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Decision-making Impairments in Primary Angle-closure Glaucoma Patients.
Hui Pu1, Yong Wang2, Qiang Wei3
1Department of Neurology, The Second People's Hospital of Wuhu, Wuhu, Anhui 241000; Department of Neurology, The First Hospital of Anhui Medical University, Hefei, Anhui 230032; Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, Anhui 230032, China.
Chinese Medical Journal
|June 7, 2017
Summary
Primary angle-closure glaucoma patients make riskier decisions than healthy individuals, with neuroticism playing a significant role. This finding may impact treatment adherence in glaucoma management.
Area of Science:
- Ophthalmology
- Neuroscience
- Psychology
Background:
- Primary angle-closure glaucoma (PACG) is a leading cause of blindness.
- Improper medical decisions negatively impact PACG prognosis.
- Understanding decision-making in PACG is crucial for patient outcomes.
Purpose of the Study:
- To investigate decision-making under risk in patients with PACG.
- To compare risk-taking behavior and personality traits between PACG patients and healthy controls.
Main Methods:
- Thirty PACG patients and thirty healthy controls participated.
- Decision-making under risk was assessed using the game of dice task (GDT).
- Eysenck Personality Questionnaire (EPQ) was used to evaluate personality traits.
Main Results:
- PACG patients exhibited significantly riskier decisions on the GDT compared to controls (P<0.001).
- PACG patients scored higher in neuroticism on the EPQ than controls (P<0.001).
- Neuroticism scores positively correlated with risky decision-making in PACG patients (r=0.417, P=0.001).
Conclusions:
- Neuroticism is associated with increased risky decision-making in PACG.
- Psychological factors like neuroticism may influence decision-making in PACG.
- Future research should explore the impact of emotional management and psychological interventions on PACG patient compliance.
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