Li Mengxuan, Wang Yuhao, Chen Hanhui, Zheng Fang, Su Zhitao, Li Jie, Yan Hua
Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, 300052, People's Republic of China.
Laboratory of Molecular Ophthalmology, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Psychol Res Behav Manag. 2025 Jan 15;18:81-90. doi: 10.2147/PRBM.S485854. eCollection 2025.
The present study aimed to investigate the prevalence of anxiety and depression in patients with mechanical ocular injuries, and the effects of worry and resilience on anxiety and depression.
Patients with one eye of mechanical ocular injuries and healthy residents were recruited from June 8, 2022, to March 1, 2023. All subjects participated in psychologically relevant questionnaires including the Self-rating Anxiety Scale(SAS), the Self-rating Depression Scale(SDS), the Connor- Davidson Resilience Scale (CD-RISC), and the Penn State Worry Questionnaire(PSWQ). Data were collected and subjected to statistical analysis.
There were no significant differences in SAS and SDS total scores based on demographics (p>0.05) except for the subjective appraisal of the family economy (p<0.05). The SAS and SDS total scores and the positive rates of anxiety and depression in the ocular trauma group were significantly higher than those in the healthy control group (p<0.01). The positive rates of anxiety and SAS total scores of individuals with mild visual impairment were significantly higher than those with low vision (p<0.01) and blindness (p<0.05). There was no difference between the remaining groups. The positive rates of anxiety and SAS total score (36.5%, 45.92) of individuals with mild visual impairment were significantly higher than those with low vision (4.3%, 38.15) (p<0.01) and blindness (19.4%, 40.19) (p<0.05). There was no difference between the other groups. All effects of mechanical ocular injuries on anxiety and depression were significant (p<0.01). The indirect mediating effects on anxiety by worry alone, resilience alone, resilience, and worry were significant (p<0.01). The mediating indirect impact on depression by worry alone (p<0.01), worry and resilience (p<0.05) were significant while resilience (p>0.05) did not show a significant mediation effect.
Patients with mechanical ocular injuries are prone to developing anxiety and depression with resilience and worry playing a mediating role.
本研究旨在调查机械性眼外伤患者焦虑和抑郁的患病率，以及担忧和心理韧性对焦虑和抑郁的影响。
2022年6月8日至2023年3月1日招募单眼机械性眼外伤患者及健康居民。所有受试者均参与了包括自评焦虑量表（SAS）、自评抑郁量表（SDS）、康纳-戴维森心理韧性量表（CD-RISC）和宾夕法尼亚州立大学担忧问卷（PSWQ）在内的心理相关问卷。收集数据并进行统计分析。
除家庭经济主观评价外（p<0.05），基于人口统计学特征的SAS和SDS总分无显著差异（p>0.05）。眼外伤组的SAS和SDS总分以及焦虑和抑郁的阳性率显著高于健康对照组（p<0.01）。轻度视力损害个体的焦虑阳性率和SAS总分显著高于低视力个体（p<0.01）和失明个体（p<0.05）。其余组间无差异。轻度视力损害个体的焦虑阳性率和SAS总分（36.5%，45.92）显著高于低视力个体（4.3%，38.15）（p<0.01）和失明个体（19.4%，40.19）（p<0.05）。其他组间无差异。机械性眼外伤对焦虑和抑郁的所有影响均具有显著性（p<0.01）。仅担忧、仅心理韧性、心理韧性和担忧对焦虑的间接中介效应具有显著性（p<0.01）。仅担忧（p<0.01）、担忧和心理韧性（p<0.05）对抑郁的中介间接影响具有显著性，而心理韧性（p>0.05）未显示出显著的中介效应。
机械性眼外伤患者易患焦虑和抑郁，心理韧性和担忧起中介作用。
