Kontakt X:X | DOI: 10.32725/kont.2025.026

The impact of vision loss on quality of life, anxiety, and loneliness in older adultsNursing - Original article

Radka Kozáková *, Radka Horáková, Radka Bužgová
University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic

Objectives: The aim of our research was to determine the impact of vision loss on quality of life, anxiety, and loneliness in older adults.

Methods: Empirical data was gathered through a series of questionnaires and a personal data form. The assessment tools included the UCLA Loneliness Scale, the State-Trait Anxiety Inventory-Y, and the World Health Organization Quality of Life - BREF questionnaire. The study involved a total of 149 older adults.

Results: Our research findings confirm that seniors with visual impairment experience a reduced quality of life across all studied areas compared to the general population. Women with visual impairment only showed a significantly lower quality of life in the domain of social functioning. Seniors with visual impairment reported moderate to high levels of loneliness, with women experiencing higher rates of loneliness. Additionally, seniors exhibited high levels of anxiety, and a correlation was confirmed between lower quality of life and increasing age. Furthermore, a significant correlation was found between quality of life in the physical health domain and both state and trait anxiety in seniors, as well as between environmental quality of life and current anxiety levels.

Conclusion: Visual impairment has a significant personal and global impact. The aging population is experiencing a significant increase in the prevalence of vision impairment, which adversely affects the quality of life, mental health, and social interactions of older adults.

Keywords: Anxiety; Loneliness; Older people; Quality of life; Vision Loss
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: January 31, 2025; Revised: March 27, 2025; Accepted: April 22, 2025; Prepublished online: June 10, 2025 

