Department of Ophthalmology School of Medicine, Aristotle University of Thessaloniki , Thessaloniki, Greece.
Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki , Thessaloniki, Greece.
Psychol Health Med. 2020 Oct;25(9):1130-1136. doi: 10.1080/13548506.2020.1728351. Epub 2020 Feb 17.
Vision impairment remains an important cause of disability with the leading being age-related cataract (ARC) and age-related macular degeneration (ARMD) with depression symptoms often reported in vision impairment. This is a cross-sectional survey of two groups of fifty patients with ARC and ARMD and no prior psychiatric history on depressive symptomatology. Results indicate that ARMD patients scored higher on the BDI-II than ARC patients, in line with their poorer prognosis. Female patients with ARMD, living alone, with a higher number of other comorbid health issues, are more likely to have more depressive symptomatology. ARMD patients scored higher in the items related to pessimism for the future, feelings of past failure and feelings of self-dislike. There is a need for liaison psychiatry services to be readily available in patients with suspected ARC and ARMD coming forward with substantial vision loss. ARMD patients in particular tend to be more pessimistic and blame themselves for the progression of their disease. This should be taken into consideration with patient education on the causes of the disease and more effort should be undertaken to instill hope. The impact of vision loss on psychic status is related to disease prognosis and not only current state.
视力障碍仍然是导致残疾的一个重要原因，主要原因是与年龄相关的白内障 (ARC) 和与年龄相关的黄斑变性 (ARMD)，而视力障碍患者常伴有抑郁症状。这是一项针对两组五十名 ARC 和 ARMD 患者的横断面调查，这些患者均无先前的精神病史。结果表明，与 ARC 患者相比，ARMD 患者的 BDI-II 评分更高，这与他们较差的预后相符。患有 ARMD 的女性独居患者，有更多的其他合并健康问题，更有可能出现更多的抑郁症状。ARMD 患者在与未来悲观、过去失败感和自我厌恶感相关的项目上得分更高。对于因视力严重丧失而前来就诊的疑似 ARC 和 ARMD 患者，需要提供联络精神病学服务。特别是 ARMD 患者往往更加悲观，并将疾病的进展归咎于自己。在对疾病原因进行患者教育时，应考虑到这一点，并应更加努力地灌输希望。视力丧失对心理状态的影响与疾病预后有关，而不仅仅与当前状态有关。
