Assessment of personality and behavior of primary glaucoma patients by questionnaire scales
10.3760/cma.j.issn.2095-0160.2014.03.014
- VernacularTitle:原发性青光眼初诊患者心理特征的调查量表分析
- Author:
Jia, LIU
;
Yan, LI
- Publication Type:Journal Article
- Keywords:
Glaucoma,open angle/primary;
Glaucoma,angle-closure/primary;
Emotions/physiology;
Questionnaires;
Personality
- From:
Chinese Journal of Experimental Ophthalmology
2015;33(3):255-258
- CountryChina
- Language:Chinese
-
Abstract:
Background Glaucoma is a kind of psychosomatic disorder.Investigating the psychological and behavioral characteristics of glaucoma patients has important implication for the prevention and treatment of the disease.Objective Present study aimed to characterize the personality profile of initial diagnosed glaucomatous patients.Methods Eighty-seven patients with primary open angle glaucoma (POAG),ninety-two patients with primary angle-closure glaucoma (PACG) and eighty-nine normal controls (normal control group) were enrolled in this study from January 2008 to May 2014 in Peking University People 's Hospital.Clinical and demographic information which could relate to personality type was collected by filling in Symptom Checklist 90 (SCL-90),Life Event Scale (LES),Eysenck Personality Questionnaire (EPQ),Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) voluntarily under the informed consent.The psychological,personality and behavior characteristics of the individuals were analyzed and compared among the different populations.Results In SCL-90,the scores of compulsivity,interpersonal sensitivity,depression,anxiety,hostility,phobic anxiety,paranoid ideation and psychoticism inpatients with primary glaucoma were significant different among the three groups (all at P<0.01),and the scores were significantly higher in the patients of the POAG group and PACG group than those in the normal control group,and the scores were increased in the PACG group compared with the POAG group (all at P<0.05).In LES,the scores of family events,social intercourse and other events,life events,stress response were significantly different among the three groups (P =0.032,0.002,0.001,0.000),and these scores were significant higher in the POAG group and PACG group compared with the normal control group,and the PACG group also had a significantly greater frequency of clinically abnormal score than the POAG group (all at P<0.05).EPQ data showed that the scores of psychology and nervousness in the POAG group and the PACG group were higher than those in the normal control group (all at P<0.05),but no significant difference were found in extroversion and stability of the personality among the three groups (P=0.321,0.315).The total scores of SAS and SDS were considerably higher in the POAG group and the PACG group compared with the normal control group or the PACG group compared with the POAG group (all at P<0.05).The incidences of anxiety and depression were elevated in the POAG group and the PACG group in comparison with the normal control group (x2 =15.520,P =0.000 ; x2 =14.870,P =0.000).Conclusions The personality and behavioral factors are associated with the pathogenesis,development and therapy of primary glaucoma.The anxiety,depression and stronger stress response are found in glaucoma patients,especially PACG patients.