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首页> 外文期刊>Ophthalmology >Depression and anxiety in visually impaired older people.
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Depression and anxiety in visually impaired older people.

机译：视障老年人的抑郁和焦虑。

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PURPOSE: To investigate the association between visual impairment and depression and anxiety in older people in Britain. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Thirteen thousand nine hundred people aged 75 years and older in 49 family practices in Britain. METHODS: Vision was measured in 13 900 people aged 75 years and older in 49 family practices taking part in a randomized trial of health screening that included depression (Geriatric Depression Scale [GDS-15]) and anxiety (General Health Questionnaire [GHQ-28]). Cause of visual impairment (binocular acuity less than 6/18) was assessed from medical records. Analysis was by logistic regression (odds ratio [OR] and 95% confidence interval [CI]), taking account of potential health and social confounders. MAIN OUTCOME MEASURES: Levels of depression and anxiety. RESULTS: Visually impaired people had a higher prevalence of depression compared with people with good vision. Of visually impaired older people, 13.5% were depressed (GDS-15score of 6 or more) compared with 4.6% of people with good vision (age- and gender-adjusted OR, 2.69; 95% CI, 2.03-3.56). Controlling for potential confounding factors, particularly activities of daily living, markedly attenuated the association between visual impairment and depression (OR, 1.26; 95% CI, 0.94-1.70). There was little evidence for any association between visual impairment and anxiety. On the GHQ-28 scale, 9.3% of visually impaired people had 2 or more symptoms of anxiety compared with 7.4% of people with good vision. CONCLUSIONS: Although cause and effect cannot be established in a cross-sectional study, it is plausible that people with visual impairment are more likely to experience problems with functioning, which in turn leads to depression.
机译：目的：探讨英国老年人视力障碍与抑郁和焦虑之间的关系。设计：基于人群的横断面研究。参与者：在英国49个家庭诊所中，有1.39万名年龄在75岁以上的人。方法：在49个家庭实践的13900名年龄在75岁及以上的人中，对视力进行了测量，该实验参加了一项健康筛查的随机试验，包括抑郁症（老年抑郁量表[GDS-15]）和焦虑症（一般健康状况调查表[GHQ-28]） ]）。从医疗记录中评估了视力障碍（双眼视力低于6/18）的原因。分析通过逻辑回归分析（几率[OR]和95％置信区间[CI]），同时考虑了潜在的健康和社会混杂因素。主要观察指标：抑郁和焦虑程度。结果：与视力良好的人相比，视力障碍者的抑郁症患病率更高。在视力障碍的老年人中，有13.5％的人沮丧（GDS-15得分为6或更高），而有良好视力的人则为4.6％（年龄和性别校正后的OR，2.69; 95％CI，2.03-3.56）。控制潜在的混杂因素，尤其是日常生活活动，显着减弱了视力障碍与抑郁之间的关联（OR为1.26; 95％CI为0.94-1.70）。几乎没有证据表明视力障碍和焦虑之间存在任何关联。在GHQ-28量表上，有9.3％的视障人士有2种或以上的焦虑症状，而有良好视力的人为7.4％。结论：尽管在横断面研究中无法确定因果关系，但视力障碍者更有可能遇到功能障碍，进而导致抑郁。

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