PMID- 31685070
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2056-4724 (Print)
IS  - 2056-4724 (Electronic)
IS  - 2056-4724 (Linking)
VI  - 5
IP  - 6
DP  - 2019 Nov 5
TI  - Common mental illness in people with sensory impairment: results from the 2014 
      adult psychiatric morbidity survey.
PG  - e94
LID - 10.1192/bjo.2019.81 [doi]
LID - e94
AB  - BACKGROUND: People with sensory impairments may be at increased risk of 
      depression and anxiety but experience barriers to accessing treatment. AIMS: To 
      investigate whether people with sensory impairment have more depressive and 
      anxiety symptoms than people without, whether this is mediated by social 
      functioning and whether they report greater non-treatment. METHOD: We analysed 
      data from the English 2014 Adult Psychiatric Morbidity Survey using regression 
      models, with the Clinical Interview Schedule-Revised (CIS-R) score as the primary 
      outcome and self-reported hearing and vision impairment as exposures. A secondary 
      outcome was self-reported receipt of mental health diagnosis and treatment. We 
      used structural equation modelling to assess for mediation by social functioning. 
      RESULTS: A total of 19.0% of people with hearing impairment, and 30.9% and 24.5% 
      with distance and near visual impairments, respectively, had clinically 
      significant psychological morbidity. Adjusted mean CIS-R score was 1.86 points 
      higher in people with hearing impairment compared with those without (95% CI 
      1.30-2.42, P<0.001). People with distance and near vision impairment had mean 
      CIS-R scores 3.61 (95% CI 2.58-4.63, P<0.001) and 2.74 (95% CI 2.12-3.37, 
      P<0.001) points higher, respectively, than those without. Social functioning 
      accounted for approximately 50% of these relationships between sensory impairment 
      and psychological morbidity. We found no evidence of an increased treatment gap 
      for people with sensory impairment. CONCLUSIONS: Social functioning, a 
      potentially modifiable target, may mediate an association between sensory 
      impairment and depressive and anxiety symptoms.
FAU - Shoham, Natalie
AU  - Shoham N
AUID- ORCID: 0000-0002-2317-7728
AD  - Clinical Training Fellow, Division of Psychiatry, University College London, UK.
FAU - Lewis, Gemma
AU  - Lewis G
AD  - Research Associate in Epidemiology, Division of Psychiatry, University College 
      London, UK.
FAU - McManus, Sally
AU  - McManus S
AUID- ORCID: 0000-0003-2711-0819
AD  - Associate, National Centre for Social Research, UK.
FAU - Cooper, Claudia
AU  - Cooper C
AUID- ORCID: 0000-0002-2777-7616
AD  - Professor in Psychiatry of Older Age, Division of Psychiatry, University College 
      London, UK.
LA  - eng
PT  - Journal Article
DEP - 20191105
PL  - England
TA  - BJPsych Open
JT  - BJPsych open
JID - 101667931
PMC - PMC6854354
OTO - NOTNLM
OT  - Social functioning
OT  - anxiety disorders
OT  - depression
OT  - epidemiology
OT  - sensory impairment
COIS- Declaration of interest None.
EDAT- 2019/11/07 06:00
MHDA- 2019/11/07 06:01
PMCR- 2019/11/05
CRDT- 2019/11/06 06:00
PHST- 2019/11/06 06:00 [entrez]
PHST- 2019/11/07 06:00 [pubmed]
PHST- 2019/11/07 06:01 [medline]
PHST- 2019/11/05 00:00 [pmc-release]
AID - S2056472419000814 [pii]
AID - 00081 [pii]
AID - 10.1192/bjo.2019.81 [doi]
PST - epublish
SO  - BJPsych Open. 2019 Nov 5;5(6):e94. doi: 10.1192/bjo.2019.81.