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Abstract #74270 Published in IGR 19-1

Evaluating the Quality of Life of Glaucoma Patients Using the State-Trait Anxiety Inventory

Otori Y; Takahashi G; Urashima M; Kuwayama Y;
Journal of Glaucoma 2017; 26: 1025-1029


PURPOSE: To evaluate anxiety felt by glaucoma patients. PATIENTS AND METHODS: In total, 472 glaucoma patients responded to a questionnaire on anxiety, subjective symptoms, and vision-related quality of life (VR-QOL) associated with glaucoma. Anxiety was evaluated using the State-Trait Anxiety Inventory (STAI), state anxiety (STAI-State) subscale along with our novel questionnaire, assessing visual function and subjective symptoms, specialized for glaucoma. VR-QOL was evaluated using 5 subitems from the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Adherence to ophthalmic antiglaucoma agents was confirmed. As indexes of visual function, corrected visual acuity (measured by eye chart), mean deviation (MD) score (measured with static perimetry), and 4 thresholds at the center of vision were determined. Stages were classified according to the Aulhorn Classification. From the STAI-State scores, the prevalence of anxiety in glaucoma patients was evaluated. We analyzed the correlation between the STAI-State and VFQ-25, anxiety, subjective symptoms, adherence, and visual function indexes. RESULTS: In total, 78% of glaucoma patients experienced at least an intermediate level of anxiety. The STAI-State correlated significantly with anxiety and subjective symptoms as measured by our novel questionnaire, particularly for questions "current anxiety about loss of vision" and "current anxiety in life" (r=0.468 and 0.500; both P<0.0001). However, STAI-State correlated weakly with VFQ-25, and not at all with visual function indexes and adherence. CONCLUSIONS: Many glaucoma patients feel anxiety. The STAI-State is correlated with the VR-QOL and anxiety in glaucoma patients, making it useful for understanding the anxiety present in glaucoma patients.

*Department of Ophthalmology, National Hospital Organization Osaka National Hospital §Fukushima Eye Clinic, Osaka †Department of Ophthalmology, Jikei University School of Medicine, Katsushika Medical Center, Katsushika ‡Division of Molecular Epidemiology, Jikei University School of Medicine, Minato-ku, Tokyo, Japan.

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Classification:

1.4 Quality of life (Part of: 1 General aspects)



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