Managing depression in patients with vision impairment: A descriptive study of practitioners' beliefs and confidence

Rees, Gwyneth; Fenwick, Eva; Keeffe, Jill; Mellor, David; Lamoureux, Ecosse L.

doi:10.1111/j.1741-6612.2010.00467.x

Cited by 16 publications

(22 citation statements)

References 29 publications

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“…Integrating routine depression screening into ophthalmology care will necessitate efficient training programs. Rees et al 74 researched and subsequently responded to the need for depression training among eye care professionals. They interviewed 94 eye care staff (including 20 ophthalmologists) regarding their attitudes toward and knowledge about depression.…”

Section: Recommendations For Eye Care Professionalsmentioning

confidence: 99%

Anxiety and depression in patients with advanced macular degeneration: current perspectives

Cimarolli¹,

Casten²,

Rovner³

et al. 2015

OPTH

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Age-related macular degeneration (AMD) – despite advances in prevention and medical treatment options – remains prevalent among older adults, often resulting in functional losses that negatively affect the mental health of older adults. In particular, the prevalence of both anxiety and depression in patients with AMD is high. Along with medical treatment options, low vision rehabilitation and AMD-specific behavioral and self-management programs have been developed and have demonstrated effectiveness in improving the mental health of AMD patients. This article reviews the prevalence of anxiety and depression in patients with advanced AMD, discusses potential mechanisms accounting for the development of depression and anxiety in AMD patients, presents the state-of the-art of available interventions for addressing anxiety and depression in AMD patients, and delineates recommendations for eye care professionals regarding how to screen for these two prevalent mental health problems and how to facilitate appropriate treatment for patients with AMD.

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Section: Recommendations For Eye Care Professionalsmentioning

confidence: 99%

Anxiety and depression in patients with advanced macular degeneration: current perspectives

Cimarolli¹,

Casten²,

Rovner³

et al. 2015

OPTH

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“…A qualitative study conducted in a tertiary eye care hospital in Melbourne reported on eye care practitioners’ beliefs, practice and perceived barriers to working with depression [37] and a further series of quantitative studies with eye health professionals in hospitals and private practice in Australia [38–40] concluded that interventions, including training programs, are required to improve depression management within eye care services. Aside from these studies, there is a paucity of evidence in this area, particularly in regard to community and UK based low vision practitioners.…”

Section: Introductionmentioning

confidence: 99%

How do community-based eye care practitioners approach depression in patients with low vision? A mixed methods study

et al. 2019

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BackgroundClinically significant depressive symptoms are prevalent in people attending low vision clinics and often go undetected. The Low Vision Service Wales (LVSW) plans to introduce depression screening and management pathways. Prior to implementation there is an unmet need to understand how eye care practitioners providing the service currently address depression with patients, and the characteristics and beliefs that influence their practice.MethodsA mixed methods convergent design was employed. Twelve low vision practitioners were purposively selected to engage in individual semi-structured interviews which were analysed using thematic analysis. A further 167 practitioners were invited to complete a questionnaire assessing professional background, current practice, confidence and perceived barriers in working with people with low vision and suspected depression. Multiple regression analyses were performed to determine the characteristics related to the Rasch-transformed questionnaire scores.ResultsOf the 122 practitioners that responded to the questionnaire, 33% aimed to identify depression in patients, and those who were more confident were more likely to do so. Those who scored higher on the perceived barriers scale and lower on confidence were less likely to report acting in response to suspected depression (all p < 0.05). Three qualitative themes were identified; depression is an understandable response to low vision, patients themselves are a barrier to addressing depression and practitioners lacked confidence in their knowledge and skills to address depression. The qualitative data largely expanded the quantitative findings.ConclusionsPractitioners viewed their own lack of knowledge and confidence as a barrier to the identification and management of depression and expressed a need for training prior to the implementation of service changes. The study findings will help to inform the development of a training programme to support low vision practitioners and those working with other chronic illness in Wales, and internationally, in the identification and management of people with depression.

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“…[28*] Rees at al. interviewed 94 eye care staff (including 20 ophthalmologists) regarding their attitudes towards and knowledge about depression.…”

Section: Introductionmentioning

confidence: 99%

Update on depression and age-related macular degeneration

Casten¹,

Rovner

2013

Current Opinion in Ophthalmology

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Introduction This review updates the literature on depression in age-related macular degeneration. Purpose of review Treatment for AMD has been revolutionized since the 2004 review of depression and AMD. New data describing the prevalence of depression in AMD, as well as novel interventions for managing depression in AMD, are discussed. Recent findings Depression continues to be prevalent in AMD and new information is available on the pathways by which impaired vision leads to depression. Strategies for the treatment of depression in patients with impaired vision have evolved. Summary AMD is still a major risk factor for depression and people with activity restriction due to vision loss are at greatest risk. An integrated approach to depression management in older adults with impaired vision may be the best course of action.

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Managing depression in patients with vision impairment: A descriptive study of practitioners' beliefs and confidence

Abstract: Aim: Depression is common in older adults

Cited by 16 publications

References 29 publications

Anxiety and depression in patients with advanced macular degeneration: current perspectives

Anxiety and depression in patients with advanced macular degeneration: current perspectives

How do community-based eye care practitioners approach depression in patients with low vision? A mixed methods study

Update on depression and age-related macular degeneration

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