Keles Ali, Karayagmurlu Ali, Yetkin Esat, Sonmez Kenan, Karatepe Mustafa Salih, Karaman Suleyman Korhan
Department of Ophthalmology, Faculty of Medicine, Bilecik Seyh Edebali University, 11230, Bilecik, Turkey.
Department of Child and Adolescent Psychiatry, Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Graefes Arch Clin Exp Ophthalmol. 2023 Jan;261(1):257-262. doi: 10.1007/s00417-022-05792-6. Epub 2022 Aug 8.
To investigate the prevalence of posttraumatic stress disorder (PTSD) and depression after open globe injury in adults.
A total of 95 participants, 43 adult patients with open globe injury and 52 age-sex similar subjects (control group), were included in this cross-sectional study. Age, gender, education level, occupation, accident history, psychiatric history, trauma type, cause of trauma, and visual acuity were recorded. One to six months after trauma, PTSD and depression symptoms of the participants were evaluated with the Posttraumatic Stress Disorder Questionnaire-Civil Version Scale (PTSD-S) and Beck Depression Inventory (BDI), respectively.
Patients with open globe injury had a higher PTSD-S total score than the control group, but not significant (23.67 ± 20.41 vs. 18.56 ± 13.13, p = 0.580). Patients with eye trauma exhibited a much higher prevalence of PTSD compared to the control group (20.9% vs. 3.8%, p = 0.010). Patients with trauma had a significantly higher BDI total score than the control group (12.47 ± 10.08 vs. 7.69 ± 6.10, p = 0.015). Also, patients had a higher rate of depression symptoms than controls (25.6% vs. 7.7%, p = 0.017). A significant positive correlation was observed between PTSD-S and BDI scores in the trauma group (r = 0.720, p < 0.001).
An increased prevalence of PTSD and depression was observed in adults after open globe injury. The significant relationship between PTSD-S and BDI scores indicates that patients with open globe injuries should be questioned in terms of both symptoms. For patients with open globe trauma, a holistic approach with psychosocial assessment in addition to physical intervention would be beneficial.
调查成人开放性眼球损伤后创伤后应激障碍（PTSD）和抑郁症的患病率。
本横断面研究共纳入95名参与者，其中43例成年开放性眼球损伤患者和52名年龄性别匹配的受试者（对照组）。记录年龄、性别、教育程度、职业、事故史、精神病史、创伤类型、创伤原因和视力。创伤后1至6个月，分别使用创伤后应激障碍问卷-民用版量表（PTSD-S）和贝克抑郁量表（BDI）评估参与者的PTSD和抑郁症状。
开放性眼球损伤患者的PTSD-S总分高于对照组，但差异无统计学意义（23.67±20.41 vs. 18.56±13.13，p = 0.580）。与对照组相比，眼外伤患者的PTSD患病率更高（20.9% vs. 3.8%，p = 0.010）。创伤患者的BDI总分显著高于对照组（12.47±10.08 vs. 7.69±6.10，p = 0.015）。此外，患者的抑郁症状发生率高于对照组（25.6% vs. 7.7%，p = 0.017）。创伤组中PTSD-S与BDI评分之间存在显著正相关（r = 0.720，p < 0.001）。
成人开放性眼球损伤后PTSD和抑郁症的患病率增加。PTSD-S与BDI评分之间的显著关系表明，应对开放性眼球损伤患者的这两种症状进行询问。对于开放性眼球创伤患者，除了进行身体干预外，采用心理社会评估的整体方法将是有益的。
