The relationship between diabetic retinopathy and psychosocial functioning: a systematic review

Abstract

Importance: Previous work has reported a link between diabetic retinopathy/diabetic macular edema (DR/DME) and psychosocial functioning, although the extent and direction of the association remains uncertain. Objective: To determine the relationship between DR/DME and psychosocial functioning, the latter an umbrella term used to capture the emotional and social aspects of functioning which may include, for example, depression; depressive disorder; anxiety; vision-specific distress; diabetes-specific distress and emotional and social well-being. Evidence review: PubMed, Embase, Medline and the Cochrane Central register were systematically searched for relevant interventional and observational..