Psychological symptoms in anophthalmic patients wearing ocular prosthesis and related factors
Psychological symptoms in anophthalmic patients wearing ocular prosthesis and related factors
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DOI：
10.1097/md.0000000000021338
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发表时间：
2020-07-17
期刊：
影响因子：
1.6
通讯作者：
Wang, Hai Yan
中科院分区：
文献类型：
--
作者：
Wang, Kai Jie;Li, Sha Sha;Wang, Hai Yan
无眼畸形患者不仅会造成明显的功能缺陷和面部畸形，而且会导致不良的心理后果，尽管佩戴假肢可以在一定程度上改善心理健康。目的综合评价配戴义眼台的无眼患者的心理症状并分析其相关因素。共有150名无眼患者和120名对照受试者被纳入这项横断面研究。对所有患者进行基线特征调查和症状自评量表（SCL-90）评定心理症状，并进行多因素分析。与对照组相比，无眼症患者的躯体化、抑郁、焦虑和敌对水平明显升高。最突出的症状是敌意，中位数为1.20。女性患者的躯体化、抑郁、焦虑、敌对症状明显高于男性。婚姻状况单身与抑郁、焦虑和敌对症状呈正相关。文化程度低和眼球摘除原因与高水平的敌意有关。配戴义眼台的无眼症患者除抑郁、焦虑症状较高外，敌对、躯体化症状也较突出。提示对文化程度低的女性单眼无眼症患者，尤其是外伤所致的单眼无眼症患者，应及时进行心理评估和干预，避免不良后果的发生。
Anophthalmic patients not only cause obvious functional deficits and facial deformities, but lead to poor psychological outcomes, although prosthesis wearing can offer improvements in psychological well-being to some extent. The study aimed to comprehensively evaluate the psychological symptoms and analyze related factors in anophthalmic patients wearing ocular prosthesis. Total of 150 anophthalmic patients and 120 control subjects were included in this cross-sectional study. Baseline characteristics survey and the symptom checklist-90 scale were completed by all participants to assess the psychological symptoms and analyze their related factors by multivariate analysis. The anophthalmic patients exhibited the increased levels of somatization, depression, anxiety, and hostility compared with control subjects. The most prominent symptom was hostility with the median score of 1.20. Female patients presented with higher somatization, depression, anxiety, and hostility. Marital status single was positively associated with depression, anxiety, and hostility symptoms. Lower education and cause of enucleation were related to higher levels of hostility. Anophthalmic patients wearing ocular prosthesis presented with more prominent hostility and somatization besides its higher depression and anxiety symptoms. The findings suggest that for female single anophthalmic patients with low education, especially caused by trauma, timely psychological assessment and intervention should be provided to avoid undesirable consequences.