Characteristics of psychological maladjustment in patients with posterior segment eye pathology

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

BACKGROUND: The analysis of modern studies shows a high prevalence of non-psychotic psychiatric disorders in individuals with ophthalmic pathology.

AIM: To evaluate the characteristics of psychological maladjustment in patients with posterior segment eye pathology.

METHODS: This study is a single-center observational study using consecutive sampling of patients with confirmed diagnoses of “age-related macular degeneration” and “glaucoma”. The study was conducted from April 1 to December 31, 2024, at the Cheboksary branch of the S. Fyodorov Eye Microsurgery Complex – National Medical Research Center of the Ministry of Health of the Russian Federation. A clinical survey using psychometric scales, including the Spielberg–Hanin test, Yakhin–Mendelevich clinical questionnaire, and SF–36 health survey questionnaire, was performed.

RESULTS: A total of 79 individuals were examined (47% male, 53% female), with a median age of 69.5 (60–75) years. The participants were divided into two groups: group 1 — patients with age-related macular degeneration; group 2 — patients with glaucoma. For the sample as a whole, the prevalence of anxiety symptoms (27%) and depression (32%) was characteristic. The severity of anxiety symptoms in group 2 was 72.7%, which is statistically significantly higher compared to group 1 (50.0%, p = 0.035). Symptoms of asthenia were more common in patients from group 2 (63.6%), compared to patients with age-related macular degeneration (41.3%, р = 0.041). Obsessive-phobic and autonomic dysfunction symptoms were more characteristic of patients with glaucoma (39.1% and 47.8%, respectively), compared to patients with age-related macular degeneration (12.1% and 24.2%, respectively). The level of statistical significance for obsessive-phobic and autonomic dysfunction symptoms was р = 0.007 and p = 0.028, respectively. The analysis of the quality of life assessment revealed a more significant physical activity limitation, a more pessimistic outlook on treatment prognosis, and a lower mental well-being in patients with glaucoma.

CONCLUSION: The study revealed a high level of psychological maladjustment among patients with posterior segment eye pathology. The obtained data can be used to develop personalized treatment plans that consider both the ophthalmic diagnosis and the mental status of patients.

Full Text

Restricted Access

About the authors

Denis A. Yakovlev

Kazan State Medical University

Author for correspondence.
Email: doc.denis.yakovlev@mail.ru
ORCID iD: 0009-0007-1032-8033
SPIN-code: 6998-9549
Russian Federation, Kazan

Ekaterina Yu. Labaeva

Inter-industry Scientific Technical Complex "Eye Microsurgery" named after academician S.N. Fedorov

Email: doc.e.lab@mail.ru
ORCID iD: 0009-0001-8371-0459
Russian Federation, Cheboksary

Anna A. Voskresenskaya

Inter-industry Scientific Technical Complex "Eye Microsurgery" named after academician S.N. Fedorov; Postgraduate Doctors Training Institute

Email: vsolaris@mail.ru
ORCID iD: 0000-0003-4213-4923
SPIN-code: 8117-8135

MD, Cand. Sci. (Medicine)

Russian Federation, Cheboksary; Cheboksary

Svetlana V. Kuzmina

Kazan State Medical University

Email: skouzmina21@list.ru
ORCID iD: 0000-0002-7330-1213
SPIN-code: 8014-5669

MD, Dr. Sci. (Medicine), Assistant Professor

Russian Federation, Kazan

Nadezhda A. Pozdeyeva

Inter-industry Scientific Technical Complex "Eye Microsurgery" named after academician S.N. Fedorov; Postgraduate Doctors Training Institute

Email: npozdeeva@mail.ru
ORCID iD: 0000-0003-3637-3645
SPIN-code: 2878-7280

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Cheboksary; Cheboksary

References

  1. Badimova AV. Epidemiological features of eye disorders morbidity and disability in Russia and abroad. Eruditio Juvenium. 2020;8(2):261–268. doi: 10.23888/HMJ202082261-268 EDN: TUKNZY
  2. World report on vision. Geneva: World Health Organization; 2019. 25 p. URL: https://www.who.int/publications/i/item/world-report-on-vision Jakovlev DA, Shurygina AD, Kuzmina SV, Rascheskov AYu. The prevalence of mental disorders in patients with posterior segment eye disease. Neurology Bulletin. 2023;55(2):52–61. doi: 10.17816/nb303671 EDN: XQJQAG
  3. Nekrasov VA, Sluchevskaya SF. Mental disorders of late age: an educational and methodological guide. Saint Petersburg: NWSMU im. I.I. Mechnikova; 2015. 51 p. (In Russ.)

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Prevalence of maladaptation symptoms in groups with age-related macular degeneration (AMD) and glaucoma, %.

Download (158KB)
3. Fig. 2. Boxplot for the HADS anxiety and depression subscales by diagnosis.

Download (138KB)

Copyright (c) 2025 Eco-Vector

License URL: https://eco-vector.com/for_authors.php#07

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 75562 от 12 апреля 2019 года.