Department of Ophthalmology, Inonu University School of Medicine, Malatya, Turkey.
Can J Ophthalmol. 2011 Jun;46(3):267-70. doi: 10.1016/j.jcjo.2011.05.017. Epub 2011 May 27.
To investigate the rate of social phobia, anxiety, depression, and other psychiatric problems in children with strabismus.
Prospective, cross-sectional, case-control study.
Forty-two children with strabismus and 47 control subjects 8-13 years of age were enrolled in this study.
After the ophthalmologist's examination, all cases were assessed by a psychiatrist based on the structured interview technique of Schedule for Affective Disorders and Schizophrenia for School-Aged Children-Present and Lifetime Version (Kiddie-SADS-PL). The Screen for Child Anxiety Related Emotional Disorders (SCARED) was administered to each subject to evaluate social phobia. All participants completed the Children's Depression Inventory (CDI).
Age as well as sex and income were comparable between the strabismus patients and control groups. Social phobia was diagnosed in 8 (19.04%) of the 42 strabismic children and in 1 (2.12%) of the control subjects. The CDI and SCARED (total score, social phobia, separation anxiety) scores of strabismus patients were significantly higher than the control group (p = 0.001, p = 0.004, p = 0.0001, p = 0.05, respectively).
A relationship between strabismus in children and social phobia, depression, and anxiety on a symptom basis was underlined by our data.
调查斜视儿童的社交恐惧症、焦虑症、抑郁症和其他精神问题的发生率。
前瞻性、横断面、病例对照研究。
本研究纳入了 42 名斜视儿童和 47 名 8-13 岁的对照组儿童。
在眼科医生检查后，所有斜视儿童均由精神科医生根据儿童情感障碍和精神分裂症谱系及精神障碍现患和终生评估定式访谈 (Kiddie-SADS-PL) 的结构化访谈技术进行评估。对每位受试者进行儿童焦虑相关情绪障碍筛查量表 (SCARED) 以评估社交恐惧症。所有参与者均完成儿童抑郁量表 (CDI)。
斜视患者组和对照组在年龄、性别和收入方面无差异。42 名斜视儿童中，有 8 名 (19.04%) 被诊断为社交恐惧症，而对照组中有 1 名 (2.12%)。斜视患者的 CDI 和 SCARED（总分、社交恐惧症、分离焦虑）评分明显高于对照组 (p = 0.001，p = 0.004，p = 0.0001，p = 0.05)。
我们的数据强调了儿童斜视与社交恐惧症、抑郁和焦虑之间存在一定的关系。
