The Prevalence and Determinants of Desire for and Use of Psychological Support in Patients With Low Vision

Asia Pac J Ophthalmol (Phila). 2014 Sep-Oct;3(5):286-93. doi: 10.1097/APO.0000000000000012.

Abstract

Purpose: The objective of this study was to identify the prevalence and determinants of desire for and use of psychological support in patients with low vision.

Design: The study was cross-sectional, utilizing telephone-administered interviews.

Methods: Patients were recruited from Vision Australia and the Royal Victorian Eye and Ear Hospital with visual acuity of less than 6/12 in the better eye. Measures were the 9-item Patient Health Questionnaire, Stigma Scale for Receiving Psychological Help, Brief Illness Perception Questionnaire, and Impact of Vision Impairment Questionnaire.

Results: Of the total 161 participants (mean ± SD, 69.94 ± 15.76 years; 67% female), 63% desired psychological support, but only 20% reported ever receiving this. Higher levels of depressive symptoms and poorer coping in relation to vision impairment were significantly associated with desire for psychological support. Younger age, experience/s of depression, and beliefs about depression and its treatment were associated with use of professional support.

Conclusions: Many patients with low vision desired psychological support but were not receiving this, suggesting barriers to receipt of care. This highlights the need for early screening of emotional difficulties, depression education, and easy access to psychological support within low vision services.