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Psychological and Psychosocial Interventions for Depression and Anxiety in Patients with Age-Related Macular Degeneration: A Systematic Review
King's College London, UK.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. University of Minho, Portugal. (REVO)ORCID iD: 0000-0003-3436-2010
University of Porto, Portugal.
Moorfields Eye Hospital, UK;University College London, UK.
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2019 (English)In: The American journal of geriatric psychiatry, ISSN 1064-7481, E-ISSN 1545-7214, Vol. 27, no 8, p. 755-773Article, review/survey (Refereed) Published
Abstract [en]

Purpose To review the current literature on psychosocial and psychological interventions to prevent and treat depression and anxiety in patients with age-related macular degeneration (AMD). Methods We conducted a systematic review of literature evaluating psychosocial and psychological interventions for depression and anxiety in AMD patients. Primary searches of PubMed, Cochrane library, EMBASE, Global Health, Web of Science, EBSCO, and Science Direct were conducted to include all papers published until April 21st. 2018. Results Of a total of 398 citations retrieved, we selected 12 eligible studies published between 2002 and 2016. We found 9 randomized controlled trials (RCT), and 3 non-randomised intervention (NRI) studies. RCT studies suggested that interventions using group self-management techniques, and individual behavioural activation plus low vision rehabilitation can be effective to treat and prevent depression in AMD patients, and one study suggested that a stepped-care intervention using cognitive-behavioural techniques can be effective to manage anxiety and depression over time. NRI studies highlighted a positive effect of self-help and emotion-focused interventions to reduce depression. Conclusions Clinical practice with AMD patients can rely on some tailored cognitive-behavioural therapeutic protocols to improve patients’ mental health, but further clinical trials will generate the necessary evidence-based knowledge to improve those therapeutic techniques and offer additional tailored interventions for AMD patients.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 27, no 8, p. 755-773
Keywords [en]
Psychosocial Intervention, Psychological Intervention, Age-Related Macular Degeneration, Depression, Anxiety, Vision Disorders, Systematic Review
National Category
Psychology Geriatrics Ophthalmology
Research subject
Natural Science, Optometry; Medicine, Gerontology; Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-81044DOI: 10.1016/j.jagp.2019.03.001ISI: 000475925000001PubMedID: 31005495Scopus ID: 2-s2.0-85064323190OAI: oai:DiVA.org:lnu-81044DiVA, id: diva2:1295632
Available from: 2019-03-12 Created: 2019-03-12 Last updated: 2019-08-29Bibliographically approved

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Macedo, António Filipe

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