PMID- 19357359
OWN - NLM
STAT- MEDLINE
DCOM- 20090918
LR  - 20220317
IS  - 1552-5783 (Electronic)
IS  - 0146-0404 (Linking)
VI  - 50
IP  - 9
DP  - 2009 Sep
TI  - Impact of the severity of distance and near-vision impairment on depression and 
      vision-specific quality of life in older people living in residential care.
PG  - 4103-9
LID - 10.1167/iovs.08-3294 [doi]
AB  - PURPOSE: To determine the relationship between the severity of distance and 
      near-vision impairment on vision-specific quality of life (QoL) and depression in 
      residential care residents. METHODS: Residents from three low-level residential 
      care facilities in Victoria (Australia) were recruited. All participants were 
      assessed for cognitive impairment, distance and near-vision impairment (VI), and 
      depression. Sociodemographic and other clinical data were also collected. The 
      subscales of the Nursing Home Vision-Targeted Health-Related Quality-of-Life 
      questionnaire (NHVQoL) were the main outcome measures and were validated by Rasch 
      Analysis. RESULTS: Seventy-six residents were enrolled. The mean +/- SD of the 
      participants' age was 83.9 +/- 9.9 years, and most were women (n = 44; 60%); 
      46.4% (n = 35) had binocular presenting VI (<6/12), and 59% (n = 44) had at least 
      mild near VI (worse than N8); 16% (n = 14) recorded depression symptoms, although 
      depression was not associated with VI (P > 0.05). In linear regression models, 
      distance and near VI was independently associated with poorer QoL on seven of the 
      eight subscales of the NHVQoL scale (P < 0.05). The beta coefficients ranged from 
      -12.3 to -80.2, which suggests that, on average, people with vision loss had 
      poorer QoL, ranging between 12 and 80 points (scale range: 0-100) than did those 
      with no VI. The QoL aspects most affected by vision loss were related to general 
      vision, reading, hobbies, emotional well-being, and social interaction. 
      CONCLUSIONS: VI remains a major form of disability in individuals living in 
      residential care facilities and affects vision-specific functioning and 
      socioemotional aspects of daily living. A larger study is needed to confirm these 
      findings.
FAU - Lamoureux, Ecosse L
AU  - Lamoureux EL
AD  - Centre for Eye Research Australia, the Royal Victorian Eye and Ear Hospital, 
      University of Melbourne, Melbourne, Australia.
FAU - Fenwick, Eva
AU  - Fenwick E
FAU - Moore, Kirsten
AU  - Moore K
FAU - Klaic, Marlena
AU  - Klaic M
FAU - Borschmann, Karen
AU  - Borschmann K
FAU - Hill, Keith
AU  - Hill K
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20090408
PL  - United States
TA  - Invest Ophthalmol Vis Sci
JT  - Investigative ophthalmology & visual science
JID - 7703701
SB  - IM
MH  - Aged, 80 and over
MH  - Cross-Sectional Studies
MH  - Depressive Disorder/*physiopathology
MH  - Female
MH  - Health Services Research
MH  - Health Status
MH  - *Homes for the Aged
MH  - Humans
MH  - Male
MH  - *Quality of Life
MH  - Sickness Impact Profile
MH  - Surveys and Questionnaires
MH  - Victoria
MH  - Vision Disorders/*physiopathology
MH  - Visual Acuity
MH  - *Visually Impaired Persons
EDAT- 2009/04/10 09:00
MHDA- 2009/09/19 06:00
CRDT- 2009/04/10 09:00
PHST- 2009/04/10 09:00 [entrez]
PHST- 2009/04/10 09:00 [pubmed]
PHST- 2009/09/19 06:00 [medline]
AID - iovs.08-3294 [pii]
AID - 10.1167/iovs.08-3294 [doi]
PST - ppublish
SO  - Invest Ophthalmol Vis Sci. 2009 Sep;50(9):4103-9. doi: 10.1167/iovs.08-3294. Epub 
      2009 Apr 8.