Rishi Pukhraj, Rishi Ekta, Maitray Aditya, Agarwal Ashutosh, Nair Sridevi, Gopalakrishnan Sarika
Shri Bhagwan Mahavir Vitreoretinal Services, Chennai, Tamil Nadu, India.
Low Vision Care Clinic, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2017 Nov;65(11):1203-1208. doi: 10.4103/ijo.IJO_436_17.
Assessment of anxiety and depression in patients attending low vision care (LVC) using Hospital Anxiety and Depression Scale (HADS).
In this prospective, observational study, 100 patients with best-corrected visual acuity (BCVA) worse than 6/18 in the better eye or limitation of field of vision to <10° from center of fixation were assessed on the depression and anxiety subscales of HADS questionnaire before and after LVC. HADS is a 14-item scale with seven items each for anxiety and depression subscales. Scoring for each item ranges from zero to three. A subscale score >8 denotes anxiety or depression.
Mean age at presentation was 38.2 years. Mean duration of symptoms was 9.6 years. Underlying etiology of visual impairment included retinal dystrophy/degeneration (n = 35), disorders of the optic nerve (n = 17), glaucoma (n = 10), diabetic retinopathy (n = 9), age-related macular degeneration (n = 5), uncorrected refractive errors (n = 5), and miscellaneous diseases (n = 19). Mean presenting BCVA in the better eye was 0.83 (±0.64) which improved significantly to 0.78 (±0.63) after LVC (P < 0.001). The HADS-Depression subscale score was comparable for severity of visual impairment for both distance (P = 0.57) and near vision (P = 0.61). Similarly, HADS-Anxiety scores were also comparable for severity of distance (P = 0.34) and near-visual impairment (NVI; P = 0.50). At baseline, mean HADS-Depression and HADS-Anxiety scores were 8.4 (±3.7) and 9.6 (±4.3) points, which improved significantly to 6.0 (±3.4) and 6.7 (±3.7), respectively, after low-vision correction (P < 0.001).
Low vision correction can significantly improve anxiety and depression indicators in visually impaired patients.
使用医院焦虑抑郁量表（HADS）评估低视力护理（LVC）患者的焦虑和抑郁情况。
在这项前瞻性观察研究中，对100例最佳矫正视力（BCVA）较差眼低于6/18或视野范围从注视中心起小于10°的患者，在低视力护理前后使用HADS问卷的抑郁和焦虑分量表进行评估。HADS是一个包含14个条目的量表，焦虑和抑郁分量表各有7个条目。每个条目的评分范围为0至3分。分量表得分>8表示存在焦虑或抑郁。
就诊时的平均年龄为38.2岁。症状的平均持续时间为9.6年。视力损害的潜在病因包括视网膜营养不良/变性（n = 35）、视神经疾病（n = 17）、青光眼（n = 10）、糖尿病视网膜病变（n = 9）、年龄相关性黄斑变性（n = 5）、未矫正的屈光不正（n = 5）以及其他杂症（n = 19）。较好眼的初始平均BCVA为0.83（±0.64），低视力护理后显著提高至0.78（±0.63）（P < 0.001）。HADS抑郁分量表得分在远视力（P = 0.57）和近视力（P = 0.61）的视力损害严重程度方面具有可比性。同样，HADS焦虑得分在远视力（P = 0.34）和近视力损害（NVI；P = 0.50）严重程度方面也具有可比性。在基线时，HADS抑郁和HADS焦虑的平均得分分别为8.4（±3.7）分和9.6（±4.3）分，低视力矫正后分别显著改善至6.0（±3.4）分和6.7（±3.7）分（P < 0.001）。
低视力矫正可显著改善视力受损患者的焦虑和抑郁指标。
