Prevalence of insomnia and depression in patients with age-related macular degeneration

Abstract

Authors' contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane -analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy SummaryBackground. Age related Macular Degeneration (AMD) affecting the organ of vision, impairs central vision. The study objective was (1) to define the prevalence of sleep disorders and depressive symptoms in patients with AMD, (2) to assess the relationship of depressive symptoms and insomnia with chosen demographic data, (3) to assess a potential correlation of the exacerbating vision quality with depressive symptoms and sleep disorders. Material and methods. The study involved 105 patients, women and men aged 45-88. Patients were asked to complete an original questionnaire subjected to validation, the Beck Depression Inventory and the Athens's Insomnia Scale. Results. The results were analysed statistically, showing that 71% of the respondents had insomnia and 70% suffered from depression. The patients' age, time from the diagnosis, marital and occupational status were not found to be related to depression or sleep disorders. Type of education, financial status and family support were significantly correlated with the prevalence of depression and sleep disorders. No correlation was observed between the exacerbation of vision disorders and enhanced depressive symptoms and insomnia. However, such correlation was noted with subjective stress reactions. Conclusions. Since patients with AMD are at a greater risk of sleep disorders and depression they should remain under professional care of a multidisciplinary team, including an ophthalmologist, a family doctor, a psychiatrist and a psychologist. Keywords: age related macular degeneration, AMD, insomnia, depression StreszczenieWprowadzenie. Zwyrodnienie plamki żółtej związane z wiekiem (AMD, Age related Macular Degeneration) jest schorzeniem narządu wzroku, które istotnie upośledza widzenie centralne. Celem badania było: (1) określenie częstości występowania zaburzeń snu oraz objawów depresyjnych u pacjentów z AMD, (2) zbadanie zależności pomiędzy objawami depresyjnymi i bezsennością a wybranymi danymi demograficznymi, (3) oszacowanie korelacji pomiędzy pogarszaniem się jakości widzenia a objawami depresyjnymi i zaburzeniami snu. Materiał i metody. W badaniu wzięło udział 105 pacjentów, kobiet i mężczyzn w wieku od 45 do 88 lat. Pacjenci poproszeni zostali o wypełnienie autorskiej zwalidowanej ankiety , skali depresji Becka oraz Ateńskiej Skali Bezsenności. Wyniki. Stwierdzono, że na bezsenność cierpi 71% respondentów, natomiast objawy depresji występują u 70% badanych. Wiek badanych, czas od postawienia diagnozy, stan cywilny oraz status zawodowy nie były związane z zaburzeniami depresyjnymi oraz snu. rodzaj wykształcania, sytuacja materialna oraz wsparcie ze strony najbliższych (rodziny) były...

The Evolutionarily Mismatched Impact of Urbanization on Insomnia Symptoms: a Short Review of the Recent Literature

“…Analogous to the existing pool of research on solo-living, there is also a preponderance of varied findings on the inverse relationship linking kin support with insomnia symptoms in the recent literature (e.g., [47][48][49][50][51]). For instance, a study on a group of Taiwanese youth found that having an inadequate amount of support from one's kin was directly related to heightened insomnia complaints ("β = −0.06") (p. 1) [47], while another study on a group of American teenagers has demonstrated that such an experience could also be indirectly predictive of greater insomnia complaints (in this case, at the conclusion of their initial high school year by means of its effect on such sleep difficulties at the start of it) (B = "−.01") (p. 1033) [48].…”