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低视力人群的日常功能:视力、抑郁和生活取向的影响——一项横断面研究。

Daily Functionality of People with Low Vision: The Impact of Visual Acuity, Depression, and Life Orientation-A Cross-Sectional Study.

机构信息

Laboratory of Experimental Ophthalmology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Behav Neurol. 2024 Feb 26;2024:4366572. doi: 10.1155/2024/4366572. eCollection 2024.

Abstract

BACKGROUND

Low vision (LV) has a significant negative impact on the activities of daily life as well as on the psychological health of patients.

OBJECTIVES

The objective of this study is to investigate psychological, clinical, and demographic factors that may impact the daily functionality of patients with LV.

METHODS

A convenience sample of 53 patients, meeting the WHO criteria for LV, was recruited. Questionnaires on daily functionality, depression, and life orientation (in terms of optimism/pessimism) were administered along with a semistructured personal interview. . The main results revealed a significant negative correlation between daily functionality and depression ( = -0.423, < 0.001). Conversely, there is a positive correlation between daily functionality and visual acuity ( = 0.415, < 0.001), while years since diagnosis were negatively correlated with depression ( = -0.345, < 0.001). Depression seems to be a moderate predictor of a person's daily functionality ( = -0.389, < 0.002), followed by visual acuity ( = -0.344, = 0.006), explaining the 31.1% of the total variance.

CONCLUSIONS

The study supports a correlation between daily functionality and both depression and visual acuity. Optimism as a personality characteristic did not factor into the prediction model for daily functionality, but it showed a strong correlation with lower levels of depressive symptoms. This highlights the potential for developing coping strategies for chronic disease management. . The study could serve as a useful guide and may urge clinicians to pay attention to the psychological evaluation of these patients, supporting their unique emotional needs. Mental health professionals can use patients' positive resources to provide appropriate counseling and embrace the coping skills that encourage their engagement in activities of daily life.

摘要

背景

低视力(LV)对患者的日常生活活动以及心理健康有重大负面影响。

目的

本研究旨在探讨可能影响 LV 患者日常生活功能的心理、临床和人口统计学因素。

方法

本研究采用方便抽样法招募了 53 名符合世界卫生组织 LV 标准的患者。同时对患者进行日常生活功能、抑郁和生活取向(乐观/悲观)的问卷调查以及半结构化个人访谈。

主要结果

主要结果显示,日常生活功能与抑郁呈显著负相关( = -0.423, < 0.001)。相反,日常生活功能与视力呈正相关( = 0.415, < 0.001),而诊断后年限与抑郁呈负相关( = -0.345, < 0.001)。抑郁似乎是一个中度预测个人日常生活功能的因素( = -0.389, < 0.002),其次是视力( = -0.344, = 0.006),解释了总方差的 31.1%。

结论

本研究支持日常生活功能与抑郁和视力之间的相关性。作为一种人格特征的乐观与日常生活功能的预测模型无关,但与较低的抑郁症状水平有很强的相关性。这突出了开发慢性病管理应对策略的潜力。本研究可为临床医生提供有用的指导,促使他们关注这些患者的心理评估,满足他们独特的情感需求。心理健康专业人员可以利用患者的积极资源,为他们提供适当的咨询,并采用鼓励他们参与日常生活活动的应对技巧。

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