The psychological impact of instrumental activities of daily living on people with simulated age-related macular degeneration
Background People with age-related macular degeneration (AMD) can report reduced mental health. There is also evidence that they struggle with daily tasks because of vision loss. Aims The purpose of this study was to assess the psychological impact of instrumental activities of daily living on peop...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-09-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472422005580/type/journal_article |
| _version_ | 1811156926243799040 |
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| author | Anne Macnamara Scott Coussens Celia Chen Victor R. Schinazi Tobias Loetscher |
| author_facet | Anne Macnamara Scott Coussens Celia Chen Victor R. Schinazi Tobias Loetscher |
| author_sort | Anne Macnamara |
| collection | DOAJ |
| description | Background
People with age-related macular degeneration (AMD) can report reduced mental health. There is also evidence that they struggle with daily tasks because of vision loss.
Aims
The purpose of this study was to assess the psychological impact of instrumental activities of daily living on people with simulated AMD.
Method
Twenty-four normally sighted participants completed 12 household tasks, in a simulated home environment, under a moderate-to-severe AMD simulation. Participants’ psychological state was measured through self-report questionnaires and physiological measurements related to anxiety and stress. Tasks were completed twice, under counterbalanced vision conditions (normal and simulated AMD).
Results
Linear mixed models on vision condition (normal versus simulated AMD) and trial order (trial 1 versus trial 2) revealed a significant large negative effect of the AMD simulation on time to complete tasks, and the anxiety, task engagement and distress self-reports (all P < 0.024, all ω2 > 0.177). There were also significant medium-large effects of trial order on time, task incompletion, task errors, and the anxiety and task engagement self-reports (all P < 0.047, all ω2 > 0.130), whereby the results improved during the second attempt at the tasks. No physiological measures were significant (all P > 0.05).
Conclusions
Completing instrumental activities of daily living under an AMD simulation had a negative impact on participants’ self-reported mental state. The observed trial order effects also illuminated how practice with tasks could ease anxiety and stress over time.
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| first_indexed | 2024-04-10T04:58:10Z |
| format | Article |
| id | doaj.art-87993f20b1ed4597985dd6b6f7dda67f |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:58:10Z |
| publishDate | 2022-09-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-87993f20b1ed4597985dd6b6f7dda67f2023-03-09T12:29:21ZengCambridge University PressBJPsych Open2056-47242022-09-01810.1192/bjo.2022.558The psychological impact of instrumental activities of daily living on people with simulated age-related macular degenerationAnne Macnamara0https://orcid.org/0000-0002-6589-2826Scott Coussens1Celia Chen2Victor R. Schinazi3Tobias Loetscher4Cognitive Ageing & Impairment Neurosciences Laboratory, UniSA Justice & Society, University of South Australia, AustraliaCognitive Ageing & Impairment Neurosciences Laboratory, UniSA Justice & Society, University of South Australia, AustraliaDepartment of Ophthalmology, Flinders Medical Centre, Flinders University, AustraliaDepartment of Psychology, Faculty of Society & Design, Bond University, Australia; and Future Health Technologies, Singapore-ETH Centre, Campus for Research Excellence and Technological Enterprise (CREATE), SingaporeCognitive Ageing & Impairment Neurosciences Laboratory, UniSA Justice & Society, University of South Australia, AustraliaBackground People with age-related macular degeneration (AMD) can report reduced mental health. There is also evidence that they struggle with daily tasks because of vision loss. Aims The purpose of this study was to assess the psychological impact of instrumental activities of daily living on people with simulated AMD. Method Twenty-four normally sighted participants completed 12 household tasks, in a simulated home environment, under a moderate-to-severe AMD simulation. Participants’ psychological state was measured through self-report questionnaires and physiological measurements related to anxiety and stress. Tasks were completed twice, under counterbalanced vision conditions (normal and simulated AMD). Results Linear mixed models on vision condition (normal versus simulated AMD) and trial order (trial 1 versus trial 2) revealed a significant large negative effect of the AMD simulation on time to complete tasks, and the anxiety, task engagement and distress self-reports (all P < 0.024, all ω2 > 0.177). There were also significant medium-large effects of trial order on time, task incompletion, task errors, and the anxiety and task engagement self-reports (all P < 0.047, all ω2 > 0.130), whereby the results improved during the second attempt at the tasks. No physiological measures were significant (all P > 0.05). Conclusions Completing instrumental activities of daily living under an AMD simulation had a negative impact on participants’ self-reported mental state. The observed trial order effects also illuminated how practice with tasks could ease anxiety and stress over time. https://www.cambridge.org/core/product/identifier/S2056472422005580/type/journal_articleAge-related macular degenerationvisual impairmentactivities of daily livingstressanxiety |
| spellingShingle | Anne Macnamara Scott Coussens Celia Chen Victor R. Schinazi Tobias Loetscher The psychological impact of instrumental activities of daily living on people with simulated age-related macular degeneration BJPsych Open Age-related macular degeneration visual impairment activities of daily living stress anxiety |
| title | The psychological impact of instrumental activities of daily living on people with simulated age-related macular degeneration |
| title_full | The psychological impact of instrumental activities of daily living on people with simulated age-related macular degeneration |
| title_fullStr | The psychological impact of instrumental activities of daily living on people with simulated age-related macular degeneration |
| title_full_unstemmed | The psychological impact of instrumental activities of daily living on people with simulated age-related macular degeneration |
| title_short | The psychological impact of instrumental activities of daily living on people with simulated age-related macular degeneration |
| title_sort | psychological impact of instrumental activities of daily living on people with simulated age related macular degeneration |
| topic | Age-related macular degeneration visual impairment activities of daily living stress anxiety |
| url | https://www.cambridge.org/core/product/identifier/S2056472422005580/type/journal_article |
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