Association Between Posterior Segment Eye Diseases, Common Mental Disorders, and Depression : Cross-Sectional and Longitudinal Analyses of Brazilian Longitudinal Study of Adult Health Cohort
Copyright © 2020 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Posterior segment eye diseases, such as glaucoma and retinal diseases (such as diabetic retinopathy, age-related macular degeneration, and retinal detachment), are chronic diseases that are among the major causes of visual impairment.
OBJECTIVE: We investigated the prevalence of anxiety disorders, depressive disorders, and common mental disorders in these patients and also the incidence of depression.
METHODS: We examined baseline (2008-2010) and follow-up (2012-2014) data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). We used the Clinical Interview Schedule-Revised (CIS-R) to perform International Classification of Diseases-10-based diagnoses of anxiety and depressive disorders. Common mental disorder was defined as a Clinical Interview Schedule-Revised >11. We used multinomial logistic regression models to investigate associations between eye diseases and mental disorders, adjusted by age, gender, educational level, self-reported ethnicity, cardiovascular conditions, and self-reported quality of vision.
RESULTS: Out of 10,775 subjects, 249 (2.3%), 303 (2.8%), and 30 (0.3%) reported having retinal diseases, glaucoma, or both, respectively. Patients with retinal diseases and those with glaucoma and retinal diseases presented a higher prevalence of common mental disorders (relative-risk ratios of 1.7 and 3.7, respectively, P < 0.001). These patients also presented a higher incidence of depression at follow-up (relative-risk ratios of 3.0 and 5.9, respectively, P < 0.001). Patients with glaucoma presented neither a higher prevalence nor a higher incidence of mental disorders or depression.
CONCLUSIONS: Retinal diseases but not glaucoma were associated with mental disorders, indicating that patients with posterior segment eye diseases require distinct management of psychiatric morbidity according to the underlying pathology.
| Errataetall: |
CommentIn: J Acad Consult Liaison Psychiatry. 2021 Mar-Apr;62(2):264. - PMID 33973527 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:62 |
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| Enthalten in: |
Journal of the Academy of Consultation-Liaison Psychiatry - 62(2021), 1 vom: 01. Jan., Seite 70-78 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Vidal, Kallene S [VerfasserIn] |
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| Links: |
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| Themen: |
Anxiety disorders |
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| Anmerkungen: |
Date Completed 25.11.2021 Date Revised 25.11.2021 published: Print-Electronic CommentIn: J Acad Consult Liaison Psychiatry. 2021 Mar-Apr;62(2):264. - PMID 33973527 Citation Status MEDLINE |
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| doi: |
10.1016/j.psym.2020.03.001 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM30864980X |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Acad Consult Liaison Psychiatry. 2021 Mar-Apr;62(2):264. - PMID 33973527 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Posterior segment eye diseases, such as glaucoma and retinal diseases (such as diabetic retinopathy, age-related macular degeneration, and retinal detachment), are chronic diseases that are among the major causes of visual impairment | ||
| 520 | |a OBJECTIVE: We investigated the prevalence of anxiety disorders, depressive disorders, and common mental disorders in these patients and also the incidence of depression | ||
| 520 | |a METHODS: We examined baseline (2008-2010) and follow-up (2012-2014) data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). We used the Clinical Interview Schedule-Revised (CIS-R) to perform International Classification of Diseases-10-based diagnoses of anxiety and depressive disorders. Common mental disorder was defined as a Clinical Interview Schedule-Revised >11. We used multinomial logistic regression models to investigate associations between eye diseases and mental disorders, adjusted by age, gender, educational level, self-reported ethnicity, cardiovascular conditions, and self-reported quality of vision | ||
| 520 | |a RESULTS: Out of 10,775 subjects, 249 (2.3%), 303 (2.8%), and 30 (0.3%) reported having retinal diseases, glaucoma, or both, respectively. Patients with retinal diseases and those with glaucoma and retinal diseases presented a higher prevalence of common mental disorders (relative-risk ratios of 1.7 and 3.7, respectively, P < 0.001). These patients also presented a higher incidence of depression at follow-up (relative-risk ratios of 3.0 and 5.9, respectively, P < 0.001). Patients with glaucoma presented neither a higher prevalence nor a higher incidence of mental disorders or depression | ||
| 520 | |a CONCLUSIONS: Retinal diseases but not glaucoma were associated with mental disorders, indicating that patients with posterior segment eye diseases require distinct management of psychiatric morbidity according to the underlying pathology | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
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| 650 | 4 | |a cohort study | |
| 650 | 4 | |a depressive disorders | |
| 650 | 4 | |a diabetic retinopathy | |
| 650 | 4 | |a glaucoma | |
| 650 | 4 | |a macular degeneration | |
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| 700 | 1 | |a Moreno, Arlinda B |e verfasserin |4 aut | |
| 700 | 1 | |a Viana, Maria C |e verfasserin |4 aut | |
| 700 | 1 | |a Lotufo, Paulo A |e verfasserin |4 aut | |
| 700 | 1 | |a Benseñor, Isabela M |e verfasserin |4 aut | |
| 700 | 1 | |a Brunoni, Andre R |e verfasserin |4 aut | |
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