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    References

    1. Alma MA, Van der Mei SF, Feitsma WN, Groothoff JW, Van Tilburg TG, Suurmeijer TP (2011). Loneliness and self-management abilities in the visually impaired elderly. J Aging Health 23(5): 843-861. DOI: 10.1177/0898264311399758. Go to original source... Go to PubMed...
    2. Al-Namaeh M (2022). Common causes of visual impairment in the elderly. Med Hypothesis Discov Innov Ophthalmol 10(4): 191-200. DOI: 10.51329/mehdiophthal1438. Go to original source... Go to PubMed...
    3. Bian W, Wan J, Tan M, Su J, Yuan Y, Wang Z, Li S (2020). Predictors of health-related quality of life in Chinese patients receiving treatment for neovascular age-related macular degeneration: A prospective longitudinal study. BMC Ophthalmol 20(1): 291. DOI: 10.1186/s12886-020-01561-3. Go to original source... Go to PubMed...
    4. Blazer D (2003). Depression in late life: Review and commentary. J Gerontol A Biol Sci Med Sci 58(3): 249-265. DOI: 10.1093/gerona/58.3.M249. Go to original source... Go to PubMed...
    5. Bonsaksen T, Brunes A, Heir T (2023). Quality of life in people with visual impairment compared with the general population. J Public Health 33: 23-31. DOI: 10.1007/s10389-023-01995-1. Go to original source...
    6. Brunes A, Hansen MB, Heir T (2019a). Loneliness among adults with visual impairments: Prevalence, associated factors and relationship to life satisfaction. Health Qual Life Outcomes 17(1): 24. DOI: 10.1186/s12955-019-1096-y. Go to original source... Go to PubMed...
    7. Brunes A, Hansen MB, Heir T (2019b). Post-traumatic stress reactions among individuals with visual impairments: A systematic review. Disabil Rehabil 41(18): 2111-2118. DOI: 10.1080/09638288.2018.1459884. Go to original source... Go to PubMed...
    8. Carrière I, Delcourt C, Daien V, Peres K, Feart C, Berr C, et al. (2013). A prospective study of the bi-directional association between vision loss and depression in the elderly. J Affect Disord 151(1): 164-170. DOI: 10.1016/j.jad.2013.05.071. Go to original source... Go to PubMed...
    9. Chu HY, Chan HS (2022). Loneliness and Social Support among the Middle-Aged and Elderly People with Visual Impairment. Int J Environ Res Public Health 19(21): 14600. DOI: 10.3390/ijerph192114600. Go to original source... Go to PubMed...
    10. Cordeiro TDC, Silva LM, Monteiro EA, Pontes MLF, Casemiro FG, Rodrigues RAP (2021). Physiological changes in vision during aging: perceptions of older adults and healthcare providers. Invest Educ Enferm 39(3): e11. DOI: 10.17533/udea.iee.v39n3e11. Go to original source... Go to PubMed...
    11. Coyle CE, Steinman BA, Chen J (2017). Visual acuity and self-reported vision status: Their associates with social isolation in older adults. J Aging Health 29(1): 128-148. DOI: 10.1177/0898264315624909. Go to original source... Go to PubMed...
    12. Czech Statistical Office (2019). Výběrové šetření osob se zdravotním postižením - 2018. [online] [cit. 2024-11-12]. Available from: https://csu.gov.cz/produkty/vyberove-setreni-osob-se-zdravotnim-postizenim-2018
    13. Demmin DL, Silverstein SM (2020). Visual impairment and mental health: Unmet needs and treatment options. Clin Ophthalmol 14: 4229-4251. DOI: 10.2147/OPTH.S258783. Go to original source... Go to PubMed...
    14. Dragomirecká E, Bartoňová J (2006). WHOQOL-BREF: Příručka pro uživatele české verze dotazníků kvality života světové zdravotnické organizace. Praha: Psychiatrické centrum, 88 p.
    15. Eramudugolla R, Wood J, Anstey KJ (2013). Co-morbidity of depression and anxiety in common age-related eye diseases: a population-based study of 662 adults. Front Aging Neurosci 5: 56. DOI: 10.3389/fnagi.2013.00056. Go to original source... Go to PubMed...
    16. Evans JR, Fletcher AE, Wormald RP (2007). Depression and anxiety in visually impaired older people. Ophthalmology 114(2): 283-288. DOI: 10.1016/j.ophtha.2006.10.006. Go to original source... Go to PubMed...
    17. Freidl M, Wegerer M, Litvan Z, König D, Alexandrowicz RW, Portela-Millinger F, Gruber M (2022). Determinants of quality of life improvements in anxiety and depressive disorders - A longitudinal study of inpatient psychotherapy. Front Psychiatry 13: 937194. DOI: 10.3389/fpsyt.2022.937194. Go to original source... Go to PubMed...
    18. Harithasan D, Mukari SZS, Ishak WS, Shahar S, Yeong WL (2019). The impact of sensory impairment on cognitive performance, quality of life, depression, and loneliness in older adults. Int J Geriatr Psychiatry 35(4): 358-364. DOI: 10.1002/gps.5237. Go to original source... Go to PubMed...
    19. Havstam Johansson L, Škiljić D, Falk Erhag H, Ahlner F, Pernheim C, Rydberg Sterner T, et al. (2020). Vision-related quality of life and visual function in a 70-year-old Swedish population. Acta Ophthalmol 98(5): 521-529. DOI: 10.1111/aos.14341. Go to original source... Go to PubMed...
    20. Heesterbeek TJ, van der Aa HPA, van Rens GHMB, Twisk JWR, van Nispen RMA (2017). The incidence and predictors of depressive and anxiety symptoms in older adults with vision impairment: a longitudinal prospective cohort study.
    21. Ophthalmic Physiol Optics 37(4): 385-398. DOI: 10.1111/opo.12388. Go to original source...
    22. Kandel H, Nguyen V, Piermarocchi S, Ceklic L, Teo K, Arnalich-Montiel F, et al. (2022). Quality of life impact of eye diseases: a Save Sight Registries study. Clin Exp Ophthalmol 50(4): 386-397. DOI: 10.1111/ceo.14050. Go to original source... Go to PubMed...
    23. Kayikcioglu O, Bilgin S, Seymenoglu G, Deveci A (2017). State and Trait Anxiety Scores of patients receiving intravitreal injections. Biomed Hub 2(2): 1-5. DOI: 10.1159/000478993. Go to original source... Go to PubMed...
