Section of Ophthalmology, Department of Experimental Biomedicine and Clinical Neuroscience (BioNeC), University of Palermo, Palermo, Italy.
J Glaucoma. 2014 Apr-May;23(4):199-201. doi: 10.1097/IJG.0b013e3182707421.
: To evaluate the presence of type A behavior in patients affected by open-angle glaucoma (OAG) and the possible role of psychophysiological stress as a risk factor for OAG.
Fifty patients, 30 women and 20 men, affected by OAG, underwent ophthalmological examination consisting of complete biomicroscopy, tonometry and daily tonometric curve, examination of the visual field by means of computerized perimeter "Octopus 1-2-3," and its assessment with the Glaucoma Staging System 2, morphologic monitoring of the retinal nerve fiber layer with GDx VCC and psychological assessment (Hamilton Anxiety Rating Scale) to evaluate the presence of anxiety and its level; type A/B personality questionnaire (Jenkin Modified Activity Survey; Ercta-B test for the further evaluation of type A personality; STAY test; Brief-cope test; Life event.
Sixty-four percent of the subjects, 17 women and 13 men, showed type A behavior, and in these patients both trait and state anxiety were much more evident (P=0.001). In the type A subjects, there was a much more significant visual field involvement (P=0.001); this involvement showed a negative correlation (P=0.024) with the Brief-cope scale.
The personality study is an extremely important part of the diagnostic work-up and treatment of OAG.
评估开角型青光眼（OAG）患者中 A 型行为的存在情况，以及心理生理应激是否为 OAG 的一个危险因素。
50 例 OAG 患者（30 名女性，20 名男性）接受眼科检查，包括全面的生物显微镜检查、眼压测量和日常眼压曲线、计算机化周边视野检查（“Octopus 1-2-3”），并使用青光眼分期系统 2 进行评估，通过 GDx VCC 对视网膜神经纤维层进行形态监测，以及心理评估（汉密尔顿焦虑量表），以评估焦虑的存在及其程度；A 型/B 型人格问卷（詹金斯改良活动调查；埃克塔 B 测试进一步评估 A 型人格；STAY 测试；简要应对测试；生活事件）。
64%的患者（17 名女性和 13 名男性）表现出 A 型行为，这些患者的特质焦虑和状态焦虑更为明显（P=0.001）。在 A 型患者中，视野受累更为明显（P=0.001）；这种受累与 Brief-cope 量表呈负相关（P=0.024）。
人格研究是 OAG 诊断和治疗中非常重要的一部分。
