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Int J Geriatr Psychiatry. 2007 Aug;22(8):789-93.

Dissatisfaction with performance of valued activities predicts depression in age-related macular degeneration.

Author information

  • 1Department of Psychiatry and Neurology, Jefferson Medical College, Philadelphia, PA 19107, USA. barry.rovner@jefferson.edu

Abstract

OBJECTIVE:

To determine whether dissatisfaction with performance of valued activities predicts depression in patients with age-related macular degeneration (AMD).

PATIENTS:

Two hundred and six patients with newly diagnosed neovascular AMD in one eye and pre-existing AMD in the fellow eye who were participating in a clinical trial of a psychosocial intervention to prevent depression.

MEASURES:

Structured clinical evaluations of vision function, depression, visual acuity, contrast sensitivity and medical morbidity. Subjects were classified as dissatisfied if they indicated that they were dissatisfied with their performance of a valued activity.

RESULTS:

Subjects who were dissatisfied with performance of valued activities (n = 71) had similar demographic characteristics to satisfied subjects (n = 135) but had worse visual acuity (p < 0.054), greater medical comorbidity (p < 0.006), and lower vision function (p < 0.001). Dissatisfied subjects were almost 2.5 times more likely (OR = 2.41; [95% CI 1.02, 5.65]; p = 0.044) to become depressed within 2 months than satisfied subjects independent of baseline visual acuity, vision function, and medical comorbidity.

CONCLUSION:

Dissatisfaction with performance of valued activities in older persons with AMD predicts depression over a 2-month period. Assessing the ability to pursue valued activities may identify patients at risk for depression and prompt clinicians to initiate rehabilitative interventions and careful surveillance for depression.

PMID:
17199237
[PubMed - indexed for MEDLINE]
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