Dias Lynette, Hyman Leslie, Manny Ruth E, Fern Karen
Stony Brook University Health Sciences Center, Stony Brook, New York 11794-8036, USA.
Optom Vis Sci. 2005 Apr;82(4):338-47. doi: 10.1097/01.opx.0000159365.16184.bf.
The purposes of this study were to evaluate self-esteem over 3 years in the 469 myopic children participating in the Correction of Myopia Evaluation Trial (COMET), and to examine its relationship with lens assignment (progressive addition lenses [PALs] vs. single-vision lenses [SVLs]), myopia progression, and several other ocular and demographic characteristics.
Data collection included refractive error measurements, child-reported visual symptoms, attitude toward glasses, adherence, and self-esteem as measured by the Self-Perception Profile for Children (SPPC). A two-way analysis of variance (treatment group x time) was performed to examine whether PAL and SVL wearers differed in self-esteem over time. Multiple regression analyses were used to evaluate associations between self-esteem at follow-up and relevant factors identified by univariate analyses.
Regardless of lens assignment or myopia progression, COMET children reported moderate to high levels of self-esteem at follow-up in the areas of scholastic and athletic competence, physical appearance, social acceptance, behavioral conduct, and global self-worth. Mean scores ranged from 2.87 (+/- 0.68) on athletic competence to 3.40 (+/- 0.56) on global self-worth. Self-esteem changed significantly (p < 0.05) over 3 years in the domains of scholastic competence, social acceptance, and physical appearance. Self-esteem at follow-up was associated with visual symptoms, attitude toward glasses, age, gender, and ethnicity.
Lens assignment and myopia progression were not associated with self-esteem in the COMET cohort. These children had high levels of self-esteem, suggesting that having myopia does not negatively impact self-esteem. Follow-up reports will monitor self-esteem and related factors in this cohort of myopic children over the course of adolescence and early adulthood.
本研究旨在评估参与近视矫正评估试验（COMET）的469名近视儿童在3年中的自尊水平，并研究其与镜片分配（渐进多焦点镜片[PALs]与单光镜片[SVLs]）、近视进展以及其他一些眼部和人口统计学特征之间的关系。
数据收集包括屈光不正测量、儿童报告的视觉症状、对眼镜的态度、依从性以及通过儿童自我认知量表（SPPC）测量的自尊。进行双向方差分析（治疗组x时间），以检查佩戴PAL和SVL的儿童在自尊方面随时间是否存在差异。多元回归分析用于评估随访时的自尊与单因素分析确定的相关因素之间的关联。
无论镜片分配或近视进展如何，COMET儿童在随访时报告在学业和运动能力、外貌、社会接受度、行为表现和总体自我价值等方面具有中等到高水平的自尊。平均得分范围从运动能力方面的2.87（±0.68）到总体自我价值方面的3.40（±0.56）。在学业能力、社会接受度和外貌领域，自尊在3年中发生了显著变化（p<0.05）。随访时的自尊与视觉症状、对眼镜的态度、年龄、性别和种族有关。
在COMET队列中，镜片分配和近视进展与自尊无关。这些儿童具有较高的自尊水平，表明患有近视不会对自尊产生负面影响。后续报告将在青春期和成年早期对该队列近视儿童的自尊及相关因素进行监测。
