Prevalence of depressive symptoms and associated factors in an urban, ophthalmic population.

Authors

• Eileen L Mayro
• Ann P Murchison
• Lisa A Hark
• Marlee Silverstein
• Olivia Y Wang
• John P Gilligan
• Benjamin E Leiby
• Laura T Pizzi
• Robin J Casten
• Barry W Rovner
• Julia A Haller

Publication/Presentation Date

3-1-2021

Abstract

OBJECTIVE: To determine the prevalence of depressive symptoms in an adult ophthalmic patient population and to delineate correlates.

DESIGN: Cross-sectional study.

PARTICIPANTS: Adult patients (⩾18 years) were approached in general and sub-specialty cornea, retina, and glaucoma ophthalmic clinics. A total of 367 patients from the four clinics were enrolled.

METHODS: Depressive symptoms were assessed using the Patient Health Questionnaire-9. A cut-off score of ⩾10 was used to indicate clinically significant depressive symptoms. Patient Health Questionnaire-9 scores were used to evaluate bivariate relationships between depressive symptoms and distance visual acuity, ocular diagnosis, diabetes status, smoking status, demographic information, and medications.

RESULTS: The majority of patients were female (52.9%) and Caucasian (48.6%). The mean age was 52.0 years (standard deviation: 16.7). Clinically significant depressive symptoms were present in 19.9% of patients overall; this rate varied slightly by clinic. Patients with low vision and blindness (visual acuity worse than 20/60) were more likely to have depressive symptoms (odds ratio = 2.82; 95% confidence interval: 1.90-4.21). Smoking and diabetes were also associated with depressive symptoms (odds ratio = 3.11 (2.66-3.64) and 3.42 (1.90-6.16), respectively).

CONCLUSION: In a sample of urban ophthalmic adult patients, depressive symptoms were highly associated with low vision, smoking, and diabetes. This information can be used to target interventions to those at greatest risk of depressive symptoms.

Volume

31

Issue

2

First Page

740

Last Page

747

ISSN

1724-6016

Published In/Presented At

Mayro, E. L., Murchison, A. P., Hark, L. A., Silverstein, M., Wang, O. Y., Gilligan, J. P., Leiby, B. E., Pizzi, L. T., Casten, R. J., Rovner, B. W., & Haller, J. A. (2021). Prevalence of depressive symptoms and associated factors in an urban, ophthalmic population. European journal of ophthalmology, 31(2), 740–747. https://doi.org/10.1177/1120672120901701

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

31983234

Department(s)

Administration and Leadership

Document Type

Article