Association between Dry Eye Disease and Psychological Stress among Paramedical Workers in Korea

Hyon, Joon Young; Yang, Hee Kyung; Han, Sang Beom

doi:10.1038/s41598-019-40539-0

Cited by 34 publications

(52 citation statements)

References 49 publications

(91 reference statements)

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“…DED has also been shown to be associated with suicidal ideation, even after controlling for depression level (Um et al, 2018). Most recently, DED was the only common ocular disorder found to be associated with an increased depression score (Jonas et al, 2018) and showed to be closely related to psychological stress (Hyon, Yang, & Han, 2019).…”

Section: Introductionmentioning

confidence: 99%

Psychological contribution to understanding the nature of dry eye disease: a cross-sectional study of anxiety sensitivity and dry eyes

Toth

Jokić‐Begić

2020

Health Psychology and Behavioral Medicine

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Dry eye disease (DED) represents a common health problem in the general population. Previous studies have demonstrated that the subjective symptoms of dry eye are associated with several psychological factors, including depression, anxiety and posttraumatic stress disorder. However, there is a lack of empirical information about the mechanisms underlying the relationships between DED and various psychological symptoms. In light of emerging evidence of its trans-diagnostic nature, anxiety sensitivity (i.e. AS) represents one promising factor for further understanding DED. The present study aimed to explore whether anxiety sensitivity plays a role in the perception of DED symptoms in a community-based sample of adults aged 20-89 years (N = 381; M = 39.72, SD = 12.6). A dry ocular surface was reported by 22.8% of the participants. As expected, women more often reported symptoms of dry eye that could be categorized as moderate to severe. The findings demonstrated that AS, and the AS-psychological concerns dimension in particular, predict the intensity of dry eye symptoms above and beyond depressive and anxiety symptoms. These findings add to a growing body of work underscoring the relevance of AS in increasing the risk of chronic medical conditions.

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Section: Introductionmentioning

confidence: 99%

Psychological contribution to understanding the nature of dry eye disease: a cross-sectional study of anxiety sensitivity and dry eyes

Toth

Jokić‐Begić

2020

Health Psychology and Behavioral Medicine

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“…It seems that among those three variables, stress has the lowest impact on DED (40). Some results suggest that DED might be aggravatedly present in stressful professions like paramedics (7) and amongst women (7,43) but this is still insufficient to reach any certain conclusions.…”

Section: Psychological Stressmentioning

confidence: 99%

“…To znači da stres može na više načina dovesti do keratokonusa i njegovog pogoršanja složenom fiziološkom neravnotežom uzrokovanom velikom koncentracijom kortizola (55). Opet, psihološki stres je najbolje istražen zajedno sa SSO-om (7,14,18,40,43…”

Section: Psihološki Stresunclassified

“…To reiterate, psychological stress is best investigated together with DED (7,14,18,40,43). However, stress has been included in research designs that focus more on depression or anxiety only sporadically and based on convenience.…”

Section: Psychological Stressmentioning

confidence: 99%

“…Dry eye disease (DED) is one of the most rapidly increasing eye health problems which affects one-third of the general population (5) and has been frequently associated with a variety of psychological factors in the last decade (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

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Dry Eyes, Vision Problems, and Psychiatric Symptoms: Are We Missing Something?

