Psychiatric morbidity of patients with keratoconus: A cross-sectional study
| Autor: | Berru Yargi, Serhat Ergün, Fatih Baz, Semra Akkaya Turhan, Ayşe Ebru Toker, Mesut Yildiz, Erdem Örnek |
|---|---|
| Přispěvatelé: | Ergün, Serhat |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Refractive error Keratoconus medicine.medical_specialty genetic structures Cross-sectional study Beck Anxiety Inventory Psychiatric morbidity Visual Acuity Anxiety Severity of Illness Index 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Psychiatry Depression (differential diagnoses) business.industry Beck Depression Inventory Middle Aged medicine.disease Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Quality of Life medicine.symptom Morbidity business 030217 neurology & neurosurgery |
| Zdroj: | Journal of psychosomatic research. 143 |
| ISSN: | 1879-1360 |
| Popis: | Background This study aimed to determine the prevalence of psychiatric disorders in patients with keratoconus and the effect of clinical parameters and psychiatric morbidity on quality of life in this patient group. Materials and methods This cross-sectional study enrolled 94 patients with keratoconus. All patients underwent a complete ophthalmic and psychiatric examination and completed the The National Eye Institute Refractive Error Quality of Life Instrument-42 (NEI-RQL-42), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) questionnaires. The current diagnosis of psychiatric disorders was determined using the Structured Clinical Interview for DSM-IV (SCID). The impact of disease severity (binocular BCVA ≥0.4 logMAR, steep K reading ≥52, and Amsler-Krumeich grades) on vision-related quality of life was also analyzed. Results The patients' mean age was 23.9 ± 4.8 (range, 18–40) years. Of the 94 participants 35 (37.2%) had a psychiatric diagnosis, 13 (13.8%) had moderate-severe depression and 20 (21.2%) had moderate-severe anxiety according to the BDI and BAI, respectively. The probability of having a psychiatric disorder was higher if the keratoconus was more severe. Patients with a psychiatric diagnosis scored lower on physical functioning, role limitations due to emotional problems, energy/fatigue; emotional well-being, social functioning and pain subscales of the Short Form-36 (SF-36). Having a SCID-1 psychiatric diagnosis and the presence of a psychiatric disorder did not significantly affect NEI-RQL-42 questionnaire scores. Conclusions There was high psychiatric morbidity among patients with keratoconus. Having a psychiatric disorder was associated with lower QoL as measured using the SF-36. |
| Databáze: | OpenAIRE |
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