Visual impairment and depression in uveal melanoma: Optimism and pessimism as moderators.

Autor:	MacDonald JJ; Department of Psychology, University of California, Los Angeles., Jorge-Miller A; Department of Psychology, University of California, Los Angeles., Enders CK; Department of Psychology, University of California, Los Angeles., McCannel TA; Department of Ophthalmology and Ocular Oncology, Stein and Doheny Eye Institutes, University of California, Los Angeles., Beran TM; Department of Psychology, University of California, Los Angeles., Stanton AL; Department of Psychology, University of California, Los Angeles.
Jazyk:	angličtina
Zdroj:	Health psychology : official journal of the Division of Health Psychology, American Psychological Association [Health Psychol] 2021 Jun; Vol. 40 (6), pp. 408-417.
DOI:	10.1037/hea0001080
Abstrakt:	Objective: Uveal melanoma, a rare eye cancer, presents potential vision loss and life threat. This prospective, longitudinal study interrogated the predictive utility of visual impairment, as moderated by optimism/pessimism, on depressive symptoms in 299 adults undergoing diagnostic evaluation. Method: Depressive symptoms (Center for Epidemiologic Studies Depression Scale), subjective (Measure of Outcome in Ocular Disease vision subscale) and objective (logarithm of the minimum angle of resolution) visual impairment, and optimism/pessimism (Life Orientation Test-Revised) were assessed before diagnostic evaluation and 1 week, 3 months, and 12 months after diagnosis. Multilevel modeling, with repeated measures (Level 1) nested within individuals (Level 2) and imputation of missing data (Blimp software), was performed. Results: Depressive symptoms were significantly more elevated 1 week after diagnosis in cancer patients (n = 107) versus patients not diagnosed with cancer (n = 192). Higher subjective (but not objective) visual impairment predicted greater depressive symptoms (p < .001). Across the entire sample, the two-way (Optimism/Pessimism × Subjective Visual Impairment) interactions were statistically significant (ps < .05), but not the three-way interaction (with diagnosis). The positive association between subjective visual impairment and depressive symptoms was significant at low and moderate levels of optimism (ps < .001), but not at high optimism (p > .05). The association was significant at high and moderate levels (ps < .001), but not low (p > .05) levels of pessimism. Conclusions: Elevated depressive symptoms are evident in adults who do (vs. do not) receive a diagnosis of uveal melanoma but appear to remit within 3 months. Perceived impaired vision, especially coupled with low optimism or high pessimism, predicts depressive symptoms over time, with implications for intervention. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu