Illness cognitions and coping self-efficacy in depression among persons with low vision Sturrock, Bonnie A., Xie, Jing, Holloway, Edith E., Hegel, Mark, Casten, Robin, Mellor, David, Fenwick, Eva and Rees, Gwyneth 2016, Illness cognitions and coping self-efficacy in depression among persons with low vision, Investigative ophthalmology & visual science, vol. 57, no. 7, pp. 3032-3038, doi: 10.1167/iovs.16-19110. Attached Files Name Description MIMEType Size Downloads sturrock-illnesscognitions-2016.pdf Published version application/pdf 502.02KB 5 Title Illness cognitions and coping self-efficacy in depression among persons with low vision Author(s) Sturrock, Bonnie A. Xie, Jing Holloway, Edith E. Hegel, Mark Casten, Robin Mellor, David orcid.org/0000-0001-5007-5906 Fenwick, Eva Rees, Gwyneth Journal name Investigative ophthalmology & visual science Volume number 57 Issue number 7 Start page 3032 End page 3038 Total pages 7 Publisher Association for Research in Vision and Ophthalmology Place of publication Rockville, Md. Publication date 2016-06 ISSN 1552-5783 Keyword(s) illness cognitions coping self-efficacy low vision depression acceptance Science & Technology Life Sciences & Biomedicine Ophthalmology Summary PURPOSE: To investigate the mediating role of coping self-efficacy (CSE) between two types of illness cognitions (i.e., acceptance and helplessness) and depressive symptoms in persons with low vision. METHODS: This was a single-group, cross-sectional study. Patients with visual acuity < 6/12 in the better eye and at least minimal depressive symptoms (≥5 on the Patient Health Questionnaire-9 [PHQ-9]) were recruited from vision rehabilitation services and participated in telephone-administered structured interviews at one time point. Measures were the PHQ-9, CSE Scale, and Illness Cognition Questionnaire. Structural equation modeling (SEM) devised the causal flow of illness cognitions and their observed indirect effects on depressive symptoms via the CSE mediators: problem focused, emotion focused, and social support. RESULTS: The study comprised 163 patients (mean age 62 years; 61% female), most with age-related macular degeneration (26%) and moderate vision impairment (44%, <6/18-6/60). Structural equation modeling indices indicated a perfect fit (χ2 < 0.001, P = 1.00), accounting for 55% of the variance in depressive symptoms. Lower levels of acceptance and higher levels of helplessness illness cognitions were associated with lower self-efficacy in problem-focused coping (β = 0.38, P < 0.001, β = -0.28, P < 0.01, respectively), which in turn was associated with greater depressive symptom severity (β = -0.54, P < 0.001). CONCLUSIONS: Lack of acceptance and greater helplessness relating to low vision led to a lack of perceived capability to engage in problem-focused coping, which in turn promoted depressive symptoms. Third-wave cognitive-behavioral treatments that focus on acceptance may be efficacious in this population. Language eng DOI 10.1167/iovs.16-19110 Field of Research 170106 Health, Clinical and Counselling Psychology Socio Economic Objective 920410 Mental Health HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Grant ID ARC LP110200035 Copyright notice ©2016, The Authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30084293 Document type: Journal Article Collections: School of Psychology Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Wed, 22 Jun 2016, 16:30:45 EST Thu, 23 Jun 2016, 05:01:49 EST Thu, 23 Jun 2016, 08:07:47 EST Tue, 23 Aug 2016, 06:08:46 EST Tue, 11 Oct 2016, 13:15:59 EST Tue, 11 Oct 2016, 13:23:04 EST Tue, 11 Oct 2016, 13:24:08 EST Mon, 10 Apr 2017, 14:08:06 EST Filtered Full Citation counts:   Cited 2 times in TR Web of Science Cited 3 times in Scopus Search Google Scholar Access Statistics: 110 Abstract Views, 6 File Downloads  -  Detailed Statistics Created: Wed, 22 Jun 2016, 16:30:45 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.