High vision-related quality of life indices reduce the odds of depressive symptoms in aged care facilities
Rees, Gwyneth, McCabe, M., Xie, Jing, Constantinou, Marios, Gan, Alfred, Holloway, Edith, Man, Ryan E. K., Jackson, Jonathon, Fenwick, Eva K. and Lamoureux, Ecosse. (2020). High vision-related quality of life indices reduce the odds of depressive symptoms in aged care facilities. Aging and Mental Health. 24(10), pp. 1596-1604. https://doi.org/10.1080/13607863.2019.1650889
|Authors||Rees, Gwyneth, McCabe, M., Xie, Jing, Constantinou, Marios, Gan, Alfred, Holloway, Edith, Man, Ryan E. K., Jackson, Jonathon, Fenwick, Eva K. and Lamoureux, Ecosse|
Objective: To examine the association between vision-related quality of life (VRQoL) and depressive symptoms in residents with vision impairment (VI) in aged care facilities.
Methods: In this cross-sectional study using baseline data from a cluster-randomized controlled trial (ACTRN12615000587505) assessing the effectiveness of a novel eye care model, 186 English-speaking residents (mean age 84 years, SD[standard deviation] = 8.7; 33.9% male) with VI and moderate cognitive functioning or better were recruited from 38 facilities across Victoria, Australia. VRQoL was measured using Rasch-transformed scores from the ‘Reading’; ‘Mobility’, and ‘Emotional’ scales of the Impact of Vision Impairment for Residential Care (IVI-RC) questionnaire. Outcomes were presence of depressive symptoms (binary score: Cornell Scale for Depression in Dementia [CSDD] > 0 vs. CSDD = 0) and severity of depressive symptoms (continuous CSDD score; sample range 1-21). Independent associations with presence and severity of depressive symptoms were examined using zero-inflated logistic and linear multivariable models, respectively.
Results: Of the 186 participants, n = 79 (42.5%), n = 94 (50.5%) and n = 13 (7%) reported no, mild (scores 1-7), and clinically significant depressive symptoms (score ≥8), respectively. Better vision-related Mobility (OR = 0.64; 95% CI: 0.44, 0.95, p = 0.02) was associated with reduced odds of depressive symptoms. With every unit improvement in vision-related Reading (β=-0.48; 95% CI: -0.94, -0.01, p = 0.04) and Emotional (β=-0.56; 95% CI: -1.09, -0.02, p = 0.04), severity of depressive symptoms reduced, independent of sociodemographic and medical issues.
Conclusion: Better VRQoL was independently associated with reduced depressive symptoms. Supporting older people in aged care to maintain optimal levels of vision-specific functioning, independence, and emotional well-being may protect their mental health.
|Keywords||depression; aged care; quality of life; emotional well-being; vision impairment|
|Journal||Aging and Mental Health|
|Journal citation||24 (10), pp. 1596-1604|
|Digital Object Identifier (DOI)||https://doi.org/10.1080/13607863.2019.1650889|
|Research or scholarly||Research|
|Funder||National Health and Medical Research Council|
All rights reserved
File Access Level
|Online||08 Aug 2019|
|Publication process dates|
|Accepted||21 Jul 2019|
|Deposited||02 Jun 2021|
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