Perceived Stress Levels and Associated Factors in Adult Patients with Primary Open-angle Glaucoma: A Prospective Survey Study
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Purpose: To investigate adult primary open-angle glaucoma (POAG) patients’ perceived stress levels and to examine the associationswith their clinical characteristics. Methods: Sixty-seven POAG patients, excluding those meeting the exclusion criteria (retinal or neurological disease diagnoses)comprised the study population. A validated questionnaire, namely Perceived Stress Scale-10 (PSS-10), was used to assessstress level. Additional data on glaucoma surgery history, medical benefit receipt, comorbidities, and daily antiglaucomamedication number were collected. The clinical characteristics of high (PSS-10 ≥15) and low stress (PSS-10 <15) patients andthe risk factors associated with high stress level were subjected to a multivariable logistic regression analysis. Results: The patients were 56.8 ± 12.6 years of age on average, and 29 (43.3%) were female. The mean PSS-10 level was 13.5± 5.3 (range, 1–27) for the entire patient group; 31 patients (46.3%) were in the high stress group. In the high stress grouprelative to the low stress group, best-corrected visual acuity in the better eye was lower (p = 0.044) and the visual field defects,in both eyes, were more severe (better eye, p = 0.005; worse eye, p = 0.026). A logistic regression analysis indicatedthat severe visual field defect in the better eye (odds ratio, 1.159; 95% confidence interval, 1.016–1.323; p = 0.028) and lowerbest-corrected visual acuity in the better eye (odds ratio, 4.707; 95% confidence interval, 0.580–6.189; p = 0.072) were bothlikely to associated with high stress level in patients with POAG. Conclusions: These findings suggest an association between severe visual function loss and higher mental stress level inPOAG patients. Stress level, therefore, might be an important consideration in POAG patient management.
Abstract
Purpose: To investigate adult primary open-angle glaucoma (POAG) patients’ perceived stress levels and to examine the associationswith their clinical characteristics. Methods: Sixty-seven POAG patients, excluding those meeting the exclusion criteria (retinal or neurological disease diagnoses)comprised the study population. A validated questionnaire, namely Perceived Stress Scale-10 (PSS-10), was used to assessstress level. Additional data on glaucoma surgery history, medical benefit receipt, comorbidities, and daily antiglaucomamedication number were collected. The clinical characteristics of high (PSS-10 ≥15) and low stress (PSS-10 <15) patients andthe risk factors associated with high stress level were subjected to a multivariable logistic regression analysis. Results: The patients were 56.8 ± 12.6 years of age on average, and 29 (43.3%) were female. The mean PSS-10 level was 13.5± 5.3 (range, 1–27) for the entire patient group; 31 patients (46.3%) were in the high stress group. In the high stress grouprelative to the low stress group, best-corrected visual acuity in the better eye was lower (p = 0.044) and the visual field defects,in both eyes, were more severe (better eye, p = 0.005; worse eye, p = 0.026). A logistic regression analysis indicatedthat severe visual field defect in the better eye (odds ratio, 1.159; 95% confidence interval, 1.016–1.323; p = 0.028) and lowerbest-corrected visual acuity in the better eye (odds ratio, 4.707; 95% confidence interval, 0.580–6.189; p = 0.072) were bothlikely to associated with high stress level in patients with POAG. Conclusions: These findings suggest an association between severe visual function loss and higher mental stress level inPOAG patients. Stress level, therefore, might be an important consideration in POAG patient management.
참고문헌 (47)
- Kingman S, "Glaucoma is second leading cause of blindness globally", Bull World Health Organ, 82, pp.887~888 (2004)
- Jampel HD, "Glaucoma patients’assessment of their visual function and quality of life", J Glaucoma, 11, pp.154~163 (2002)
- Nelson P, "Quality of life in glaucoma and its relationship with visual function", J Glaucoma, 12, pp.139~150 (2003)
- Spaeth G, "Evaluation of quality of life for patients with glaucoma", Am J Ophthalmol, 141(1 Suppl), pp.S3~S14 (2006)
- Suls J, "Anger, anxiety, and depression as risk factors for cardiovascular disease: the problems and implications of overlapping affective dispositions", Psychol Bull, 131, pp.260~300 (2005)
- Goldney RD, "Asthma symptoms associated with depression and lower quality of life : a population survey", Med J Aust, 178, pp.437~441 (2003)
- Midenfjord I, "Anxiety and depression in irritable bowel syndrome : exploring the interaction with other symptoms and pathophysiology using multivariate analyses", Neurogastroenterol Motil, 31, pp.e13619~ (2019)
- Sibelli A, "A systematic review with meta-analysis of the role of anxiety and depression in irritable bowel syndrome onset", Psychol Med, 46, pp.3065~3080 (2016)
- Hoehn-Saric R, "Somatic symptoms and physiologic responses in generalized anxiety disorder and panic disorder : an ambulatory monitor study", Arch Gen Psychiatry, 61, pp.913~921 (2004)
- Shin DY, "Posterior scleral deformation and autonomic dysfunction in normal tension glaucoma", Sci Rep, 10, pp.8203~ (2020)
- Park HL, "Detecting autonomic dysfunction in patients with glaucoma using dynamic pupillometry", Medicine(Baltimore), 98, pp.e14658~ (2019)
