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儿童眼部疾病对学龄期社交关系及青年期心理功能的影响。

The Effect of Childhood Eye Disorders on Social Relationships during School Years and Psychological Functioning as Young Adults.

作者信息

Buckley Carol Y, Whittle Jason C, Verity Lily, Qualter Pamela, Burn Judith M

机构信息

Orthoptic Department, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Sharoe Green Lane, Fulwood, Preston, PR2 9HT, GB.

The School of Psychology, University of Central Lancashire, Preston, Lancashire, PR1 2HE, GB.

出版信息

Br Ir Orthopt J. 2018 May 10;14(1):35-44. doi: 10.22599/bioj.111.

Abstract

AIMS

To determine (1) whether having a visible eye condition and/or treatment with glasses and/or occlusion in childhood has any impact on psychological and/or social outcomes during childhood and young adulthood and (2) whether there is an effect of age at treatment.

METHODS

A cohort of 160 participants was asked to take part in an online study. The cohort had previously taken part in a research study at Royal Preston Hospital from 1999-2006 when they were 3-8 years old (Buckley and Perkins 2010). Participants were divided into treatment and no-defect (control) groups and were invited to take part in the current study when they had reached age 18-21. Thirty-five (35) participants (22.5% of the total cohort) were recruited and completed a series of online questionnaires assessing recalled victimisation at school, current generalised anxiety, current depressive symptoms, current loneliness, current friendship quality, and adjustment to university/work. Questionnaire scores between treated patients and controls were compared.

RESULTS

Findings showed that young adults who received treatment during their pre-school years, compared to their peers who did not need treatment, reported higher current generalised anxiety and more victimisation when in school.Those who received treatment in reception class were no different on psycho-social functioning compared to their peers; with both groups reporting higher victimisation than average compared to previous studies, and mild rates of anxiety.

CONCLUSIONS

It appears that having a visible eye condition or treatment with glasses and/or occlusion commencing at pre-school has long term psychological implications, with scores on victimisation and current anxiety levels being higher for the pre-school treatment group compared to the pre-school no defect (control) group. Treatment plans and advice to parents should consider psycho-social outcomes of proposed treatment.

摘要

目的

确定(1)童年时期患有明显眼部疾病和/或接受眼镜和/或遮盖治疗是否会对儿童期和青年期的心理和/或社会结局产生影响,以及(2)治疗时的年龄是否有影响。

方法

邀请160名参与者参加一项在线研究。该队列曾于1999年至2006年在皇家普雷斯顿医院参与一项研究,当时他们3至8岁(Buckley和Perkins,2010年)。参与者被分为治疗组和无缺陷(对照)组,并在年满18至21岁时被邀请参加当前研究。招募了35名(占总队列的22.5%)参与者,他们完成了一系列在线问卷,评估在学校被欺负的回忆、当前的广泛性焦虑、当前的抑郁症状、当前的孤独感、当前的友谊质量以及对大学/工作的适应情况。比较了治疗组患者和对照组的问卷得分。

结果

研究结果表明,与不需要治疗的同龄人相比,在学龄前接受治疗的年轻人报告当前的广泛性焦虑更高,在学校时被欺负的情况更多。在小班接受治疗的人与同龄人在心理社会功能方面没有差异;与之前的研究相比,两组报告的被欺负情况都高于平均水平,焦虑程度较轻。

结论

似乎学龄前出现明显眼部疾病或接受眼镜和/或遮盖治疗具有长期的心理影响,与学龄前无缺陷(对照)组相比,学龄前治疗组在被欺负情况和当前焦虑水平方面的得分更高。治疗计划和给家长的建议应考虑拟议治疗的心理社会结局。

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