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视网膜色素变性患者的抑郁与视力相关生活质量

Depression and the vision-related quality of life in patients with retinitis pigmentosa.

作者信息

Hahm B-J, Shin Y-W, Shim E-J, Jeon H J, Seo J-M, Chung H, Yu H G

机构信息

Department of Neuropsychiatry, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul, Korea 110-744.

出版信息

Br J Ophthalmol. 2008 May;92(5):650-4. doi: 10.1136/bjo.2007.127092. Epub 2008 Mar 20.

Abstract

AIMS

To assess the relationship between depression and the vision-related quality of life in patients with retinitis pigmentosa (RP).

METHODS

The study included 144 patients diagnosed as having RP. The mean age of the patients was 38.5 (SD 13.3) years, and 42% of the subjects were women. They answered the National Eye Institute Visual Function Questionnaire (NEI-VFQ) to assess the vision-related quality of life and the Beck Depression Inventory (BDI) to assess depressive symptoms. Patients were classified into groups with and without depression according to the BDI score. The NEI-VFQ composite and subscale scores were compared between groups. The correlations between the BDI and the NEI-VFQ, weighted visual acuity (WVA) and functional vision score (FVS) were investigated.

RESULTS

The depressed group had significantly less subjective visual function compared with the non-depressed group. A negative correlation was observed between the BDI and the NEI-VFQ scores, while no correlation was found between the BDI score and WVA or FVS.

CONCLUSION

The RP patients with depression had poorer vision-related functions compared with those patients without depression, which cannot be explained by the visual acuity. Interventions to diagnose and treat depression are necessary to enhance the overall quality of life in RP patients.

摘要

目的

评估视网膜色素变性(RP)患者抑郁与视力相关生活质量之间的关系。

方法

该研究纳入了144例诊断为RP的患者。患者的平均年龄为38.5(标准差13.3)岁,42%的受试者为女性。他们回答了美国国立眼科研究所视觉功能问卷(NEI-VFQ)以评估视力相关生活质量,并回答了贝克抑郁量表(BDI)以评估抑郁症状。根据BDI评分将患者分为有抑郁和无抑郁两组。比较两组之间的NEI-VFQ综合评分和子量表评分。研究BDI与NEI-VFQ、加权视力(WVA)和功能性视力评分(FVS)之间的相关性。

结果

与非抑郁组相比,抑郁组的主观视觉功能明显较差。观察到BDI与NEI-VFQ评分之间呈负相关,而BDI评分与WVA或FVS之间未发现相关性。

结论

与无抑郁的RP患者相比,有抑郁的RP患者视力相关功能较差,这无法用视力来解释。对抑郁进行诊断和治疗的干预措施对于提高RP患者的整体生活质量是必要的。

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