Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction
ObjectiveTo investigate the prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction (NLDO).MethodsWe conducted a telephone-based survey of patients with NLDO who underwent dacryocystorhinostomy (DCR) at the Department of Ophthalmology of Peking Universit...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-08-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1174404/full |
| _version_ | 1797751897992462336 |
|---|---|
| author | Yining Guo Yining Guo Defu Wu Defu Wu Yu Jin Yu Jin Yanjie Tian Yanjie Tian Xuemin Li Xuemin Li |
| author_facet | Yining Guo Yining Guo Defu Wu Defu Wu Yu Jin Yu Jin Yanjie Tian Yanjie Tian Xuemin Li Xuemin Li |
| author_sort | Yining Guo |
| collection | DOAJ |
| description | ObjectiveTo investigate the prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction (NLDO).MethodsWe conducted a telephone-based survey of patients with NLDO who underwent dacryocystorhinostomy (DCR) at the Department of Ophthalmology of Peking University Third Hospital in China between January 2016 and January 2021. Depression and anxiety were assessed with the PHQ-9 (range 0–25) and STAI (range 20–80) scales. PHQ-9 ≥ 5 and STAI ≥ 55 were considered clinically significant. Logistic regression and linear regression were performed to determine the factors related to depression and anxiety.ResultsOf 565 patients approached, 344 (60.9%) completed the survey. A total of 13.1% of patients had mild-severe depression and 63.4% had severe anxiety. Univariate logistic regression revealed that hypertension, dry eye, and cataract were associated with mild to severe depression (P = 0.018, 0.045, 0.035, respectively). Dry eye was associated with severe anxiety (P = 0.007). Univariate linear regression revealed that male and income levels were significantly negatively correlated with PHQ-9 scores (P = 0.011, 0.010, respectively). Hypertension and dry eye were significantly positively correlated with PHQ-9 scores (P = 0.030, P < 0.001, respectively). Male, income levels, and educational levels were significantly negatively correlated with STAI scores (P = 0.022, P < 0.001, P = 0.005, respectively). Dry eye was significantly positively correlated with STAI scores (P < 0.001).ConclusionPrevalence of depression and anxiety disorders was relatively high among NLDO patients. Our results demonstrate the importance of depression and anxiety screening and psychosocial support for patients with NLDO, which can improve their quality of life and compliance with medical appointments. |
| first_indexed | 2024-03-12T16:56:23Z |
| format | Article |
| id | doaj.art-0fb5e8d22a224d6686cf13c2cc72fbc3 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-12T16:56:23Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-0fb5e8d22a224d6686cf13c2cc72fbc32023-08-08T05:49:26ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-08-011410.3389/fpsyt.2023.11744041174404Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstructionYining Guo0Yining Guo1Defu Wu2Defu Wu3Yu Jin4Yu Jin5Yanjie Tian6Yanjie Tian7Xuemin Li8Xuemin Li9Department of Ophthalmology, Peking University Third Hospital, Beijing, ChinaBeijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Beijing, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing, ChinaBeijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Beijing, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing, ChinaBeijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Beijing, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing, ChinaBeijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Beijing, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing, ChinaBeijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Beijing, ChinaObjectiveTo investigate the prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction (NLDO).MethodsWe conducted a telephone-based survey of patients with NLDO who underwent dacryocystorhinostomy (DCR) at the Department of Ophthalmology of Peking University Third Hospital in China between January 2016 and January 2021. Depression and anxiety were assessed with the PHQ-9 (range 0–25) and STAI (range 20–80) scales. PHQ-9 ≥ 5 and STAI ≥ 55 were considered clinically significant. Logistic regression and linear regression were performed to determine the factors related to depression and anxiety.ResultsOf 565 patients approached, 344 (60.9%) completed the survey. A total of 13.1% of patients had mild-severe depression and 63.4% had severe anxiety. Univariate logistic regression revealed that hypertension, dry eye, and cataract were associated with mild to severe depression (P = 0.018, 0.045, 0.035, respectively). Dry eye was associated with severe anxiety (P = 0.007). Univariate linear regression revealed that male and income levels were significantly negatively correlated with PHQ-9 scores (P = 0.011, 0.010, respectively). Hypertension and dry eye were significantly positively correlated with PHQ-9 scores (P = 0.030, P < 0.001, respectively). Male, income levels, and educational levels were significantly negatively correlated with STAI scores (P = 0.022, P < 0.001, P = 0.005, respectively). Dry eye was significantly positively correlated with STAI scores (P < 0.001).ConclusionPrevalence of depression and anxiety disorders was relatively high among NLDO patients. Our results demonstrate the importance of depression and anxiety screening and psychosocial support for patients with NLDO, which can improve their quality of life and compliance with medical appointments.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1174404/fullnasolacrimal duct obstruction (NLDO)depressionanxietyPHQ-9STAI |
| spellingShingle | Yining Guo Yining Guo Defu Wu Defu Wu Yu Jin Yu Jin Yanjie Tian Yanjie Tian Xuemin Li Xuemin Li Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction Frontiers in Psychiatry nasolacrimal duct obstruction (NLDO) depression anxiety PHQ-9 STAI |
| title | Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction |
| title_full | Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction |
| title_fullStr | Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction |
| title_full_unstemmed | Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction |
| title_short | Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction |
| title_sort | prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction |
| topic | nasolacrimal duct obstruction (NLDO) depression anxiety PHQ-9 STAI |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1174404/full |
| work_keys_str_mv | AT yiningguo prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT yiningguo prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT defuwu prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT defuwu prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT yujin prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT yujin prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT yanjietian prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT yanjietian prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT xueminli prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction AT xueminli prevalenceandriskfactorsfordepressionandanxietyinpatientswithnasolacrimalductobstruction |