Sesar Anita Pusic, Sesar Antonio, Bucan Kajo, Sesar Irena, Cvitkovic Katarina, Cavar Ivan
Department of Ophthalmology, University Clinical Hospital of Mostar, Mostar, Bosnia and Herzegovina.
Department of Ophthalmology, University Hospital of Split, Split, Croatia.
Med Sci Monit. 2021 Jan 10;27:e928677. doi: 10.12659/MSM.928677.
BACKGROUND The aim of the present study was to investigate the relationship between personality traits, stress, emotional intelligence, and central serous chorioretinopathy (CSCR). MATERIAL AND METHODS This prospective case-control study included 57 patients with acute CSCR and 57 age- and sex-matched controls with refractive errors. Inclusion criteria for CSCR group were acute unilateral onset of visual disturbances within 2 weeks until the first visit to the ophthalmologist and ophthalmoscopic finding of a round or oval macular detachment confirmed by optical coherence tomography as a dome-shaped serous neuroretinal elevation. RESULTS Using the Sixteen Personality Factor Questionnaire (16 PF), patients with CSCR achieved slightly higher scores on primary characteristics such as warmth (P=0.612) and perfectionism (P=0.137) when compared to the control subjects. Mean scores measured with the Social Readjustment Rating Scale (SRRS) were significantly higher in patients with CSCR (P=0.004), which means that these patients had notably elevated average reactivity to stressful life events. In addition, the number of patients with a high stress level was higher in the CSCR group than in the control group. Considering the level of emotional intelligence measured with the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), patients with CSCR achieved significantly lower scores on well-being (P=0.003) and sociability (P=0.011) factors, as well as on total score (P=0.014). CONCLUSIONS A higher level of perceived stress is the most important psychological risk factor for CSCR. According to our results, a low level of emotional intelligence may be an additional factor that contributes to the occurrence of CSCR.
背景 本研究旨在探讨人格特质、压力、情商与中心性浆液性脉络膜视网膜病变（CSCR）之间的关系。
材料与方法 这项前瞻性病例对照研究纳入了57例急性CSCR患者以及57例年龄和性别匹配的屈光不正对照者。CSCR组的纳入标准为在首次就诊眼科医生前2周内急性单侧出现视觉障碍，且经光学相干断层扫描确认眼底镜检查发现圆形或椭圆形黄斑脱离，表现为圆顶状浆液性神经视网膜隆起。
结果 使用十六种人格因素问卷（16 PF），与对照受试者相比，CSCR患者在诸如热情（P = 0.612）和完美主义（P = 0.137）等主要特质上得分略高。用社会再适应评定量表（SRRS）测得的平均得分在CSCR患者中显著更高（P = 0.004），这意味着这些患者对压力性生活事件的平均反应性明显升高。此外，CSCR组中高压力水平的患者数量高于对照组。考虑用特质情商问卷简版（TEIQue-SF）测得的情商水平，CSCR患者在幸福感（P = 0.003）、社交能力（P = 0.011）因素以及总分（P = 0.014）上得分显著更低。
结论 较高水平的感知压力是CSCR最重要的心理危险因素。根据我们的结果，低情商水平可能是促成CSCR发生的另一个因素。
