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Title: The association of vision loss and dimensions of depression over 12 years in older adults: Findings from the Three City study
Contributor(s): Cosh, Suzanne  (author)orcid ; Carriere, I (author); Nael, V (author); Tzourio, C (author); Delcourt, C (author); Helmer, C (author)
Corporate Author: SENSE-Cog
Publication Date: 2019-01-15
Early Online Version: 2018-09-22
DOI: 10.1016/j.jad.2018.09.071
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Abstract: Background: The established relationship between vision impairment and depression is limited by the examination of depression only as a unidimensional construct. The present study explores the vision-depression relationship using a dimensional approach. Methods: 9036 participants aged 65 years and above enrolled in the Three-City study were included. Relationships between baseline near Vision Impairment (VI) or self-reported distance Visual Function (VF) loss with trajectory of four dimensions of depression – depressed affect, positive affect, somatic symptoms and interpersonal problems - over 12 years were examined using mixed-effects models. Depression dimensions were determined using the four-factor structure of the Centre for Epidemiology Studies-Depression Scale (CESD). Results: In the fully adjustment models, mild near VI predicted poorer depressed affect (b = 0.04, p = .002) and positive affect (b = −0.06, p < 0.001) over time, with evidence of longer term adjustment. Distance VF loss was associated with poorer depressed affect (b = 0.27, p ≤ .001), positive affect (b = −0.15, p = .002), and somatic symptoms (b = 0.18, p ≤ .001) at baseline, although only the association with depressed affect was significant longitudinally (b = 0.01, p = .001). Neither near VI nor distance VF loss was associated with interpersonal problems. Limitations: This paper uses a well-supported model of depression dimensions, however, there remains no definite depression dimension model. Distance VF loss was self-reported, which can be influenced by depression symptoms. Conclusions: Vision impairment in older adults is primarily associated with affective dimensions of depression. A reduction in social connectedness and ability to engage in pleasurable activities may underlie the depression-vision relationship. Older adults with vision impairment may benefit from targeted treatment of affective symptoms, and pleasant event scheduling.
Publication Type: Journal Article
Source of Publication: Journal of Affective Disorders, v.243, p. 477-484
Publisher: Elsevier BV
Place of Publication: Netherlands
ISSN: 1573-2517
Fields of Research (FoR) 2008: 110319 Psychiatry (incl. Psychotherapy)
170106 Health, Clinical and Counselling Psychology
111714 Mental Health
Fields of Research (FoR) 2020: 520304 Health psychology
320221 Psychiatry (incl. psychotherapy)
520303 Counselling psychology
Socio-Economic Objective (SEO) 2008: 970117 Expanding Knowledge in Psychology and Cognitive Sciences
920107 Hearing, Vision, Speech and Their Disorders
920502 Health Related to Ageing
Socio-Economic Objective (SEO) 2020: 280121 Expanding knowledge in psychology
200502 Health related to ageing
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Description: This article was also presented at the 75h Annual Scientific Meeting in 2017 (
Appears in Collections:Journal Article
School of Psychology

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