This is the first time worldwide a study has evaluated existing
services on depressive symptoms in people with vision impairment.
Not exact matches
One randomized controlled trial comparing home - visited families with control participants who received other community
services found a statistically significant difference in mean
depressive symptoms at two years post-enrollment, but this contrast was nonsignificant at three years post - enrollment.15 A second study of Early Head Start found no differences in
depressive symptoms between intervention and control group participants post-intervention, although a difference was detected at a longer - term follow - up prior to children's enrollment in kindergarten.10 Other randomized controlled trial studies have not found effects of home visitation
on maternal
depressive symptoms.12, 16,17
As expected, when compared with participants living with others, those living alone were more likely to report (any)
depressive symptoms when living in neighbourhoods with poorer access to civic / institutional destinations, retail, food / eating outlets, public transport stops and health clinics /
services, lower levels of crowdedness and fewer people
on the streets (table 4).
However, studies were excluded if they focused
on young people with chronic illnesses that have been referred to psychological
services due to
depressive symptoms, or if sufficient information for computing effect sizes was not reported.
An analysis of the moderating effects of neighbourhood environmental attributes
on the associations between living arrangement and
depressive symptoms revealed that, as expected, those living alone were more likely to report (any)
depressive symptoms than their counterparts when residing in neighbourhoods with poorer access to destinations (eg,
services and retail) and fewer people
on the street.
One randomized controlled trial comparing home - visited families with control participants who received other community
services found a statistically significant difference in mean
depressive symptoms at two years post-enrollment, but this contrast was nonsignificant at three years post - enrollment.15 A second study of Early Head Start found no differences in
depressive symptoms between intervention and control group participants post-intervention, although a difference was detected at a longer - term follow - up prior to children's enrollment in kindergarten.10 Other randomized controlled trial studies have not found effects of home visitation
on maternal
depressive symptoms.12, 16,17
The global prevalence of depression and
depressive symptoms has been increasing in recent decades.1 The lifetime prevalence of depression ranges from 20 % to 25 % in women and 7 % to 12 % in men.2 Depression is a significant determinant of quality of life and survival, accounting for approximately 50 % of psychiatric consultations and 12 % of all hospital admissions.3 Notably, the prevalence of depression or
depressive symptoms is higher in patients than in the general public.3 — 6 The underlying reasons include the illness itself and the heavy medical cost, unsatisfactory medical care
service and poor doctor — patient relationship.7 8 Several informative systematic reviews
on specific groups of outpatients have been published.
Children of mothers who are depressed or who have
depressive symptoms are at increased risk for developmental delay, 1 behavioral problems, 2 depression, 3 asthma morbidity, 4 and injuries.5 Depressed mothers are less likely to engage in preventive parenting practices6 and are more likely to use child health care
services.7 Though research initially focused
on postpartum depression, it is clear that maternal
depressive symptoms often persist after the postpartum period, 8 and this persistence further increases the effect
on children's health.9 As a result, the pediatric role in identifying and addressing maternal
depressive symptoms has received increasing attention.10 - 13
This study provides additional evidence that maternal
depressive symptoms have negative effects
on maternal use of infant health
services and preventative health measures for their infants.