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The psychological well-being and appearance concerns of patients presenting with ptosis

Jenkinson, E.; Rumsey, N.; White, P.; Jenkinson, Elizabeth; Rumsey, Nichola; Richards, H. S.; White, Paul; Garrott, H.; Herbert, H.; Kalapesi, F.; Harrad, R. A.

Authors

E. Jenkinson

N. Rumsey

P. White

H. S. Richards

Paul White Paul.White@uwe.ac.uk
Professor in Applied Statistics

H. Garrott

H. Herbert

F. Kalapesi

R. A. Harrad



Abstract

PurposePtosis affects both the function and appearance of the eyes and face, because of drooping of the eyelids. Previous research has focused on functional impairment; however, similar appearance altering eye conditions have been demonstrated to have major impacts on psychosocial functioning.MethodsThis study examines the psychological well-being and appearance concerns of patients presenting with ptosis recruited from Bristol Eye Hospital using validated questionnaires focusing on demographics and psychosocial factors before surgery.ResultsPatients reported higher levels of anxiety, depression, and appearance concern than population norms, with scores comparable to previous research examining the impact of other disfiguring eye conditions. Gender differences were observed, with almost half of females experiencing significant psychosocial issues related to appearance concern about their ptosis compared with 20% of males. Linear regressions revealed that the main predictor of poor adjustment to the appearance of ptosis was the level of concern an individual had regarding the negative perceptions of other people. These results implicate psychosocial factors and demographics as predictors of the development of appearance-related distress and compromised psychological well-being for patients with ptosis who are currently seeking surgery.ConclusionsThis study provides clinicians with a greater understanding of the concerns of affected patients, and treatment motivations. The findings may also inform the development of patient reported outcome measures and support for patients, which targets the psychosocial impact of the condition. © 2014 Macmillan Publishers Limited.

Journal Article Type Article
Publication Date Jan 1, 2014
Journal Eye (Basingstoke)
Print ISSN 0950-222X
Electronic ISSN 1476-5454
Publisher Springer Nature [academic journals on nature.com]
Peer Reviewed Peer Reviewed
Volume 28
Issue 3
Pages 296-302
DOI https://doi.org/10.1038/eye.2013.264
Keywords ptosis, psychological distress, outpatients
Public URL https://uwe-repository.worktribe.com/output/940034
Publisher URL http://dx.doi.org/10.1038/eye.2013.264