The Psychosocial Impact of Macular Degeneration

作者: Rebecca A Williams , Barbara L Brody , Ronald G Thomas , Robert M Kaplan , Stuart I Brown

DOI: 10.1001/ARCHOPHT.116.4.514

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摘要: Background Age-related macular degeneration (AMD), the leading cause of irreversible blindness and low vision among elderly, has not been well studied with regard to its impact on daily life. This study was designed demonstrate AMD quality life, emotional distress, functional level. Participants The sample consisted 86 elderly adults (average age, 79 years) who were legally blind in at least 1 eye. completed a battery measures that included Quality Well-being Scale, Instrumental Activities Daily Living index, self-rated general health status, Profile Mood States. Results Persons experienced significant reductions key aspects Their ratings for life Scale score=0.581) distress States total score=65.36) significantly worse than those similarly aged community comparable reported by people chronic illnesses (eg, arthritis, obstructive pulmonary disease, acquired immunodeficiency syndrome, bone marrow transplants). Patients also more likely national individuals need help activities. Visual acuity related ability carry out activities (Instrumental Living, r =0.28, P =.008). ( =−0.38, =.001), status =−0.21, =.05), (Profile score, =−0.25, =.02). Individuals shorter period perceived loss report high levels =−0.24, =.03) longer loss. Further, eye even distressed both eyes. Conclusions Elderly persons causing legal or eyes have profoundly reduced

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