J Korean Ophthalmol Soc.  2015 Sep;56(9):1377-1385. 10.3341/jkos.2015.56.9.1377.

Association between Decreased Visual Acuity and Self-Report Depressive Disorder or Depressive Mood: KNHANES IV

• Park HW
• Rim TH
• Chung EJ

• KMID: 2214553
• DOI: http://doi.org/10.3341/jkos.2015.56.9.1377

Abstract

PURPOSE
To assess the association between decreased visual acuity (VA) and diagnosis of depressive disorder by a physician or experience of depressive mood using self-report questionnaires.
METHODS
We conducted a cross-sectional analysis using nationally representative data from the Korean National Health and Nutrition Examination Survey (KNHANES, 2008-2012). A total of 28,919 adults who had sociodemographic and health behavioral risk factors available were included. An association between decreased VA and depression was identified using multivariate logistic regression analysis after adjusting for possible confounders. Depression was defined as a depressive disorder with a diagnosis by a physician or depressive mood lasting more than 2 weeks using self-report questionnaires.
RESULTS
The prevalence of depressive disorder and depressive mood in Koreans was 1,160 (4.0%) and 4,063 (14.1%), respectively. In univariable logistic regression, there was significant association between VA and depressive disorder or depressive mood. However, in multivariable logistic regression analysis, this study found no statistically significant association between VA status and the prevalence of depressive disorder or depressive mood in Koreans.
CONCLUSIONS
No association between decreased VA and a depressive disorder/depressive mood in Korean adults after adjusting for possible confounders was found. Therefore, further longitudinal cohort studies examining the causal relationship between decreased VA and depression in Korean adults are necessary.

Keyword

Depression; KNHANES; Low vision; Visual acuity

MeSH Terms

Adult
Cohort Studies
Cross-Sectional Studies
Depression
Depressive Disorder*
Diagnosis
Health Behavior
Humans
Logistic Models
Nutrition Surveys
Prevalence
Risk Factors
Vision, Low
Visual Acuity*

Figure

• 

  Figure 1. Proportion of depressive disorder and depressive mood according to visual acuity. Black line and circle mean predicted value of depressive disorder/depressive mood and vertical axis mean percentage of proportion and 95% confidential interval of de-pressive disorder/depressive mood. Horizontal axis means visual acuity by Snellen scale 1.0, 0.8, 0.5-0.63, 0.25-0.4, and LP-0.2. 1.0 means a decimal unit of visual acuity respectively. (A) Depressive disorder by visual acuity. (B) Depressive mood for 2 weeks by visual acuity. LP = light perception.

Reference

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