Lahousen Theresa, Painold Annamaria, Luxenberger Wolfgang, Schienle Anne, Kapfhammer Hans-Peter, Ille Rottraut
a Theresa Lahousen, Department of Psychiatry, Medical University of Graz , Austria.
b Annamaria Painold, Department of Psychiatry, Medical University of Graz , Austria.
Nord J Psychiatry. 2016;70(1):24-30. doi: 10.3109/08039488.2015.1041156. Epub 2015 May 7.
Central serous chorioretinopathy (CSC) has been associated with several psychological factors. But previous psychological data are limited and mainly restricted to male patients and small sample size. In this study we investigated psychosomatic complaints, personality factors, life events, and stress coping in acute and chronic recurrent CSC patients.
Ninety-five patients (71 men, 24 women) with either acute or chronic CSC were evaluated regarding critical life events before diagnosis, psychosomatic complaints, personality traits and coping style. The characteristics of CSC patients were compared with a control group comprising 75 patients (46 men, 29 women) suffering from acute or chronic ophthalmic disorders other than CSC.
Compared with patients of the control group, CSC patients reported more psychosomatic problems, unfavourable stress coping strategies and critical life events as well as elevated tension, aggression, strain, emotional instability and achievement orientation. Except for aggression the observed characteristics were more pronounced in acute than in chronic CSC patients.
The appearance of CSC may be associated with an accumulation of stressful life events with an unfavourable coping style and distinctive personality factors. Acute CSC is related to more unfavourable stress coping and more physical complaints compared to its chronic course. Elevated aggression may imply one potential risk factor for CSC manifestation and also may have an adverse effect with its chronification.
中心性浆液性脉络膜视网膜病变（CSC）与多种心理因素有关。但既往的心理数据有限，且主要限于男性患者和小样本量。在本研究中，我们调查了急性和慢性复发性CSC患者的心身症状、人格因素、生活事件及应激应对情况。
对95例急性或慢性CSC患者（71例男性，24例女性）进行评估，内容包括诊断前的重大生活事件、心身症状、人格特质及应对方式。将CSC患者的特征与由75例（46例男性，29例女性）患有除CSC以外的急性或慢性眼科疾病的患者组成的对照组进行比较。
与对照组患者相比，CSC患者报告了更多的心身问题、不良的应激应对策略和重大生活事件，以及更高的紧张感、攻击性、压力、情绪不稳定性和成就取向。除攻击性外，观察到的这些特征在急性CSC患者中比慢性CSC患者中更明显。
CSC的出现可能与应激性生活事件的积累、不良的应对方式及独特的人格因素有关。与慢性病程相比，急性CSC与更不良的应激应对和更多的身体不适有关。攻击性增强可能意味着CSC表现的一个潜在危险因素，并且也可能对其慢性化产生不利影响。
