Tastan Sevinc, Iyigun Emine, Bayer Atilla, Acikel Cengizhan
School of Nursing, Gülhane Military Medical Academy, Ankara, Turkey.
Psychol Rep. 2010 Apr;106(2):343-57. doi: 10.2466/pr0.106.2.343-357.
The purpose was to investigate the relationship between anxiety, depression, and quality of life in patients with glaucoma. This case-control study was carried out with 121 participants with glaucoma (M age=64.2, SD=13.2; 68 women, 76.0% married) and 64 controls. The data were collected by using a data collection form involving questions on patients' specific characteristics, the Hospital Anxiety and Depression Scale, and the National Eye Institute Visual Function Questionnaire. Rate of clinical anxiety was 14.0% and depression 57.0% among the participants with glaucoma. The anxiety risk in women with glaucoma was found to be 7.5 times higher than in men. Risk of depression was 2.94 times higher in unmarried compared to married participants. Anxiety scores were higher in unmarried participants and women. The mean Depression score was statistically significantly higher for unmarried participants. The incidence of depression and anxiety increased with decreasing quality of life scores. Quality of life was associated negatively with anxiety and depression in patients with glaucoma. Evaluating quality of life, anxiety, and depression in older individuals who have glaucoma and examining the risk factors are important to provide earlier health care service and preventive psychological treatment.
目的是研究青光眼患者焦虑、抑郁与生活质量之间的关系。这项病例对照研究纳入了121名青光眼患者（平均年龄=64.2岁，标准差=13.2；68名女性，76.0%已婚）和64名对照者。通过使用一份数据收集表来收集数据，该表包含有关患者具体特征、医院焦虑抑郁量表以及美国国立眼科研究所视觉功能问卷的问题。青光眼患者中临床焦虑发生率为14.0%，抑郁发生率为57.0%。发现青光眼女性的焦虑风险比男性高7.5倍。未婚参与者的抑郁风险比已婚参与者高2.94倍。未婚参与者和女性的焦虑得分更高。未婚参与者的平均抑郁得分在统计学上显著更高。抑郁和焦虑的发生率随着生活质量得分的降低而增加。青光眼患者的生活质量与焦虑和抑郁呈负相关。评估患有青光眼的老年人的生活质量、焦虑和抑郁，并检查风险因素，对于提供早期医疗服务和预防性心理治疗很重要。
