Self-Care Tools Decreased Depression in Diabetic Retinopathy

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Self-tools reduced depression in diabetic retinopathy and age-related macular degeneration.
Self-tools reduced depression in diabetic retinopathy and age-related macular degeneration.

HealthDay News -- Self-care tools can reduce depressive symptoms in patients with age-related macular degeneration or diabetic retinopathy, according to a study published in Clinical & Experimental Ophthalmology.

Hortence Kamga, from Maisonneuve-Rosemont Hospital in Montreal, and colleagues conducted a single-blind randomized controlled clinical trial involving 80 participants with late stage age-related macular degeneration or diabetic retinopathy, at least mild depressive symptoms, and visual acuity better than 20/200. 

Participants were randomly assigned in a 1:1 ratio to the intervention, which consisted of large-print written and audio tools incorporating cognitive-behavioral principles plus 3 10-minute telephone calls, or delayed intervention/usual care.

The researchers found that the intervention reduced depressive symptoms by 2.1 points more than usual care, after adjustment for baseline imbalances in visual acuity (P =.040). The intervention was not associated with secondary outcomes, including anxiety, life space, and self-efficacy.

"Self-care tools plus telephone coaching led to a modest improvement in depressive symptoms in patients with age-related eye disease," the researchers wrote. "Additional research on how to maximize their effect is necessary."

Reference

  1. Kamga H, McCusker J, Yaffe M, et al. Self-care tools to treat depressive symptoms in patients with age-related eye disease: a randomized controlled clinical trial [published online December 7, 2016]. Clin Exp Ophthalmol. doi:10.1111/ceo.12890.
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