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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.

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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, DavidORCID iD for 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 Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30084293

Document type: Journal Article
Collections: School of Psychology
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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.