Méndez-Ulrich Jorge Luis, Sanz Antoni
a Faculty of Psychology, Research Group on Stress and Health, Department of Basic, Developmental and Educational Psychology , Universitat Autònoma de Barcelona , Catalonia , Spain.
Psychol Health. 2017 Mar;32(3):330-342. doi: 10.1080/08870446.2016.1268690. Epub 2016 Dec 22.
Asymptomatic in its early stages, glaucoma is the second leading cause of blindness worldwide. While psychosocial factors are taken into consideration for a host of diseases such as cancer, heart disease and autoimmune conditions, to date, psychological issues have been ignored in the clinical management of glaucoma.
This work reviews the most relevant contributions from a health psychology perspective for the assessment and treatment of glaucoma, which is emerging in the field of psycho-ophthalmology.
To provide scientific evidence regarding contributions of psychology to the comprehension of glaucoma, a bibliographic review of three databases (Psicodoc, PsycInfo and Medline) was conducted, spanning the period between 1940 and 2016.
This review yielded a total of 66 studies published in the period analysed and identified three areas where health psychology has made substantive contributions to glaucoma screening, monitoring and treatment: the emotional impact on patients suffering from glaucoma, the adherence to treatment and the effects of stress on intraocular pressure.
A health psychology approach for research and therapy of glaucoma must focus on the management of the negative affect associated with the diagnosis, the optimisation of treatment adherence and the stress management of the intraocular pressure measurements.
青光眼在早期阶段没有症状，是全球第二大致盲原因。虽然心理社会因素在诸如癌症、心脏病和自身免疫性疾病等许多疾病的治疗中会被考虑，但迄今为止，青光眼的临床管理中一直忽视心理问题。
本文从健康心理学角度综述了在心理眼科领域新兴的青光眼评估和治疗方面最相关的研究成果。
为提供心理学对青光眼理解方面贡献的科学证据，对1940年至2016年期间的三个数据库（Psicodoc、PsycInfo和Medline）进行了文献综述。
本综述共得出在分析期间发表的66项研究，并确定了健康心理学在青光眼筛查、监测和治疗方面做出实质性贡献的三个领域：对青光眼患者的情绪影响、治疗依从性以及压力对眼压的影响。
青光眼研究和治疗的健康心理学方法必须专注于与诊断相关的负面影响的管理、治疗依从性的优化以及眼压测量的压力管理。