- Pasquale LR, "Vascular and autonomic dysregulation in primary open-angle glaucoma", Curr Opin Ophthalmol, 27, pp.94~101 (2016)
- Grassi G, "Assessment of sympathetic cardiovascular drive in human hypertension : achievements and perspectives", Hypertension, 54, pp.690~697 (2009)
- Mabuchi F, "High prevalence of anxiety and depression in patients with primary open-angle glaucoma", J Glaucoma, 17, pp.552~557 (2008)
- Erb C, "Psychiatric manifestations in patients with primary open-angle glaucoma", Ophthalmologe, 90, pp.635~639 (1993)
- Chen YY, "The association between glaucoma and risk of depression : a nationwide population-based cohort study", BMC Ophthalmol, 18, pp.146~ (2018)
- Deyo RA, "Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases", J Clin Epidemiol, 45, pp.613~619 (1992)
- Arosemena CM, "Prevalence and risk factors of poorly controlled diabetes mellitus in a clinical setting in Guayaquil, Ecuador: a cross-sectional study", Int J Diabetes Clin Res, 2, pp.1~5 (2015)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Association
- Cohen S, "A global measure of perceived stress", J Health Soc Behav, 24, pp.385~396 (1983)
- Zappella M, "Relaxation response in stressed volunteers : psychometric tests and neurotrophin changes in biological fluids", Front Psychiatry, 12, pp.655453~ (2021)
- Smith KJ, "An assessment of the psychometric properties of the perceived stress scale-10(PSS 10)with business and accounting students", Account Perspect, 13, pp.29~59 (2014)
- van Eck M, "The effects of perceived stress, traits, mood states, and stressful daily events on salivary cortisol", Psychosom Med, 58, pp.447~458 (1996)
- Hong GR, "Reliability and validity of the Korean version of the Perceived Stress Scale-10(K-PSS-10)in older adults", Res Gerontol Nurs, 9, pp.45~51 (2016)
- Globe DR, "Using focus groups to develop a culturally sensitive methodology for epidemiological surveys in a Latino population : findings from the Los Angeles Latino Eye Study(LALES)", Ethn Dis, 12, pp.259~266 (2002)
- Wolfram C, "Health-and vision-related quality of life in patients with ocular hypertension or primary open-angle glaucoma", Ophthalmologica, 229, pp.227~234 (2013)
- The WHOQOL Group, "The World Health Organization Quality of Life assessment(WHOQOL) : position paper from the World Health Organization", Soc Sci Med, 41, pp.1403~1409 (1995)
- van Gestel A, "The relationship between visual field loss in glaucoma and health-related quality-of-life", Eye(Lond), 24, pp.1759~1769 (2010)
- Jacob L, "Association of objective and subjective far vision impairment with perceived stress among older adults in six low-and middle-income countries", Eye(Lond), 36, pp.1274~1280 (2022)
- Verstraten PF, "Loneliness, adaptation to vision impairment, social support and depression among visually impaired elderly", Int Congr Ser, 1282, pp.317~321 (2005)
- Huang LJ, "Loneliness, stress, and depressive symptoms among the Chinese rural empty nest elderly: a moderated mediation analysis", Issues Ment Health Nurs, 40, pp.73~78 (2019)
- Kolawole OU, "Cataract blindness in Osun state, Nigeria: results of a survey", Middle East Afr J Ophthalmol, 19, pp.364~371 (2012)
- Richman J, "Relationships in glaucoma patients between standard vision tests, quality of life, and ability to perform daily activities", Ophthalmic Epidemiol, 17, pp.144~151 (2010)
- Sabel BA, "Mental stress as consequence and cause of vision loss : the dawn of psychosomatic ophthalmology for preventive and personalized medicine", EPMA J, 9, pp.133~160 (2018)
- Vasanth R, "Impact of stress on type 2 diabetes mellitus management", Psychiatr Danub, 29(Suppl 3), pp.416~421 (2017)
- Alvarez C, "Association of perceived stress and discrimination on medication adherence among diverse patients with uncontrolled hypertension", Ethn Dis, 31, pp.97~108 (2021)
- Pappa C, "Psychiatric manifestations and personality traits associated with compliance with glaucoma treatment", J Psychosom Res, 61, pp.609~617 (2006)
- OlthoffCM, "Noncompliance with ocular hypotensive treatment in patients with glaucoma or ocular hypertension an evidence-based review", Ophthalmology, 112, pp.953~961 (2005)
- Ashburn FS Jr, "Compliance with ocular therapy", Surv Ophthalmol, 24, pp.237~248 (1980)
- Granstrom PA, "Progression of visual field defects in glaucoma : relation to compliance with pilocarpine therapy", Arch Ophthalmol, 103, pp.529~531 (1985)
- Gurwitz JH, "Patient noncompliance in the managed care setting : the case of medical therapy for glaucoma", Med Care, 36, pp.357~369 (1998)
- Laugero KD, "Relationship between perceived stress and dietary and activity patterns in older adults participating in the Boston Puerto Rican Health Study", Appetite, 56, pp.194~204 (2011)
- Stubbs B, "Perceived stress and smoking across 41 countries: a global perspective across Europe, Africa, Asia and the Americas", Sci Rep, 7, pp.7597~ (2017)
- Matud MP, "Gender differences in stress and coping styles", Personal Individ Differ, 37, pp.1401~1415 (2004)
- Cohen S, "Who’s stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009", J Appl Soc Psychol, 42, pp.1320~1334 (2012)
- Berlinberg EJ, "Association between noninfectious uveitis and psychological stress", JAMA Ophthalmol, 137, pp.199~205 (2019)
- Stout SC, "Stress and psychiatric disorders", Semin Neurosci, 6, pp.271~280 (1994)