Diabetic retinopathy screening in persons with mental illness: a literature review
Open accessAbstract
People living with severe mental illness (SMI) have an increased risk of developing diabetes and are less likely to spontaneously report physical health concerns; they may therefore derive greater benefit from attending screening to prevent diabetic retinopathy. We conducted a literature review to consider the uptake of diabetic retinopathy screening (DRS) in people with mental illness. People with a diagnosis of SMI and those with self-reported mental ill-health have reduced attendance at DRS, within the context of poorer compliance with general diabetic care. Anxiety and depression were noted as barriers in attending DRS. People living with SMI require additional support to benefit from preventative health programmes such as DRS. Further research could support a better understanding of barriers to attendance, allowing effective support systems to be developed.
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Assessment of the psychological status of DR patients helps identify their psychological problems and provides appropriate targeted psychological interventions to improve quality of life and clinical outcomes.
“Assessment of the psychological status of DR patients helps identify their psychological problems, and provides appropriate and targeted psychological interventions to improve the quality of life and clinical outcomes.[15–17]”
From The effect of psychotherapy on anxiety, depression, and quality of life in patients with diabetic retinopathy: A protocol for systematic review and network meta-analysis (2021) · cites this paper as [16]
The Results and Discussion identify depression, anxiety and other mental-health factors as potential barriers to diabetic retinopathy screening, and the Discussion calls for better understanding of those barriers to inform helpful solutions. The paper does not show that assessing the psychological status of patients with diabetic retinopathy leads to targeted psychological interventions or improves quality of life or clinical outcomes. (LLM, conf=0.84)
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- Authors
- Bradley, E. R., & Delaffon, V.
- Affiliations
- Kent and Medway NHS and Social Care Partnership Trust (GB)
- Corresponding author
- Bradley, Elinor Rhian
- Venue
- BMJ Open Ophthalmology
- Publisher
- BMJ
- Published
- 2020-05
- Volume
- 5
- Issue
- 1
- Pages
- e000437
- ISSN
- 2397-3269 (ISSN-L)
- PMC
- PMC7451277
- OpenAlex
- W3032967196
- Cited by
- 22
- References
- 41
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 2 · 2020: 2
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open Ophthalmology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- diabetic retinopathy screening, severe mental illness, diabetes risk, screening uptake, anxiety, depression, preventive medicine
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