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Maladaptive coping strategies and glaucoma progression.

Ellen E Freeman1, Mark R Lesk, Paul Harasymowycz

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Summary

Maladaptive coping, specifically denial, is linked to worse visual field mean deviation in glaucoma patients. This finding highlights the need to consider psychological factors in managing glaucoma progression.

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Area of Science:

  • Ophthalmology
  • Psychology

Background:

  • Glaucoma progression necessitates identifying modifiable risk factors.
  • Maladaptive coping styles may influence disease outcomes.

Purpose of the Study:

  • To investigate the association between coping styles and glaucoma progression.
  • To determine if coping mechanisms correlate with visual field mean deviation.

Main Methods:

  • A case-control study included 180 patients with primary open angle or normal tension glaucoma.
  • The Brief Cope questionnaire assessed coping mechanisms.
  • Logistic and linear regressions analyzed glaucoma progression and visual field mean deviation.

Main Results:

  • No coping scales were associated with glaucoma progression.
  • Higher denial levels correlated with worse visual field mean deviation (r = -0.173, P = 0.024).
  • Denial, Haitian ethnicity, and medication count were linked to poorer visual field outcomes in regression analysis.

Conclusions:

  • The maladaptive coping mechanism of denial is a risk factor for worse visual field mean deviation in glaucoma.
  • Further research is needed to understand the pathways linking denial to glaucomatous visual field loss.