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Type A behavior pattern: is it a risk factor for open-angle chronic glaucoma?
Raffaella Morreale Bubella1, Daniele Morreale Bubella, Salvatore Cillino
1Section of Ophthalmology, Department of Experimental Biomedicine and Clinical Neuroscience (BioNeC), University of Palermo, Palermo, Italy.
Journal of Glaucoma
|October 13, 2012
Summary
Type A behavior and anxiety are prevalent in open-angle glaucoma (OAG) patients, correlating with increased visual field damage. Personality assessment is crucial for OAG diagnosis and management.
Area of Science:
- Ophthalmology
- Psychology
- Psychosomatic Medicine
Background:
- Open-angle glaucoma (OAG) is a progressive optic neuropathy.
- Psychological factors, including personality traits and stress, are increasingly recognized for their potential role in disease development and progression.
Purpose of the Study:
- To investigate the prevalence of Type A behavior in patients with OAG.
- To explore the association between psychophysiological stress, Type A personality, and OAG severity.
Main Methods:
- Fifty OAG patients underwent comprehensive ophthalmological examinations, including visual field testing and retinal nerve fiber layer analysis.
- Psychological assessments included anxiety scales and Type A/B personality questionnaires.
Main Results:
- 64% of OAG patients exhibited Type A behavior, associated with significantly higher levels of both trait and state anxiety (P=0.001).
- Type A individuals demonstrated more pronounced visual field defects (P=0.001), negatively correlated with coping strategies (P=0.024).
Conclusions:
- Type A personality is a significant characteristic in OAG patients, linked to heightened anxiety and greater disease severity.
- Integrating personality assessment into the diagnostic and treatment protocols for OAG is highly recommended.
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