Age‐Related Macular Degeneration: Self‐Management and Reduction of Depressive Symptoms in a Randomized, Controlled Study
- 8 September 2006
- journal article
- research article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 54 (10), 1557-1562
- https://doi.org/10.1111/j.1532-5415.2006.00881.x
Abstract
To assess the effectiveness of a self-management program for age-related macular degeneration (AMD) in reducing depressive symptoms. Analysis of 6-month follow-up for a subset of participants in a randomized, controlled trial who were clinically depressed at baseline. University ophthalmology clinic. Thirty-two depressed older adult volunteers (mean age 81.5) with advanced AMD who had been randomized to a self-management program (n=12) or one of two control conditions (n=20). Subjects were included if at baseline they met criteria from the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Axis, I, Fourth Edition, Research Version, for major or minor depressive disorder with significant depressive symptoms (>or=5 points) on the 15-item Geriatric Depression Scale (GDS-15). AMD self-management program consisting of cognitive and behavioral elements including health education and enhancement of problem-solving skills. Primary outcome measure was GDS-15. Secondary outcome measures included National Eye Institute Visual Function Questionnaire (NEI-VFQ) and AMD Self-Efficacy Questionnaire. At 6-month follow-up, the self-management group had a significantly greater reduction in depressive symptoms on the GDS-15 than the controls (P=.03). The mean reduction of 2.92 points in the self-management group was more than the 2-point change threshold considered to be clinically meaningful. Change on the NEI-VFQ was nonsignificant. Reduction in depressive symptoms was associated with greater self-efficacy in the self-management group. These findings may support the effectiveness of an AMD self-management program for depressed older adults with advanced vision loss from AMD.This publication has 18 references indexed in Scilit:
- Life of the mind: The interface of psychopharmaceuticals, domestic economies, and social abandonmentAmerican Ethnologist, 2004
- Prevalence of Age-Related Macular Degeneration in the United StatesAmerican Journal of Ophthalmology, 2004
- The 15‐item Geriatric Depression Scale (GDS‐15) detects changes in depressive symptoms after a major negative life event. The Leiden 85‐plus StudyInternational Journal of Geriatric Psychiatry, 2004
- Age-Related Macular DegenerationJAMA, 2002
- Psychometric Properties of the National Eye Institute Visual Function Questionnaire (NEI-VFQ)American Journal of Ophthalmology, 1998
- A structured psychoeducational intervention for cancer patientsGeneral Hospital Psychiatry, 1994
- Abbreviating the Duke Social Support Index for Use in Chronically Ill Elderly IndividualsPsychosomatics, 1993
- Arthritis Self-Management: A Study of the Effectiveness of Patient Education for the ElderlyThe Gerontologist, 1984
- New Design Principles for Visual Acuity Letter ChartsOptometry and Vision Science, 1976
- Personality in a Communal Society.American Sociological Review, 1957