Self-rated depression and eye diseases: The Beijing Eye Study.

PURPOSE:To assess the prevalence of depression in the general population of Beijing and its association with ocular diseases. METHODS:The population-based Beijing Eye Study was conducted in a rural and an urban region of Greater Beijing. The study participants underwent a detailed ophthalmological e...

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Main Authors: Jost B Jonas, Wen Bin Wei, Liang Xu, Marcella Rietschel, Fabian Streit, Ya Xing Wang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC6086446?pdf=render
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author Jost B Jonas
Wen Bin Wei
Liang Xu
Marcella Rietschel
Fabian Streit
Ya Xing Wang
author_facet Jost B Jonas
Wen Bin Wei
Liang Xu
Marcella Rietschel
Fabian Streit
Ya Xing Wang
author_sort Jost B Jonas
collection DOAJ
description PURPOSE:To assess the prevalence of depression in the general population of Beijing and its association with ocular diseases. METHODS:The population-based Beijing Eye Study was conducted in a rural and an urban region of Greater Beijing. The study participants underwent a detailed ophthalmological examination and an interview including questions on the socioeconomic background. Depressive symptoms were evaluated using a Chinese depression scale adapted from Zung´s self-rated depression scale. The total score of depression symptoms was 80. Depression was defined as having a depression score >44. RESULTS:Out of 3468 study participants, 3267 (94.2%) individuals (1419 men) with an age of 64.5±9.7 years (range: 50-93 years) participated in the interview and answered all questions on depression. The mean depression score was 25.0±5.9 (median: 23.3; range:20-64). Depression (depression score >44) was present in 66 individuals (2.0%; 95% confidence interval (CI): 1.5, 2.5), and 5 individuals (0.2%; 95%CI: 0.02,0.3) had a depression score ≥59. In multivariate regression, analysis, a higher depression score was associated (regression coefficient r2: 0.22) with a higher number of days with dry eye feeling (P<0.001; standardized regression coefficient beta: 0.09; non-standardized regression coefficient B: 0.20; 95%CI: 0.12,0.29) and shorter corneal curvature radius (P = 0.03;beta:-0.04; B:1.01; 95%CI: -1.90,-0.12), after adjusting for age, gender, region of habitation, body mass index, cognitive function score, life quality score and blood concentration of triglycerides. Adding age-related macular degeneration (P = 0.10), glaucoma (P = 0.77), diabetic retinopathy (P = 0.77), nuclear cataract (P = 0.35), cortical cataract (P = 0.58) or posterior subcapsular cataract (P = 0.28) as single parameters to the model revealed no significant correlation with the depression score. Lower best corrected visual acuity showed a marginal significant association (P = 0.05; beta: 0.04; B: 1.56; 95%CI: -0.01, 3.13). CONCLUSIONS:Dry eye feeling was the only common ocular disorder associated with an increased depression score, while the occurrence of age-related macular degeneration, any type of glaucoma, diabetic retinopathy, any type of cataract and keratoconus were not significantly associated with an increased depression score. Lower visual acuity was marginally associated. The prevalence of depression in the population aged 50+ years in Greater Beijing was 2.0% (96%CI: 1.5, 2.5).
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spelling doaj.art-4d8f06241a75414080ebeed8b78a9b2e2022-12-22T01:11:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01138e020213210.1371/journal.pone.0202132Self-rated depression and eye diseases: The Beijing Eye Study.Jost B JonasWen Bin WeiLiang XuMarcella RietschelFabian StreitYa Xing WangPURPOSE:To assess the prevalence of depression in the general population of Beijing and its association with ocular diseases. METHODS:The population-based Beijing Eye Study was conducted in a rural and an urban region of Greater Beijing. The study participants underwent a detailed ophthalmological examination and an interview including questions on the socioeconomic background. Depressive symptoms were evaluated using a Chinese depression scale adapted from Zung´s self-rated depression scale. The total score of depression symptoms was 80. Depression was defined as having a depression score >44. RESULTS:Out of 3468 study participants, 3267 (94.2%) individuals (1419 men) with an age of 64.5±9.7 years (range: 50-93 years) participated in the interview and answered all questions on depression. The mean depression score was 25.0±5.9 (median: 23.3; range:20-64). Depression (depression score >44) was present in 66 individuals (2.0%; 95% confidence interval (CI): 1.5, 2.5), and 5 individuals (0.2%; 95%CI: 0.02,0.3) had a depression score ≥59. In multivariate regression, analysis, a higher depression score was associated (regression coefficient r2: 0.22) with a higher number of days with dry eye feeling (P<0.001; standardized regression coefficient beta: 0.09; non-standardized regression coefficient B: 0.20; 95%CI: 0.12,0.29) and shorter corneal curvature radius (P = 0.03;beta:-0.04; B:1.01; 95%CI: -1.90,-0.12), after adjusting for age, gender, region of habitation, body mass index, cognitive function score, life quality score and blood concentration of triglycerides. Adding age-related macular degeneration (P = 0.10), glaucoma (P = 0.77), diabetic retinopathy (P = 0.77), nuclear cataract (P = 0.35), cortical cataract (P = 0.58) or posterior subcapsular cataract (P = 0.28) as single parameters to the model revealed no significant correlation with the depression score. Lower best corrected visual acuity showed a marginal significant association (P = 0.05; beta: 0.04; B: 1.56; 95%CI: -0.01, 3.13). CONCLUSIONS:Dry eye feeling was the only common ocular disorder associated with an increased depression score, while the occurrence of age-related macular degeneration, any type of glaucoma, diabetic retinopathy, any type of cataract and keratoconus were not significantly associated with an increased depression score. Lower visual acuity was marginally associated. The prevalence of depression in the population aged 50+ years in Greater Beijing was 2.0% (96%CI: 1.5, 2.5).http://europepmc.org/articles/PMC6086446?pdf=render
spellingShingle Jost B Jonas
Wen Bin Wei
Liang Xu
Marcella Rietschel
Fabian Streit
Ya Xing Wang
Self-rated depression and eye diseases: The Beijing Eye Study.
PLoS ONE
title Self-rated depression and eye diseases: The Beijing Eye Study.
title_full Self-rated depression and eye diseases: The Beijing Eye Study.
title_fullStr Self-rated depression and eye diseases: The Beijing Eye Study.
title_full_unstemmed Self-rated depression and eye diseases: The Beijing Eye Study.
title_short Self-rated depression and eye diseases: The Beijing Eye Study.
title_sort self rated depression and eye diseases the beijing eye study
url http://europepmc.org/articles/PMC6086446?pdf=render
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AT liangxu selfrateddepressionandeyediseasesthebeijingeyestudy
AT marcellarietschel selfrateddepressionandeyediseasesthebeijingeyestudy
AT fabianstreit selfrateddepressionandeyediseasesthebeijingeyestudy
AT yaxingwang selfrateddepressionandeyediseasesthebeijingeyestudy