Mannis Mark J, Ling Jennifer J, Kyrillos Ralph, Barnett Melissa
Department of Ophthalmology & Vision Science, University of California, Davis, Sacramento, CA.
Cornea. 2018 Mar;37(3):400-404. doi: 10.1097/ICO.0000000000001479.
To assess the existing literature on the subject of keratoconus and personality and to propose a theory that might account for the perceived personality changes associated with this condition.
A literature search was conducted in the PubMed database using the term "keratoconus" in combination with keywords such as personality, psychiatry, psychology, anxiety, depression, or psychosis. A total of 15 articles pertaining to personality and psychiatric disorders in keratoconus were retained and reviewed.
Although patients with keratoconus tend to score differently on personality scales compared with normal controls, the literature fails to substantiate the existence of a unique "keratoconic personality." Instead, patients with keratoconus prove to have more dysfunctional coping mechanisms that specifically alter their interaction with health care providers and may account for the persistent clinical impression of less respectful, conforming, and cooperative patients.
We hypothesize that the stage of life at which keratoconus commonly presents plays a crucial role in personality and coping mechanism development that significantly affects behavioral patterns and the relationship with caregivers.
评估关于圆锥角膜与人格主题的现有文献，并提出一种理论来解释与该病症相关的人格变化。
在PubMed数据库中进行文献检索，使用“圆锥角膜”一词并结合人格、精神病学、心理学、焦虑、抑郁或精神病等关键词。总共保留并审查了15篇关于圆锥角膜患者人格和精神障碍的文章。
尽管与正常对照组相比，圆锥角膜患者在人格量表上的得分往往有所不同，但文献未能证实存在独特的“圆锥角膜人格”。相反，圆锥角膜患者被证明具有更多功能失调的应对机制，这些机制特别改变了他们与医护人员的互动，这可能解释了一直以来临床上对患者不太尊重、顺从和合作的印象。
我们假设圆锥角膜常见发病的人生阶段在人格和应对机制发展中起着关键作用，这会显著影响行为模式以及与护理人员的关系。
