Department of Medicine, Division of Endocrinology and Center for Endocrine Tumors, Leiden University Medical Center, Leiden, the Netherlands.
Department of Ophthalmology, Leiden University Medical Center, Leiden, the Netherlands.
Acta Ophthalmol. 2019 Jun;97(4):e572-e579. doi: 10.1111/aos.13952. Epub 2018 Oct 30.
'Type A' behavioural characteristics and psychosocial stress have traditionally been associated with chronic central serous chorioretinopathy (cCSC). However, a characteristical personality profile could not be identified in these patients and the presumed association with stress is subject to controversy, due to a lack of convincing studies using validated measuring instruments. In this study, we aimed to assess maladaptive personality traits, psychological morbidity and coping strategies in patients with cCSC, in order to identify potentially modifiable psychosocial aspects which could be used in support to current standard treatment.
A cross-sectional study in a cohort of 86 patients with cCSC using validated questionnaires. Findings were compared to both Dutch population reference data and reference data from patients treated for Cushing's disease.
Maladaptive personality traits were not more prevalent in patients with cCSC than in the general population, and psychological morbidity was not increased. Patients with cCSC were shown to make more use of passive coping, active coping and seeking social support. Interestingly, personality, psychological morbidity and coping characteristics of patients with cCSC were more comparable to features of patients treated for Cushing's disease than to population-based data.
Maladaptive personality traits such as type A behavioural characteristics are not more prevalent in patients with cCSC. Patients with cCSC make more use of certain coping strategies, which could be addressed by psychosocial care to improve self-management. Further research is needed establish whether the course of disease can be improved by altering coping and reducing 'stress'.
传统上，“A型”行为特征和心理社会应激与慢性中心性浆液性脉络膜视网膜病变（cCSC）有关。然而，由于缺乏使用经过验证的测量工具的令人信服的研究，这些患者并没有表现出典型的人格特征，并且与应激的假定关联存在争议。在这项研究中，我们旨在评估 cCSC 患者的适应不良人格特征、心理病态和应对策略，以确定可能改变的心理社会方面，这些方面可以用于支持当前的标准治疗。
使用经过验证的问卷对 86 例 cCSC 患者进行横断面研究。将研究结果与荷兰人群参考数据和库欣病患者的参考数据进行比较。
cCSC 患者的适应不良人格特征并不比普通人群更普遍，心理病态也没有增加。cCSC 患者更多地使用被动应对、积极应对和寻求社会支持。有趣的是，cCSC 患者的人格、心理病态和应对特征与库欣病患者的特征更为相似，而与基于人群的数据不相似。
cCSC 患者的适应不良人格特征（如 A 型行为特征）并不更为普遍。cCSC 患者更多地使用某些应对策略，通过心理社会护理来改善自我管理，可以解决这些策略。需要进一步研究以确定通过改变应对方式和减轻“压力”是否可以改善疾病进程。
