Association between Decreased Visual Acuity and Self-Report Depressive Disorder or Depressive Mood: KNHANES IV.

Park, Hye Won; Rim, Tayler Hyung Taek; Chung, Eun Jee

doi:2015.56.9.1377

J Korean Ophthalmol Soc > Volume 56(9); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(9):1377-1385.
DOI: https://doi.org/10.3341/jkos.2015.56.9.1377 Published online September 15, 2015.

Association between Decreased Visual Acuity and Self-Report Depressive Disorder or Depressive Mood: KNHANES IV.

Hye Won Park, Tayler Hyung Taek Rim, Eun Jee Chung

¹Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
²Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. eunjee95@nhimc.or.kr

시력저하와 우울장애 및 우울증상 경험: 국민건강영양조사 2008-2012

박혜원^1,2⋅임형택¹⋅정은지²

연세대학교 의과대학 안과학교실¹, 국민건강보험공단 일산병원 안과²

Received: 31 October 2014 • Revised: 21 April 2015 • Accepted: 10 July 2015

Abstract

PURPOSE
To assess the association between decreased visual acuity (VA) and diagnosis of depressive disorder by a physician or experience of depressive mood using self-report questionnaires. METHODS: We conducted a cross-sectional analysis using nationally representative data from the Korean National Health and Nutrition Examination Survey (KNHANES, 2008-2012). A total of 28,919 adults who had sociodemographic and health behavioral risk factors available were included. An association between decreased VA and depression was identified using multivariate logistic regression analysis after adjusting for possible confounders. Depression was defined as a depressive disorder with a diagnosis by a physician or depressive mood lasting more than 2 weeks using self-report questionnaires. RESULTS: The prevalence of depressive disorder and depressive mood in Koreans was 1,160 (4.0%) and 4,063 (14.1%), respectively. In univariable logistic regression, there was significant association between VA and depressive disorder or depressive mood. However, in multivariable logistic regression analysis, this study found no statistically significant association between VA status and the prevalence of depressive disorder or depressive mood in Koreans. CONCLUSIONS: No association between decreased VA and a depressive disorder/depressive mood in Korean adults after adjusting for possible confounders was found. Therefore, further longitudinal cohort studies examining the causal relationship between decreased VA and depression in Korean adults are necessary.

Key Words: Depression;KNHANES;Low vision;Visual acuity