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Diabetic retinopathy screening in persons with mental illness: a literature review
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    RE: Diabetic retinopathy screening in persons with mental illness: a literature review

    Bradley and Delaffon conducted a literature review regarding diabetic retinopathy screening (DRS) in people with severe mental illness (SMI) (1). People with SMI have reduced attendance at DRS, because of poorer compliance with general diabetic care. The authors verified that anxiety and depression were barriers in attending DRS and strategies of preventative health programs such as DRS should be developed and prepared for people with SMI. I want to present two information.

    Chen and Lu reviewed the association between diabetic retinopathy (DR) and depression (2). Depression in patients with DR had a negative effect on the condition of DR, and they recommended psychiatric therapies for depression to achieve optimal prognosis in patients with DR and depression. Diabetes control is closely related to keeping good lifestyles including nutrition, exercise, resting and stress management. Taken together, diabetes supporting system in patients with depression could be developed by comprehensive medical and health care strategies.

    Khoo et al. specified that severity of DR, diabetic macular edema (DME) and vision loss were significantly associated with poor psychosocial outcomes (3). Bi-directional associations might be existed and increased incidence and progression of DR was predominant in subjects with depression or depressive symptoms. Based on a systematic review, they proposed two actions. First, prevention of poor psychological outcomes is needed by delaying pro...

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