Anxiety and Depression are More Prevalent in Primary Angle Closure Glaucoma Than in Primary Open-Angle Glaucoma

Anxiety and Depression are More Prevalent in Primary Angle Closure Glaucoma Than in Primary Open-Angle Glaucoma
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DOI:
10.1097/ijg.0000000000000025
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发表时间:
2015-06-01
影响因子:
2
通讯作者:
Xiao, Zeping
Xiao, Zeping
中科院分区:
医学3区
文献类型:
--
作者:
Kong, Xiangmei;Yan, Manni;Xiao, Zeping

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目的:探讨原发性闭角型青光眼(PACG)和原发性开角型青光眼(POAG)患者的心理障碍和人格特征。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、艾森克人格问卷(EPQ)、防御方式问卷(DSQ)对被试进行问卷调查。结果:青光眼组SAS、SDS评分均高于对照组,而PACG组SAS、SDS评分均高于对照组(48.449.90; 53.64 +/- 9.74)(42.62 ± 9.00,P=0.034; 49.02 ± 11.47,P=0.131)和对照组(37.10 ± 6.08,P=0.000; 38.86 ± 6.64,P=0.000)。以SAS评分45分和SDS评分50分为界值,PACG组焦虑和抑郁的患病率(66.0%,56.0%)显著高于POAG组(44.0%,P=0.002; 40.0%,P=0.033)和对照组(16.0%,P=0.000; 10.0%,P=0.000)。PACG组和POAG组EPQ的精神质和神经质因子分均显著高于对照组(P
Purpose:The aim of this study was to assess the prevalence of psychological disturbances and personality traits in primary angle closure glaucoma (PACG) and primary open-angle glaucoma (POAG) patients.Methods:A sample of 50 PACG patients, 50 POAG patients, and 50 normal controls were enrolled in this study. All the participants were asked to complete the following questionnaires: Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Eysenck Personality Questionnaire (EPQ), and Defense Style Questionnaire (DSQ). Analysis of variance and t test were used to compare the subscores between the groups.Results:The scores of SAS and SDS were higher in glaucoma patients than in controls, whereas the PACG group had a higher score for both scales (48.449.90; 53.64 +/- 9.74) than the POAG group (42.62 +/- 9.00, P=0.034; 49.02 +/- 11.47, P=0.131) and control group (37.10 +/- 6.08, P=0.000; 38.86 +/- 6.64, P=0.000). Taking an SAS score of 45 and an SDS score of 50 as cut-offs, the prevalence of anxiety and depression in the PACG group (66.0%, 56.0%) was significantly higher than in the POAG group (44.0%, P=0.002; 40.0%, P=0.033) and control group (16.0%, P=0.000; 10.0%, P=0.000). The values of psychoticism and neuroticism in EPQ for the PACG and POAG groups were significantly higher than those for controls (P