title: [The influence of visual rehabilitation on secondary depressive disorders due to age-related macular degeneration. A randomized controlled pilot study].
abstract: BACKGROUND
  Age-related macular degeneration (AMD) often leads to visual impairment, loss of reading ability, reduced quality of life and secondary depression. The present study examined if visual rehabilitation has a preventive effect on secondary depression in these patients.
  
  
  METHODS
  In a controlled pilot study 20 patients were randomized into 2 groups whereby 9 underwent visual rehabilitation at first examination and 11 received magnifying visual aids only after 3 months. Psychosocial status was assessed by the geriatric depression scale (GDS) and the German version of the Centre for Epidemiologic Studies depression (CES-D) scale (main outcome parameter), cognitive status by the dementia detection test (DemTecT), minimental status (MMS) and quality of life by the National Eye Institute visual function questionnaire (NEI-VFQ 25). Ophthalmological examination included reading speed measurement by standardized texts (International Reading Speed Texts; IReST).
  
  
  RESULTS
  Parameters of the CES-D scale, DemTect and the subitem exercise of social roles of the NEI-VFQ 25 emerged in a divergent manner. Patients of the rehabilitation group became less depressive and improved in cognitive and social abilities and in the control group vice versa. The interactive effect of group and time was statistically significant for all three tests.
  
  
  CONCLUSIONS
  Visual rehabilitation has a positive impact on depression as well as cognitive status and quality of life in patients with AMD. The effects have to be confirmed in future studies with more patients and a longer observation period.
authors: Department für Augenheilkunde, Sehbehindertenambulanz, Universität Tübingen, Tübingen.
authors: A
authors: A
authors: Mielke
authors: K
authors: K
authors: Wirkus
authors: R
authors: R
authors: Niebler
authors: G
authors: G
authors: Eschweiler
authors: N X
authors: NX
authors: Nguyen
authors: S
authors: S
authors: Trauzettel-Klosinski
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000209:etiology* / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008268:Macular Degeneration / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D010865:Pilot Projects; D011788:Quality of Life / Q000523:psychology; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology* / Q000523:psychology / Q000534:rehabilitation*
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