Stony Brook University School of Medicine, Stony Brook, USA.
Ophthalmic Physiol Opt. 2013 Sep;33(5):573-80. doi: 10.1111/opo.12080. Epub 2013 Jun 13.
To evaluate whether contact lens (CL) use was associated with self-esteem in myopic children originally enrolled in the Correction of Myopia Evaluation Trial (COMET), that after 5 years continued as an observational study of myopia progression with CL use permitted.
Usable data at the 6-year visit, one year after CL use was allowed (n = 423/469, age 12-17 years), included questions on CL use, refractive error measurements and self-reported self-esteem in several areas (scholastic/athletic competence, physical appearance, social acceptance, behavioural conduct and global self-worth). Self-esteem, scored from 1 (low) to 4 (high), was measured by the Self-Perception Profile for Children in participants under 14 years or the Self-Perception Profile for Adolescents, in those 14 years and older. Multiple regression analyses were used to evaluate associations between self-esteem and relevant factors identified by univariate analyses (e.g., CL use, gender, ethnicity), while adjusting for baseline self-esteem prior to CL use.
Mean (±S.D.) self-esteem scores at the 6-year visit (mean age = 15.3 ± 1.3 years; mean refractive error = -4.6 ± 1.5 D) ranged from 2.74 (± 0.76) on athletic competence to 3.33 (± 0.53) on global self-worth. CL wearers (n = 224) compared to eyeglass wearers (n = 199) were more likely to be female (p < 0.0001). Those who chose to wear CLs had higher social acceptance, athletic competence and behavioural conduct scores (p < 0.05) at baseline compared to eyeglass users. CL users continued to report higher social acceptance scores at the 6-year visit (p = 0.03), after adjusting for baseline scores and other covariates. Ethnicity was also independently associated with social acceptance in the multivariable analyses (p = 0.011); African-Americans had higher scores than Asians, Whites and Hispanics. Age and refractive error were not associated with self-esteem or CL use.
COMET participants who chose to wear CLs after 5 years of eyeglass use had higher self-esteem compared to those who remained in glasses both preceding and following CL use. This suggests that self-esteem may influence the decision to wear CLs and that CLs in turn are associated with higher self-esteem in individuals most likely to wear them.
评估近视儿童在最初参加矫正近视评估试验 (COMET) 时，接触镜 (CL) 的使用是否与自尊有关，该试验在 5 年后继续作为一项允许使用 CL 的近视进展的观察性研究。
在允许使用 CL 一年后的 6 年随访中（n=423/469，年龄 12-17 岁），使用了 CL 使用、屈光不正测量和自我报告的几个领域（学业/运动能力、身体外观、社会接受度、行为表现和整体自我价值感）的自尊问题。在 14 岁以下的参与者中，通过儿童自我感知量表进行评分，在 14 岁及以上的参与者中，通过青少年自我感知量表进行评分，得分从 1（低）到 4（高）。使用多元回归分析评估自尊与单变量分析确定的相关因素（例如，CL 使用、性别、种族）之间的关联，同时调整 CL 使用前的基线自尊。
6 年随访时的平均（±SD）自尊得分（平均年龄=15.3±1.3 岁；平均屈光不正=-4.6±1.5D）范围从运动能力的 2.74（±0.76）到整体自我价值感的 3.33（±0.53）。与戴眼镜者（n=199）相比，选择戴 CL 者（n=224）更有可能为女性（p<0.0001）。与戴眼镜者相比，选择戴 CL 的人在基线时具有更高的社会接受度、运动能力和行为表现得分（p<0.05）。在调整基线得分和其他协变量后，CL 使用者在 6 年随访时仍报告更高的社会接受度得分（p=0.03）。多元分析中种族也与社会接受度独立相关（p=0.011）；非裔美国人的得分高于亚裔、白人和西班牙裔。年龄和屈光不正与自尊或 CL 使用无关。
在 5 年戴眼镜后选择戴 CL 的 COMET 参与者的自尊高于那些在戴 CL 前后都戴眼镜的人。这表明，自尊可能会影响戴 CL 的决定，而 CL 反过来又与最有可能戴 CL 的个体的更高自尊相关。
