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视功能相关生活质量对 Behcet 葡萄膜炎患者抑郁和焦虑的影响。

The Effect of Vision-Related Quality of Life on Depression and Anxiety in Patients with Behçet Uveitis.

机构信息

Ondokuz Mayıs University Faculty of Medicine, Department of Ophtalmology, Samsun, Turkey.

Ondokuz Mayıs University Faculty of Medicine, Department of Mental Health, Samsun, Turkey.

出版信息

Turk J Ophthalmol. 2021 Dec 28;51(6):358-364. doi: 10.4274/tjo.galenos.2020.06791.

DOI:10.4274/tjo.galenos.2020.06791
PMID:34963263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8715660/
Abstract

OBJECTIVES

To evaluate the effect of vision-related quality of life on depression and anxiety in patients with Behçet uveitis.

MATERIALS AND METHODS

The Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI) I-II, and the Visual Functioning Questionnaire (VFQ)-25 were used to evaluate 105 patients being followed for Behçet uveitis. Sociodemographic data and VFQ-25 scores were compared between the groups with and without depression and anxiety. Regression analysis was performed to determine the relationship between the variables.

RESULTS

Forty-eight (82.8%) men and 10 (17.2%) women who completed the questionnaires were included in the study. The mean age of the patients was 37.76±11.14 (18-65) years and the mean duration of uveitis was 8.57±7.43 (1-27) years. The mean VFQ-25 composite, BDI, STAI-I, and STAI-II scores were 74.90±18.50 (18.79-97.04), 10.76±8.90 (0-43), 42.52±6.23 (25-55), and 46.53±6.80 (27-58), respectively. Of 58 patients, 31% had depressive symptoms and 58.6% had anxiety symptoms. VFQ-25 composite score was lower in the depressive group than in the group with no depression (p=0.030), while there was no significant difference in this score between the groups with and without anxiety. Regression analysis revealed a negative relationship between total VFQ-25 composite score and depression.

CONCLUSION

In our study, high rates of depression and anxiety were detected in patients with Behçet uveitis. Patient-reported visual functioning was associated with depression. In patients with Behçet uveitis, it is important to evaluate vision-related quality of life as well as visual acuity.

摘要

目的

评估与视觉相关的生活质量对 Behcet 葡萄膜炎患者抑郁和焦虑的影响。

材料与方法

使用贝克抑郁量表(BDI)、状态特质焦虑量表(STAI)I-II 以及视功能问卷(VFQ)-25 评估 105 例 Behcet 葡萄膜炎患者。比较有和无抑郁和焦虑患者的社会人口统计学数据和 VFQ-25 评分。进行回归分析以确定变量之间的关系。

结果

本研究纳入了 48 名(82.8%)男性和 10 名(17.2%)女性完成了问卷调查的患者。患者的平均年龄为 37.76±11.14 岁(18-65 岁),葡萄膜炎的平均病程为 8.57±7.43 年(1-27 年)。VFQ-25 综合评分、BDI、STAI-I 和 STAI-II 的平均值分别为 74.90±18.50(18.79-97.04)、10.76±8.90(0-43)、42.52±6.23(25-55)和 46.53±6.80(27-58)。在 58 名患者中,31%有抑郁症状,58.6%有焦虑症状。与无抑郁组相比,抑郁组的 VFQ-25 综合评分较低(p=0.030),而焦虑组与无焦虑组之间的评分无显著差异。回归分析显示,VFQ-25 综合评分与抑郁呈负相关。

结论

在本研究中,我们发现 Behcet 葡萄膜炎患者中存在较高的抑郁和焦虑发生率。患者报告的视觉功能与抑郁相关。在 Behcet 葡萄膜炎患者中,评估与视觉相关的生活质量以及视力非常重要。

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