File(s) under permanent embargo

Detection of depression in patients with low vision

journal contribution
posted on 01.12.2009, 00:00 authored by G Rees, E Fenwick, J Keeffe, David MellorDavid Mellor, Ecosse Lamoureux
Purpose. Depression is common in people with vision impairment and further reduces levels of functioning independent of vision loss. However, depression most often remains undetected and untreated this group. Eye health  professionals (EHPs) (ophthalmic nurses, ophthalmologists, optometrists, and orthoptists) and rehabilitation workers (RWs) may be able to play a role in detecting depression. This study aimed to identify current practice and investigate factors associated with depression management strategies.
Methods. A self-administered cross-sectional survey of EHPs and RWs assessed current practice including confidence in working with depressed people with vision impairment; barriers to recognition, assessment, and management of depression; beliefs about the consequences, duration, and efficacy of treatment for depression in individuals with vision impariment.
Results. Ninety-four participants aged 23 to 69 years took part. Thirty-seven participants (39.8%) stated that they attempted to identify depression as part of patient management, with RWs significantly more likely to do so (n = 17, 60.7%) than EHPs (n = 20, 30.8%; p = 0.007). Intention to identify depression was not associated with sociodemographic factors, professional experience in eye care services, or the length and number of patient consultations, but a significant relationship was found for confidence, barriers, and beliefs about depression (p < 0.05). No consistent depression management strategy emerged and a range of barriers were highlighted.
Conclusions. Training programs are needed to provide EHPs and RWs with the skills and resources to address depression in people with vision loss under their care and to support the development of procedures by which concerns about depression can be identified objectively, documented, and included as part of a referral to appropriate services.

History

Journal

Optometry and vision science the journal of the American academy of optometry

Volume

86

Issue

12

Pagination

1328 - 1336

Publisher

Lippincott Williams & Wilkins

Location

Baltimore, MD

ISSN

1040-5488

eISSN

1538-9235

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2009, Lippincott Williams & Wilkins