Shoham, N;
Lewis, G;
McManus, S;
Cooper, C;
(2019)
Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey.
BJPsych Open
, 5
(6)
, Article e94. 10.1192/bjo.2019.81.
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Abstract
Background People with sensory impairments may be at increased risk of depression and anxiety but experience barriers to accessing treatment. Aims To investigate whether people with sensory impairment have more depressive and anxiety symptoms than people without, whether this is mediated by social functioning and whether they report greater non-treatment. Method We analysed data from the English 2014 Adult Psychiatric Morbidity Survey using regression models, with the Clinical Interview Schedule-Revised (CIS-R) score as the primary outcome and self-reported hearing and vision impairment as exposures. A secondary outcome was self-reported receipt of mental health diagnosis and treatment. We used structural equation modelling to assess for mediation by social functioning. Results A total of 19.0% of people with hearing impairment, and 30.9% and 24.5% with distance and near visual impairments, respectively, had clinically significant psychological morbidity. Adjusted mean CIS-R score was 1.86 points higher in people with hearing impairment compared with those without (95% CI 1.30–2.42, P<0.001). People with distance and near vision impairment had mean CIS-R scores 3.61 (95% CI 2.58–4.63, P<0.001) and 2.74 (95% CI 2.12–3.37, P<0.001) points higher, respectively, than those without. Social functioning accounted for approximately 50% of these relationships between sensory impairment and psychological morbidity. We found no evidence of an increased treatment gap for people with sensory impairment. Conclusions Social functioning, a potentially modifiable target, may mediate an association between sensory impairment and depressive and anxiety symptoms.
| Type: | Article |
|---|---|
| Title: | Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1192/bjo.2019.81 |
| Publisher version: | https://doi.org/10.1192/bjo.2019.81 |
| Language: | English |
| Additional information: | This is an Open Access article, distributed under the terms of the Creative Commons AttributionNonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. |
| Keywords: | Social functioning; sensory impairment; depression; anxiety disorders; epidemiology. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10085724 |
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