青少年型开角型青光眼患者眼压对感知压力的反应。

IF 2 4区 医学 Q2 OPHTHALMOLOGY Journal of Glaucoma Pub Date : 2024-11-01 Epub Date: 2024-08-02 DOI:10.1097/IJG.0000000000002478
Samuel Abokyi, Prince Mordi, Michael Ntodie, Benedict Ayobi, Emmanuel Kwasi Abu
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引用次数: 0

摘要

摘要:在青少年型开角型青光眼患者中,学业压力导致的高感知压力与眼压升高和波动降低有关。个性化的压力评估和缓解策略可作为青光眼的辅助疗法:与健康人相比,评估青少年型开角型青光眼(JOAG)患者因学业压力而产生的较高感知压力对眼压(IOP)的影响:研究对象包括 48 名年龄在 18 至 27 岁之间的大学生,其中包括 24 名使用抗青光眼眼药水的 JOAG 患者和 24 名健康对照组。采用考官盲法的前测-后测设计,在学期开始和结束时的三次随访中,使用戈德曼眼压计每周测量参与者的眼压。在这两个时间点还对感知压力量表(PSS)的得分进行了评估,以捕捉低学业压力期和高学业压力期的感知压力对比:结果:两组学生在学期开始时的基线 PSS 分数都较低(青光眼组为 14.1±1.9 分,对照组为 13.5±2.4 分),到学期结束时则显著增加(29.2±2.1 分,对照组为 28.5±1.3 分):较高的压力感知会明显增加眼压,尤其是在 JOAG 患者中,这表明个性化的压力管理是一种潜在的辅助疗法。
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Intraocular Pressure Response to Perceived Stress in Juvenile-Onset Open Angle Glaucoma.

Prcis: High perceived stress from academic pressure is associated with intraocular pressure (IOP) elevation and reduced fluctuation in juvenile-onset open angle glaucoma patients. Personalized stress assessment and relief strategies may serve as an adjunct therapy in glaucoma.

Objective: To evaluate the effect of higher perceived stress, resulting from academic pressure, on IOP in juvenile-onset open angle glaucoma (JOAG) patients compared with healthy individuals.

Methods: The study included 48 university students aged 18-27 years, comprising 24 JOAG patients on antiglaucoma eyedrops and 24 healthy controls. In an examiner-blind pretest-posttest design, participants' IOP was measured weekly using Goldmann tonometry during three follow-up visits at the beginning and end of the academic semester. Perceived Stress Scale (PSS) scores were also evaluated at these 2-time points to capture the contrast in perceived stress between periods of low and high academic pressure.

Results: The baseline PSS score at the semester's start was lower in both groups (14.1±1.9 in glaucoma vs. 13.5±2.4 in control) and significantly increased by the end of the semester (29.2±2.1 vs. 28.5±1.3; P <0.001), indicating increased perceived stress. Concurrently, IOP rose from 22.01±5.87 to 25.08±5.84 mm Hg in the glaucoma group and from 11.36±2.03 to 13.65±2.11 mm Hg in the control group. Factorial analysis revealed a significant interaction between stress and JOAG ( F(1,94) =15.94, P =0.001), partial η 2 =0.08, with stress having a greater increase on IOP in the glaucoma group (+3.10 mm Hg) compared with the control group (+2.23 mm Hg) ( t(94) =4.457, P <0.001).

Conclusions: Higher perceived stress significantly increases IOP, especially in JOAG patients, suggesting personalized stress management as a potential adjunct therapy for patients.

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来源期刊
Journal of Glaucoma
Journal of Glaucoma 医学-眼科学
CiteScore
4.20
自引率
10.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.
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