Investigating factors associated with depression of type 2 diabetic retinopathy patients in China
Open accessAbstract
AIMS AND OBJECTIVES: To assess the depression status of type 2 diabetic retinopathy patients in Nantong China and to identify factors associated with depression. METHODS: Two hundred and ninety-four patients with type 2 diabetic retinopathy were recruited from the Affiliated Hospital of Nantong University. The severity of DR was measured in the worse eye. Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale (CES-D); the quality of life was measured with the Medical Outcomes Study Short Form 36 (SF-36). The logistic regression analyses were used to identify the independent factors of depression. RESULTS: The mean age of the study subjects was 57.77 years (SD: 9.64). Approximately 35.7% of subjects reported depressive symptoms (n = 105).Multiple logistic regression analyses showed that female gender (p = 0.014), low monthly income (p = 0.01), poor vision in the better eye (P = 0.002), laser treatment history (p = 0.01) were significant risk factors for depression. The quality of life of individuals with CES-D score<16 was significantly better compared with individuals with CES-D score≥16. CONCLUSION: The reported depressive symptoms among type 2 diabetic retinopathy population is higher in Nantong China. Gender, salary, vision acuity and treatment history were important risk factors linked to this disorder in the Chinese type 2 diabetic retinopathy population from Nantong. More attention by medical care personnel needs to be paid to the psychological health of this population.
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Anxiety and depression in DR patients reduce their quality of life.
“It not only threatens the physical and mental health of DR patients, but also reduces the quality of life of patients.[9–12]”
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 [28]
The Discussion reports that depressive symptoms were negatively associated with quality of life in patients with diabetic retinopathy. The paper does not establish that anxiety reduces quality of life in these patients, and an association does not establish that depression causes the reduction. (LLM, conf=0.86)
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References 39 · Cited by 29
Research works printed but not linked: 1
- [20]Zhang J, Wu ZY, Fang G, Li J, Han BX, Chen ZY, et al Development of the Chinese age norms of CES-D in urban area. Chinese Mental Health Journal. 2010; 24: 139– 143.
- Authors
- Xu, X., Zhao, X., Qian, D., Dong, Q., & Gu, Z.
- Affiliations
- Affiliated Hospital of Nantong University (CN)
- Nantong University (CN)
- Corresponding author
- Gu, Zhifeng
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-07-07
- Volume
- 10
- Issue
- 7
- Pages
- e0132616
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4494704
- OpenAlex
- W858426042
- Cited by
- 29
- References
- 39
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Government of Jiangsu Province
- Nantong University
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Keywords
- type 2 diabetic retinopathy, depression, depressive symptoms, risk factors, quality of life, gender differences, low income, visual acuity, mental health, Chinese patients
- MeSH terms
- Adult, Aged, China, Cross-Sectional Studies, Depression, Depressive Disorder, Diabetes Mellitus, Type 2, Diabetic Retinopathy, Female, Humans, Income, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Risk Factors, Sex Factors, Visual Acuity, Comorbidity, Multivariate Analysis, Logistic Models, Asian People
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