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Vision-related quality of life and Appearance concerns are associated with anxiety and depression after eye enucleation: A cross-sectional study

Jin, Kai; Ye, Juan; Lou, Lixia; Xu, Yufeng; Ye, Xin; Moss, Timothy; McBain, Hayley

Vision-related quality of life and Appearance concerns are associated with anxiety and depression after eye enucleation: A cross-sectional study Thumbnail


Authors

Kai Jin

Juan Ye

Lixia Lou

Yufeng Xu

Xin Ye

Tim Moss Tim.Moss@uwe.ac.uk
Director of PGR Studies and Associate Professor

Hayley McBain



Abstract

© 2015 Ye et al. Aims: To investigate the association of demographic, clinical and psychosocial variables with levels of anxiety and depression in participants wearing an ocular prosthesis after eye enucleation. Methods: This cross-sectional study included 195 participants with an enucleated eye who were attending an ophthalmic clinic for prosthetic rehabilitation between July and November 2014. Demographic and clinical data, and self-reported feelings of shame, sadness and anger were collected. Participants also completed the National Eye Institute Visual Function Questionnaire, the Facial Appearance subscale of the Negative Physical Self Scale, and the Hospital Anxiety and Depression Scale. Regression models were used to identify the factors associated with anxiety and depression. Results: The proportion of participants with clinical anxiety was 11.8% and clinical depression 13.8%. More anxiety and depression were associated with poorer vision-related quality of life and greater levels of appearance concerns. Younger age was related to greater levels of anxiety. Less educated participants and those feeling more angry about losing an eye are more prone to experience depression. Clinical variables were unrelated to anxiety or depression. Conclusions: Anxiety and depression are more prevalent in eye-enucleated patients than the general population, which brings up the issues of psychiatric support in these patients. Psychosocialrather than clinical characteristics were associated with anxiety and depression. Longitudinal studies need to be conducted to further elucidate the direction of causality before interventions to improve mood states are developed. Copyright:

Journal Article Type Article
Publication Date Aug 28, 2015
Deposit Date Sep 3, 2015
Publicly Available Date Feb 19, 2016
Journal PLoS ONE
Electronic ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 10
Issue 8
DOI https://doi.org/10.1371/journal.pone.0136460
Keywords vision, quality of life, appearance concerns, eye enucleation, visible difference
Public URL https://uwe-repository.worktribe.com/output/829696
Publisher URL http://dx.doi.org/10.1371/journal.pone.0136460
Contract Date Feb 19, 2016