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Abstract #12754 Published in IGR 7-3
Mental status and personality characteristics of patients suffering from acute or chronic glaucoma
Chen P; He X-GChinese Journal of Clinical Rehabilitation 2005; 9: 58-60
AIM: To compare psychological factors of patients with acute angle-closure glaucoma with the national norm and that of patients with chronic angle-closure glaucoma so as to analyze the relationship of mental profile and personality characteristics of patients with glaucoma. METHODS: From January 2003 to April 2005 in the Department of Ophthalmology, Research Institute of Surgery, Daping Hospital, Third Military Medical University, 423 inpatients in Yuzhong district of Chongqing city suffering from acute angle-closure glaucoma were selected for acute glaucoma group, and 346 synchronous inpatients suffering from chronic angle-closure glaucoma were for chronic glaucoma group. Self-rating anxiety scale (SAS, the score less than 50 points is as non-anxiety, from 50 to 59 as mild anxiety, and more than 60 as moderate-severe anxiety) was employed to assess anxiety in the subjects, and self-rating depression scale (SDS, the score less than 50 points is as non-depression, from 50 to 59 as mild depression, and more than 60 as moderate-severe depression) to assess depression. Eysenck personality questionnaire (EPQ, consisting of 4 scales: psychoticism (P), extraversion (E), neuroticism (N), lie (L)) was used to assess the patients' personality characteristisymptom checklist (SCL, 90 items include 9 factors: somatization, obsession, sensitivity of interpersonal relationship, depression, anxiety, aggression, fear, crankiness and psychotic diseases, which are graded from 0 to 4: 0 point as be symptomless, 1 point as mild symptom, 2 points as moderate symptom, 3 points as mild severe symptom and 4 points as severe symptom) to assess patients' mental status. The assessed results were compared with the national norm. The trained psychiatrists gave uniform instruction based on the assessment of all scales to assist the patients to fill the questionnaires independently. All the questionnaires were nameless, and reclaimed on the spot. The inter-group comparison was performed by t test and related tests. RESULTS: All 423 patients in the acute glaucoma group and 346 patients in the chronic glaucoma group finished the survey and were analyzed in the result. 1) Difference in gender and age: Most of the patients in the acute glaucoma group were female, but there was unobvious difference in gender in the chronic glaucoma group. Patients were mainly aged from 60 to 70 years in the former group, and were from 50 to 70 years in the latter group. 2) The situation of anxiety and depression: The scores of SAS and SDS in the acute glaucoma group were extraordinarily significantly higher than the national norm, and significantly higher than those in the chronic glaucoma group. The rates of mild and moderate-severe anxiety, mild and moderate-severe depression were all higher in the acute glaucoma group than in the chronic glaucoma group. 3) In the comparison with the national norm: The P and N scores in EPQ test in the acute glaucoma group were higher than the national norm and those in the chronic glaucoma group. All the scores in the acute glaucoma group were significantly higher than the national norm and those in the chronic glaucoma group, except the scores of obsession and crankiness. 4) Analysis of correlation: The scores of SAS and SDS were in a remarkably positive correlation with the scores of P, N, somatization, interpersonal relationship, psychotic diseases in EPQ, and in an un-obvious correlation with the scores of E and L in EPQ. The results indicated that patients with acute angle-closure glaucoma were influenced by their personality characteristics. CONCLUSION: The personality characteristics in patients with acute angle-closure glaucoma possess obvious nervous temperament, and have marked psychological symptoms, which are remarkably different from psychological factors in normal people and patients with chronic angle-closure glaucoma. LA: Chinese
Dr. P. Chen, Department of Ophthalmology, Research Institute of Surgery, Third Military Medical University of Chinese PLA, Chongqing 400042, China
Classification:
9.3 Primary angle closure glaucomas (Part of: 9 Clinical forms of glaucomas)
