Hospital Anxiety Depression Scale – Anxiety subscale. Linear mixed models were used to establish the association between visual acuity and mental health over time.Results: Mean age was 72 years, 56% was female and 1.2% qualified as having low vision. Visual impairment was associated with a lower sense of mastery (β = -0.477, p < 0.001), lower self-esteem (β = -0.166, p = 0.008) and more depression (β = 0.235, p < 0.001). No significant association between visual acuity and anxiety was found. The relationship between visual acuity and depression was mediated by self-esteem (25%) and sense of mastery (79%).Conclusions: Vision loss was associated with depression. This association was mediated by self-esteem and sense of mastery. This provides us with new possibilities to identify, support and treat those at risk for developing depression by aiming to increase their self-esteem and sense of mastery.

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“…In people age 80 and older the prevalence of depression and anxiety seem to be lower than in younger age groups, ranging from 4% to 5% for depression and 1% to 3% for anxiety (21). Finally, in a recent prospective longitudinal study examining the incidence and predictors of depressive and anxiety symptoms in older adults with vision impairment, having AMD was found to be a risk factor for developing depressive symptoms (22).…”

Section: Introductionmentioning

confidence: 95%

“…Another study conducted with adults aged 55 and older found a significant association between clinical anxiety and an almost threefold increased risk of subsequent dementia(78). Finally, a longitudinal prospective study conducted with people aged 50 and older highlighted that depression and anxiety symptoms fluctuate overtime(22). According to the same study, the main risk factors for depression and anxiety include living alone, having just enough money to cover expenses, having macular degeneration, difficulties with adaptation to vision loss, reduced health related quality of life, and experiencing symptoms of anxiety / depression.…”

mentioning

confidence: 98%

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

Senra

¹

,

Macedo

²

,

Nunes

³

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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The incidence and predictors of depressive and anxiety symptoms in older adults with vision impairment: a longitudinal prospective cohort study

Cited by 96 publications

References 55 publications

Mastery and self-esteem mediate the association between visual acuity and mental health: a population-based longitudinal cohort study

Mastery and self-esteem mediate the association between visual acuity and mental health: a population-based longitudinal cohort study

Mastery and self-esteem mediate the association between visual acuity and mental health: a population-based longitudinal cohort study

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

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