    24. Kempen GI, Zijlstra GA (2014). Clinically relevant symptoms of anxiety and depression in low-vision community-living older adults. Am J Geriatr Psychiatry 22(3): 309-313. DOI: 10.1016/j.jagp.2012.08.007. Go to original source... Go to PubMed...
    25. Khorrami-Nejad M, Sarabandi A, Akbari MR, Askarizadeh F (2016). The Impact of Visual Impairment on Quality of Life. Med Hypothesis Discov Innov Ophthalmol 5(3): 96-103.
    26. Kusaslan Avci D (2018). Evaluation of the relationship between loneliness and medication adherence in patients with diabetes mellitus: A cross-sectional study. J Int Med Res 46(8): 3149-3161. DOI: 10.1177/0300060518773223. Go to original source... Go to PubMed...
    27. Li Y, Crews JE, Elam-Evans LD, Fan AZ, Zhang X, Elliott AF, Balluz L (2011). Visual impairment and health-related quality of life among elderly adults with age-related eye diseases. Qual Life Res 20(6): 845-852. DOI: 10.1007/s11136-010-9825-z. Go to original source... Go to PubMed...
    28. Liu YG, Wang CC, Huang Q, Zhang L, Liu Y (2022). Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults. Front Public Health 10: 857307. DOI: 10.3389/fpubh.2022.857307. Go to original source... Go to PubMed...
    29. Müllner J, Ruisel I, Farkaš G (1980). Dotazník na meranie úzkosti a úzkostlivosti (Sv. T-161). Bratislava: Psychodiagnostické a didaktické testy.
    30. Perlman D, Peplau LA (1981). Towards a social psychology of loneliness. In: Duck S, Gilmour R (Eds). Personal relationships in disorder. Academic Press, pp. 31-56.
    31. Perry GR (1990). Loneliness and coping among tertiary-level adult cancer patients in the home. Cancer Nurs 13(5): 293-302. Go to original source...
    32. Rabiee P, Mann R, Birks Y, Wilberforce M (2021). The experience of loneliness and living with sight loss in English care homes. J Aging Stud 57: 100913. DOI: 10.1016/j.jaging.2021.100913. Go to original source... Go to PubMed...
    33. Russell DW (1996). UCLA Loneliness Scale (Version 3): Reliability, Validity, and Factor Structure. J Pers Assess 66(1): 20-40. DOI: 10.1207/s15327752jpa6601_2. Go to original source... Go to PubMed...
    34. Senra H, Balaskas K, Mahmoodi N, Aslam T (2017). Experience of Anti-VEGF Treatment and Clinical Levels of Depression and Anxiety in Patients With Wet Age-Related Macular Degeneration. Am J Ophthalmol 177: 213-224. DOI: 10.1016/j.ajo.2017.03.005. Go to original source... Go to PubMed...
    35. Senra H, Hernandez-Moreno L, Moreno N, Macedo AF (2022). Anxiety levels moderate the association between visual acuity and health-related quality of life in chronic eye disease patients. Sci Rep 12(1): 2313. DOI: 10.1038/s41598-022-06252-1. Go to original source... Go to PubMed...
    36. Smith A, Macaden L, Kroll T, Alhusein N, Taylor A, Killick K, et al. (2019). A qualitative exploration of the experiences of community dwelling older adults with sensory impairment/s receiving polypharmacy on their pharmaceutical care journey. Age Ageing 48(6): 895-902. DOI: 10.1093/ageing/afz092. Go to original source... Go to PubMed...
    37. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA (1983). Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press.
    38. Swenor BK, Lee MJ, Varadaraj V, Whitson HE, Ramulu PY (2020). Aging With Vision Loss: A Framework for Assessing the Impact of Visual Impairment on Older Adults. Gerontologist 60(6): 989-995. DOI: 10.1093/geront/gnz117. Go to original source... Go to PubMed...
    39. Tareque MI, Chan A, Saito Y, Ma S, Malhotra R (2019). The Impact of Self-Reported Vision and Hearing Impairment on Health Expectancy. J Am Geriatr Soc 67(12): 2528-2536. DOI: 10.1111/jgs.16086. Go to original source... Go to PubMed...
    40. Trujillo Tanner C, Yorgason JB, Richardson S, Redelfs AH, Serrao Hill MMY, White A, et al. (2022). Sensory Disabilities and Social Isolation Among Hispanic Older Adults: Toward Culturally Sensitive Measurement of Social Isolation. J Gerontol B Psychol Sci Soc Sci 77(11): 2091-2100. DOI: 10.1093/geronb/gbac001. Go to original source... Go to PubMed...
    41. Tseng YC, Liu SHY, Lou MF, Huang GS (2018). Quality of life in older adults with sensory impairments: a systematic review. Qual Life Res 27(8): 1957-1971. DOI: 10.1007/s11136-018-1799-2. Go to original source... Go to PubMed...
    42. Tully PJ, Harrison NJ, Cheung P, Cosh S (2016). Anxiety and Cardiovascular Disease Risk: a Review. Curr Cardiol Rep 18(12): 120. DOI: 10.1007/s11886-016-0800-3. Go to original source... Go to PubMed...
    43. Ulhaq ZS, Soraya GV, Dewi NA, Wulandari LR (2022). The prevalence of anxiety symptoms and disorders among ophthalmic disease patients. Ther Adv Ophthalmol 14: 25158414221090100. DOI: 10.1177/25158414221090100. Go to original source... Go to PubMed...
    44. van der Aa HP, Comijs HC, Penninx BW, van Rens GH, van Nispen RM (2015). Major depressive and anxiety disorders in visually impaired older adults. Invest Ophthalmol Vis Sci 56(2): 849-854. DOI: 10.1167/iovs.14-15848. Go to original source... Go to PubMed...
    45. WHO (2017). Depression and other common mental disorders: global health estimates. [online] [cit. 2025-01-31]. Available from: https://iris.who.int/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
    46. WHO (2023). Blindness and vision impairment. [online] [cit. 2025-01-31]. Available from: https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
    47. Yokoi T, Moriyama M, Hayashi K, Shimada N, Tomita M, Yamamoto N, et al. (2014). Predictive factors for comorbid psychiatric disorders and their impact on vision-related quality of life in patients with high myopia. Int Ophthalmol 34(2): 171-183. DOI: 10.1007/s10792-013-9805-8. Go to original source... Go to PubMed...

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