Toth

2020

Soc psih

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Problemi vida i patologija oka često su u komorbiditetu s psihijatrijskim stanjima. Ovaj rad pruža pregled dostupnih istraživanja o takvim vezama i podiže osviješćenost o mogućem značenju i učincima različitih očnih simptoma i oštećenja vida na psihijatrijska stanja i psihičke simptome. Dodatno, psihološke karakteristike i psihijatrijska stanja razmatraju se kao mogući uzroci problema oka i vida. Većina istraživanja otkriva povezanost između problema oka i vida s psihijatrijskim stanjima i psihičkim smetnjama. Blaži oftalmološki problemi najčešće su povezani s poremećajima raspoloženja, a manje s ostalim psihijatrijskim stanjima. Ozbiljni oftalmološki problemi, poput gubitka oštrine vida, povećavaju rizik za reaktivnu depresiju. Manji broj istraživanja potvrđuje vezu između psihotičnih poremećaja i vida, koja uglavnom mijenja vidnu percepciju. Zaključno, razmotrene su moguće interakcije i odnosi između psihijatrijskih stanja i problema oka i vida te preporuke za buduća istraživanja. U preporukama za usmjeravanje i zbrinjavanje pacijenata naglašen je holistički pristup u tretmanu pacijenata. / Vision problems and eye pathology are often comorbid with psychiatric conditions. This paper provides a review of available studies about these associations and raises awareness on possible causes and impacts of different eye symptoms and vision impairment on psychiatric states and psychological symptoms. Additionally, psychological characteristics and psychiatric conditions are considered as a possible cause of eye and vision-related problems. Most of the studies found an association of eye and vision problems with psychiatric conditions and psychological disturbances. Ophthalmic problems of a milder nature are mostly associated with mood disorders and less commonly with other psychiatric conditions. Serious eye conditions, like a loss of visual acuity, increase the risk for reactive depression. Fewer studies presented a connection between psychotic disorders and vision, which mostly alters visual perception. In the concluding section, possible interactions and relationships between psychiatric conditions and eye and vision problems are presented, along with recommendations for future research. The importance of holistic professional care in patient treatment is particularly emphasized in the recommendations for patient management.

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Eyelid Disorders in Ophthalmology Practice: Results from a Large International Epidemiological Study in Eleven Countries

Doan

Zagórski²,

Palmares

et al. 2020

Ophthalmol Ther

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Purpose Anecdotal evidence suggests that eyelid disorders are common, although estimates of prevalence vary. The current study determines the prevalence of eyelid disorders, meibomian gland dysfunction (MGD) and related diseases (specifically ocular surface disease) in a population of patients presenting for routine ophthalmologic consultations. Methods This cross-sectional epidemiologic survey evaluated patients presenting for routine ophthalmic visits. During the consultation an ophthalmologist completed a questionnaire, and each patient underwent an ophthalmic examination and completed a quality of life questionnaire. Results Three hundred forty-nine ophthalmologists, recruited from 11 countries, provided data on 6525 patients. Patients were predominantly females (61.6%). The mean age of the study population was 57.0 ± 17.6 years. Eyelid disorders were diagnosed in 5109 (78.3%) patients and were statistically associated with: atopic dermatitis, seborrheic dermatitis, dry eye, age-related macular degeneration, diabetes, cataract, allergy and MGD ( P < 0.05, all associations). Eyelid abnormalities were identified in 59.6% of patients; conjunctival or corneal abnormalities were observed in 64.9% and 28.1% of patients, respectively. MGD was diagnosed in 54.3% patients and was statistically significantly associated with the presence of eyelid disorders and eyelid margin abnormalities ( P < 0.001, both comparisons). Dry eye was diagnosed in 61.8% of patients. Concurrent dry eye and MGD were present in 67.6% of patients. Most patients reported some degree of impaired vision and daily/work activities related to dry eye. Impact on contact lens usage, emotions and quality of sleep was also reported. The effects on daily life were associated with the presence of MGD. Conclusion In conclusion, eyelid disorders were highly prevalent in this ‘real-world’ population of patients from ophthalmology clinics. Routine ophthalmologic consultations provide an opportunity to improve patient quality of life and to modify topical therapy in patients who may be predisposed to eyelid disorders.

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Association between Dry Eye Disease and Psychological Stress among Paramedical Workers in Korea

Cited by 34 publications

References 49 publications

Psychological contribution to understanding the nature of dry eye disease: a cross-sectional study of anxiety sensitivity and dry eyes

Psychological contribution to understanding the nature of dry eye disease: a cross-sectional study of anxiety sensitivity and dry eyes

Dry Eyes, Vision Problems, and Psychiatric Symptoms: Are We Missing Something?

Eyelid Disorders in Ophthalmology Practice: Results from a Large International Epidemiological Study in Eleven Countries

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