The DOI matches its Crossref record; 69 of the 70 references it cites were found in a registry or an index.
Social and emotional impact of diabetic retinopathy: a review
Open accessAbstract
People with vision-threatening diabetic retinopathy are likely to experience enhanced social and emotional strain. Critically, those with both vision-threatening diabetic retinopathy and psychosocial problems may have significantly reduced levels of functioning compared with psychologically healthy counterparts. This can cause inadequate compliance, increased strain on family functioning, worse diabetes control, increased progression of diabetic retinopathy and, consequently, further psychosocial stress resulting in a number of concerning implications for disease management, clinical outcomes and healthcare costs. However, the emotional and social health consequences of diabetic retinopathy have not yet been systematically explored. This information is crucial as it allows for a targeted approach to treatment and prevention and avoidance of the potentially detrimental implications described above. Therefore, this paper reviews the current qualitative and quantitative evidence regarding the social and emotional impact of diabetic retinopathy and identifies directions for future research. Key search terms were applied to the electronic databases Pubmed, ISI Web of Science and Embase and the bibliographies of relevant papers were systematically reviewed for additional references. Overall, the evidence suggests that diabetic retinopathy and associated vision loss have several debilitating effects, including disruption of family functioning, relationships and roles; increased social isolation and dependence; and deterioration of work prospects resulting in increased financial strain. Adverse emotional responses include fear, anxiety, vulnerability, guilt, loss of confidence, anger, stress and self-perception issues. However, the research to date is largely qualitative in nature, with most quantitative studies being small, cross-sectional and somewhat outdated. Similarly, the outcome measures used in many studies to date are suboptimal in terms of content and validity. Therefore, this review identifies the need for improved outcome measures to provide valid, meaningful measurement of the social and emotional impact of diabetic retinopathy and discusses potential directions for future research such as item banking and computer adaptive testing.
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“It is reported that DR patients are prone to adverse emotional reactions such as anxiety and depression.[6–8]”
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Cites
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The Prevalence of Comorbid Depression in Adults With Diabetes
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Self-citationAssociation of depression and diabetes complications: a meta-analysis
de Groot, M., Anderson, R., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200107000-00015 · Cited by 1,799 · cited 19×
“This reduced functioning can lead to a downward negative spiral of reduced adherence to healthcare advice and appointments, increased strain on family functioning and social support systems, worsening diabetes control and increased development and progression of DR, leading to further psychosocial stress.10–17 Because…”
BackgroundInfluentialAssessing Psychosocial Distress in Diabetes
Polonsky, W. H., Fisher, L., Earles, J., Dudl, R. J., Lees, J., Mullan, J., & Jackson, R. A. (2005) · Diabetes Care · doi:10.2337/diacare.28.3.626 · Cited by 1,575
Depression and Diabetes: Impact of Depressive Symptoms on Adherence, Function, and Costs
Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.21.3278 · Cited by 1,465
Examining a Bidirectional Association Between Depressive Symptoms and Diabetes
Golden, S. H. (2008) · JAMA · doi:10.1001/jama.299.23.2751 · Cited by 916
Frank, R. N. (2003) · New England Journal of Medicine · doi:10.1056/nejmra021678 · Cited by 906
Fisher, L., Mullan, J. T., Arean, P., Glasgow, R. E., Hessler, D., & Masharani, U. (2010) · Diabetes Care · doi:10.2337/dc09-1238 · Cited by 681
The Association of Comorbid Depression With Mortality in Patients With Type 2 Diabetes
Katon, W. J., Rutter, C., Simon, G., Lin, E. H. B., Ludman, E., Ciechanowski, P., Kinder, L., Young, B., & Von Korff, M. (2005) · Diabetes Care · doi:10.2337/diacare.28.11.2668 · Cited by 640
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Ting, D. S. W., Cheung, G. C. M., & Wong, T. Y. (2016) · Clinical & Experimental Ophthalmology · doi:10.1111/ceo.12696 · Cited by 1,066
Self-citationThe worldwide epidemic of diabetic retinopathy
Congdon, N. G., Zheng, Y., & He, M. (2012) · Indian Journal of Ophthalmology · doi:10.4103/0301-4738.100542 · Cited by 633
Integrated image-based deep learning and language models for primary diabetes care
Li, J., Guan, Z., Wang, J., Cheung, C. Y., Zheng, Y., Lim, L.-L., Lim, C. C., Ruamviboonsuk, P., Raman, R., Corsino, L., et al. (2024) · Nature Medicine · doi:10.1038/s41591-024-03139-8 · Cited by 250
Self-citationBrunes, A., Hansen, M. B., & Heir, T. (2019) · Health and Quality of Life Outcomes · doi:10.1186/s12955-019-1096-y · Cited by 203
Braithwaite, T., Calvert, M., Gray, A. M., Pesudovs, K., & Denniston, A. K. (2019) · Patient Related Outcome Measures · doi:10.2147/prom.s162802 · Cited by 156
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Metadata
- Authors
- Fenwick, E., Rees, G., Pesudovs, K., Dirani, M., Kawasaki, R., Wong, T. Y., & Lamoureux, E.
- Affiliations
- The University of Melbourne (AU)
- Flinders University (AU)
- Corresponding author
- Lamoureux, Ecosse
- Venue
- Clinical & Experimental Ophthalmology
- Publisher
- Wiley
- Published
- 2012-01
- Volume
- 40
- Issue
- 1
- Pages
- 27-38
- ISSN
- 1442-6404 (ISSN-L)
- 1442-9071
- OpenAlex
- W1510538386
- Cited by
- 156
- References
- 70
- Citations by year
- 2026: 8 · 2025: 20 · 2024: 21 · 2023: 10 · 2022: 9 · 2021: 13 · 2020: 8 · 2019: 12 · 2018: 10 · 2017: 10 · 2016: 13 · 2015: 5 · 2014: 4 · 2013: 4 · 2012: 5
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical and Experimental Ophthalmology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- State Government of Victoria
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Ophthalmology › Ophthalmology and Visual Impairment Studies
- Keywords
- diabetic retinopathy, psychosocial impact, emotional impact, vision loss, family functioning, social isolation, financial stress, anxiety, outcome measures, item banking, computerized adaptive testing, diabetes management, medication adherence
- MeSH terms
- Affective Symptoms, Diabetic Retinopathy, Humans, Social Problems, Stress, Psychological
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