Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eye
Abstract Background For clinical practice it is important to evaluate and compare anxiety, depression and quality of life of glaucoma patients with painless one-eye blindness and a normal fellow eye to unaffected age-matched individuals from a similar environment. Methods Twenty-eight stable glaucom...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-021-01845-2 |
| _version_ | 1819283779180560384 |
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| author | Gábor Holló Nikolett Gabriella Sándor Péter Kóthy Anna Géczy |
| author_facet | Gábor Holló Nikolett Gabriella Sándor Péter Kóthy Anna Géczy |
| author_sort | Gábor Holló |
| collection | DOAJ |
| description | Abstract Background For clinical practice it is important to evaluate and compare anxiety, depression and quality of life of glaucoma patients with painless one-eye blindness and a normal fellow eye to unaffected age-matched individuals from a similar environment. Methods Twenty-eight stable glaucoma patients (age, mean ± SD: 69.0 ± 13.3 years) with one normal and one painless blind eye, and 26 controls (age: 67.0 ± 14.0 years) completed the standard Hungarian adaptations of the Beck Depression Inventory, Beck Anxiety Inventory, Spielberger-Trait Anxiety Inventory, Hopelessness Scale, and Quality of Life Questionnaire SF-36 with the assistance of trained psychologist interviewers within 3 months after a detailed ophthalmological examination. Results The groups did not differ in age, gender distribution, number of children, grandchildren and people in their household (p ≥ 0.235). The best corrected visual acuity (BCVA) of the diseased eye was minimal (median: 0.00), while BCVA of their better eye (median: 1.0) did not differ from that of the control group (p ≥ 0.694). Compared to the control group, the patients’ scores were significantly higher for depression (p ≤ 0.01), cognitive and psychophysiological symptoms of anxiety (p ≤ 0.05) and hopelessness (p ≤ 0.013), and lower (worse) for physical function, vitality, general health and bodily pain (p ≤ 0.045). No difference was found between the groups for mental health, physical role functioning, emotional role functioning and social role functioning (p ≥ 0.117). Conclusion Our results show that patients with glaucoma-related one-eye blindness may require regular psychological support even when the visual performance of the fellow eye is fully maintained on the long run, and the patients’ everyday functioning is normal. |
| first_indexed | 2024-12-24T01:36:54Z |
| format | Article |
| id | doaj.art-119a2ac0030e4b5bae75df2ba3d0a88e |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-24T01:36:54Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-119a2ac0030e4b5bae75df2ba3d0a88e2022-12-21T17:22:10ZengBMCBMC Ophthalmology1471-24152021-02-012111710.1186/s12886-021-01845-2Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eyeGábor Holló0Nikolett Gabriella Sándor1Péter Kóthy2Anna Géczy3Department of Ophthalmology, Semmelweis UniversityDepartment of Personality and Clinical Psychology, Pázmány Péter Catholic University, Institute of PsychologyDepartment of Ophthalmology, Semmelweis UniversityDepartment of Personality and Clinical Psychology, Pázmány Péter Catholic University, Institute of PsychologyAbstract Background For clinical practice it is important to evaluate and compare anxiety, depression and quality of life of glaucoma patients with painless one-eye blindness and a normal fellow eye to unaffected age-matched individuals from a similar environment. Methods Twenty-eight stable glaucoma patients (age, mean ± SD: 69.0 ± 13.3 years) with one normal and one painless blind eye, and 26 controls (age: 67.0 ± 14.0 years) completed the standard Hungarian adaptations of the Beck Depression Inventory, Beck Anxiety Inventory, Spielberger-Trait Anxiety Inventory, Hopelessness Scale, and Quality of Life Questionnaire SF-36 with the assistance of trained psychologist interviewers within 3 months after a detailed ophthalmological examination. Results The groups did not differ in age, gender distribution, number of children, grandchildren and people in their household (p ≥ 0.235). The best corrected visual acuity (BCVA) of the diseased eye was minimal (median: 0.00), while BCVA of their better eye (median: 1.0) did not differ from that of the control group (p ≥ 0.694). Compared to the control group, the patients’ scores were significantly higher for depression (p ≤ 0.01), cognitive and psychophysiological symptoms of anxiety (p ≤ 0.05) and hopelessness (p ≤ 0.013), and lower (worse) for physical function, vitality, general health and bodily pain (p ≤ 0.045). No difference was found between the groups for mental health, physical role functioning, emotional role functioning and social role functioning (p ≥ 0.117). Conclusion Our results show that patients with glaucoma-related one-eye blindness may require regular psychological support even when the visual performance of the fellow eye is fully maintained on the long run, and the patients’ everyday functioning is normal.https://doi.org/10.1186/s12886-021-01845-2AnxietyDepressionGlaucoma-related blindnessHopelessnessQuality of lifePsychometric testing |
| spellingShingle | Gábor Holló Nikolett Gabriella Sándor Péter Kóthy Anna Géczy Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eye BMC Ophthalmology Anxiety Depression Glaucoma-related blindness Hopelessness Quality of life Psychometric testing |
| title | Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eye |
| title_full | Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eye |
| title_fullStr | Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eye |
| title_full_unstemmed | Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eye |
| title_short | Influence of painless one-eye blindness on depression, anxiety and quality of life in glaucoma patients with a normal fellow eye |
| title_sort | influence of painless one eye blindness on depression anxiety and quality of life in glaucoma patients with a normal fellow eye |
| topic | Anxiety Depression Glaucoma-related blindness Hopelessness Quality of life Psychometric testing |
| url | https://doi.org/10.1186/s12886-021-01845-2 |
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