ANXIETY, DEPRESSION AND QUALITY OF LIFE IN PATIENTS  WITH GLAUCOMA

Suzana Tošić Golubović; Hristina Jocić; Uroš Gugleta; Gordana Nikolić; Nikola M Stojanović

Suzana Tošić Golubović Psychiatric Clinic, University Clinic Center Nis, Serbia and University of Nis, Medical Faculty, Serbia
Hristina Jocić University of Nis, Medical Faculty, Serbia
Uroš Gugleta University of Nis, Medical Faculty, Serbia
Gordana Nikolić Center for Mental Health Protection, University Clinic Center Nis, Serbia and University of Nis, Medical Faculty, Serbia
Nikola M Stojanović Faculty of Medicine, University of Niš, Niš, Serbia

Ključne reči: anksioznost, depresija, kvalitet života, glaukom

Sažetak

Prethodne studije pokazale su značajan komorbiditet između depresivnih i anksioznih poremećaja i glaukoma, koji je drugi najčešći uzrok gubitka vida u svetu. Ova studija imala je za cilj utvrđivanje prisustva depresije i anksioznosti, kao i procenu kvaliteta života bolesnika sa glaukomom, uz upoređivanje ovih rezultata sa rezultatima zdrave populacije. Studija preseka sprovedena je na Klinici za oftalmologiju, Univerzitetskog kliničkog centra Niš. Prisustvo anksioznosti i depresije procenjeno je pomoću Zungovih instrumenata za samoocenjivanje anksioznosti i depresije, a kvalitet života procenjen je pomoću SZO instrumenta za kvalitet života – kratka verzija. Prikupljeni su sociodemografski parametri i parametri vezani za glaukom. Oko 38,64% bolesnika sa glaukomom imalo je depresiju, uglavnom blage i umerene forme, dok je blaga depresija konstatovana kod 4,17% ispitanika u kontrolnoj grupi. Broj bolesnika sa anksioznošću bio je dva puta veći u eksperimentalnoj nego u kontrolnoj grupi. Navedeni rezultati pokazuju statistički relevantnu razliku (p < 0,01). Takođe utvrđena je statistički relevantna korelacija između učestalosti depresije i težine glaukoma (p < 0,001), dok između anksioznosti i težine glaukoma (p > 0,05) takva korelacija nije pronađena. Upoređujući prikupljene vrednosti za svaki domen, kao i ukupni kvalitet života, pronašli smo statistički relevantnu razliku (p < 0,001). Utvrđena je statistički značajna korelacija između bolesnika sa blažim i težim oblicima glaukoma. Komorbidna depresija i anksioznost kod bolesnika sa glaukomom javljaju se kod težih oblika glaukoma, kod bolesnika sa dužim trajanjem bolesti iz medicinskih i psiho-socijalnih razloga.

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ANKSIOZNOST, DEPRESIJA I KVALITET ŽIVOTA KOD BOLESNIKA SA GLAUKOMOM

Sažetak

Reference