The associations and mediators between visual disabilities and anxiety disorders in middle-aged and older adults: A population-based study.

Zhang, Xiayin; Wang, Shan; Du, Zijing; Seth, Ishith; Wang, Yaxin; Liang, Yingying; Wu, Guanrong; Huang, Yu; Liu, Shunming; Hu, Yunyan; Shang, Xianwen; Hu, Yijun; Zhu, Zhuoting; Yu, Honghua

doi:10.1037/amp0001143

Cited by 3 publications

(2 citation statements)

References 44 publications

(54 reference statements)

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“…We find that each of the three domains of functioning, mobility, pre-existing mental health condition, and vision health were associated with increased levels of anxiety and poorer sleep quality. This replicates findings with general populations of visually impaired individuals not affected by conflict showing that visual impairment is associated with increasing levels of anxiety (Frank et al, 2019; Zhang et al, 2023) and poorer sleep (Leger et al, 1996). The same also applies for mobility impairments (Peterson et al, 2021; Smith et al, 2019).…”

Section: Discussionsupporting

confidence: 87%

Functional Disability, Health Care Access, and Mental Health in Ukrainians Displaced by the 2022 Russian Invasion

Kang,

Head,

Brackstone

et al. 2023

Preprint

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Armed conflict has negative mental health impacts on internally displaced people and refugees, however, much less is known of its effects upon the mental health of displaced people and refugees with disabilities. We use European data (N=9,679), collected via an internet health needs survey across April-July 2022, to examine the mental health impacts of the 2022 Russian invasion of Ukraine on the mental health of displaced people with disabilities during the first months of the war. Regression models separately examined associations between functional impairment (vision, walking, existing mental health condition), access to healthcare, welfare payments, and anxiety and sleep quality, controlling for a number of sociodemographic variables including preferred language spoken at home, as an indicator of Russian or Ukrainian cultural identity. The presence of pre-existing mental health condition, mobility and vision impairment were each associated with higher levels of anxiety and poorer sleep quality. The ability to access health services and social security payments was also associated with better sleep and lower levels of anxiety. Humanitarian and local authorities must ensure Ukrainian refugees and IDPs are reviewed for their mental health needs, with particular attention to those with known disabilities.

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Section: Discussionsupporting

confidence: 87%

Functional Disability, Health Care Access, and Mental Health in Ukrainians Displaced by the 2022 Russian Invasion

Kang,

Head,

Brackstone

et al. 2023

Preprint

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“…Several studies have assessed anxiety or depression in cataract patients 2 , 4 , 12 – 23 (Table 1 ). These studies consistently indicate that cataract patients experience more severe anxiety and depression compared to healthy individuals.…”

Section: Resultsmentioning

confidence: 99%

The association between cataract surgery and mental health in older adults: a review

Wang,

Du,

Lai

et al. 2024

International Journal of Surgery

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Background: Although cataract surgery has been proposed as a potentially modifiable protective factor for enhancing emotional well-being in cataract patients, studies examining the relationship between anxiety or depression and cataract surgery have yielded inconsistent findings. This review summarizes existing evidence to establish whether cataract surgery is associated with depression and anxiety in older adults. Methods: A literature search was conducted across PubMed, Medline, Web of Science, and Embase databases. An initial screening by abstracts and titles was performed, followed by a review and assessment of the methodological quality of the relevant full papers, and final inclusion of 44 studies were deemed eligible for inclusion in this review. Results: Among 44 included studies, 36 studies (81.8%) were observational studies concerning the association of cataract surgery or cataracts with anxiety or depression, four studies (9.1%) were interventional studies, and four studies (9.1%) were reviews. Cataract surgery notably enhances the mental health of individuals with impaired vision. However, the multifaceted nature of psychological well-being, influenced by various factors, suggests that cataract surgery may not address all aspects comprehensively. Additionally, preoperative anxiety and depression significantly impact cataract surgery outcomes. Conclusion: Vision impairment in older adults is closely associated with increased symptoms of depression and anxiety. While surgical intervention for cataracts improves these symptoms, it might be less effective for mental disorders with multifactorial causes. Notably, anxiety or depression poses challenges to successful preoperative and intraoperative cataract surgeries.

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Associations of Socioeconomic Status Inequity with Incident Age-related Macular Degeneration in Middle-Aged and Elderly Population

Qu,

Zhang,

et al. 2024

Health Data Sci

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Background: The relationship between socioeconomic status (SES) inequity and incident age-related macular degeneration (AMD) remains unclear. We aim to investigate whether low SES increases the risk of AMD and to explore the effect of a healthy lifestyle on this association. Methods: This prospective cohort study included 316,663 UK Biobank individuals. SES inequity was identified via latent class analysis using education, household income, and occupational status. Healthy lifestyle score was calculated based on smoking, alcohol drinking, and physical activity (PA). Incident AMD was defined according to diagnosis records. Cox proportional hazards models were used to evaluate the relationship of low SES and AMD. Interrelationships of healthy lifestyle score on SES–AMD association were explored, including modification, mediation, and joint effects. Results: During the average 12.2 years of follow-up, 6,355 AMD cases were diagnosed. Participants with medium SES (hazard ratio: 1.10 [95% confidence interval (CI) 1.01 to 1.21]) and low SES (hazard ratio: 1.22 [95% CI 1.11 to 1.34]) had an increased risk of incident AMD compared to participants with high SES. PA significantly affected this association. Moreover, the association between low SES and AMD was significantly mediated (11.3%, 95% CI: 6.56 to 23.0) by smoking. Similarly, alcohol drinking suppressed (9.59%, 95% CI: 4.00 to 23.2) the association between high SES and AMD. Besides, a significant joint effect of SES and healthy lifestyle score was found. Conclusions: We provide further evidence for the relationship of socioeconomic inequity, healthy lifestyle, and incident AMD. Future public health strategies should aim to reduce socioeconomic inequity to prevent AMD.

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The associations and mediators between visual disabilities and anxiety disorders in middle-aged and older adults: A population-based study.

Cited by 3 publications

References 44 publications

Functional Disability, Health Care Access, and Mental Health in Ukrainians Displaced by the 2022 Russian Invasion

Functional Disability, Health Care Access, and Mental Health in Ukrainians Displaced by the 2022 Russian Invasion

The association between cataract surgery and mental health in older adults: a review

Associations of Socioeconomic Status Inequity with Incident Age-related Macular Degeneration in Middle-Aged and Elderly Population

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