Effects of Depressive Symptoms on Health Behavior Practices Among Older Adults With Vision Loss

Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, Georgia, USA.
Rehabilitation Psychology (Impact Factor: 1.91). 06/2009; 54(2):164-72. DOI: 10.1037/a0015910
Source: PubMed


The authors examined the interface between visual impairment and depressive symptoms on health behaviors, self-care, and social participation among adults ages 65 and older.
The authors analyzed data from the 1997-2004 National Health Interview Survey on visual impairment and depressive symptoms for 49,278 adults ages 65 and older, comparing visually impaired adults (n = 8,787) with and without depressive symptoms with a reference group of adults with neither condition (n = 3,136) for outcome measures: physical health, health behaviors, and difficulties with self-care and social participation.
Adults with visual impairment and severe depressive symptoms were more likely than adults with neither condition to smoke (14.9%, adjusted odds ratio [AOR] = 1.6), be obese (28.2%, AOR = 1.9), be physically inactive (80.5%, AOR = 3.0), have fair-poor health (76.0%, AOR = 26.5), and have difficulties with self-care (27.9%, AOR = 11.8) and social participation (52.1%, AOR = 10.9).
Older visually impaired adults with depressive symptoms are vulnerable to health decline and further disablement without timely interventions that target smoking cessation, healthy eating, and increased physical activity.

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    • "Wantanabe et al. noted that due to visual impairment, physical activity becomes limited, which can cause depression (2007) and in the depressed elderly, there is a decreased amount of physical activity, as well as an increase in the amount of falls (Goodman, 1985). Jones (2009), in the article " Effects of Depression Symptoms on Health Behavior: "
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    ABSTRACT: The hypothesis of this study was that dance movement therapy, because of its body based approach and techniques facilitating interaction, relatedness, emotional expression, and expanded movement repertoire, will benefit this population by decreasing social isolation, depressive states, and inactivity, thus potentially increasing the elderly person with visual impairment quality of life. The study focused on the following research question: How does the elderly with late onset visual impairment perceive dance/movement therapy to affect their mood, social functioning and mobility? This study was a single-case study with one participant who was elderly, experiencing lateonset visual impairment, and without serious medical and mental illnesses. The participant took part in a pre-intervention interview and questionnaire, six dance/movement sessions, and a post-intervention interview. The results appear to support the hypothesis. Dance/movement therapy appeared to increase the participant’s social functioning, positive mood, and mobility. The study suggests that dance/movement therapy could an acceptable and beneficial intervention for the visually impaired elderly in the areas of social functioning, mood, and mobility.
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    ABSTRACT: Purpose To review U.S. national population-based surveys to evaluate comparability and conceptual clarity of vision measures. Design Perspective. Methods The vision questions in 12 surveys were mapped to the World Health Organization's International Classification of Functioning, Disability and Health framework under the domains of condition, impairment, activity limitation, participation, and environment. Surveys examined include the National Health Interview Survey, the Behavioral Risk Factor Surveillance Survey, National Health and Nutrition Examination Survey, the Census, and the Visual Function Questionnaire. Results Nearly 100 vision measures were identified in 12 surveys. These surveys provided no consistent measure of vision or vision impairment. Survey questions asked about differing characteristics of vision-related disease, function, and social roles. A question related to ability to read newspaper print was the most commonly asked question in surveys. Conclusions Limited comparability of data and lack of conceptual clarity in the population-based surveys resulted in an inability to consistently characterize the population of people experiencing vision impairment. Consequently, vision surveillance was limited.
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