在阴膜黑色素瘤中幻眼症状的患病率,时间过程和危险因素
Stephen L Brown1,2, Laura Hope-Stone3,4, Rumana N Hussain4
1School of Psychology, University of New England, Armidale, NSW, Australia. stephen.brown@une.edu.au.
Eye (London, England)
|September 26, 2023
概括
幻眼症状 (PES),包括幻视觉感觉 (PVS) 和幻眼疼痛 (PEP),在眼睛切除后是常见的和持久的. 诊断后不久的焦虑可能会增加患幻眼痛的风险.
科学领域:
- 眼科医生 眼科 眼科
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 幻眼症状 (PES),包括幻视觉感觉 (PVS) 和幻眼疼痛 (PEP),是经常经历过眼睛化后的患者.
- 现有的研究受到横截面设计的限制,阻碍了对症状进展和动态风险因素的理解.
研究的目的:
- 为了调查PVS和PEP的时间过程和患病率,在皮膜黑色素瘤核化后的患者.
- 确定与 PES 发展相关的潜在风险因素和后果.
主要方法:
- 一组105名无核状皮膜黑色素瘤患者在诊断时和治疗后6,12和24个月完成了自我报告问卷.
- 评估包括PVS,PEP,疼痛严重程度,焦虑,抑郁 (医院焦虑和抑郁量表) 和生活质量 (FACT-G).
主要成果:
- 在排卵后6个月内出现PVS和PEP,并且保持相对稳定,PVS的患病率在24个月内从30.2%到48.2%,PEP从16.1%到18.4%不等.
- 大多数PVS是初级的,PEP通常是轻微的,尽管有一小部分人经历了严重的症状. 诊断后4周内的焦虑是PEP发作的危险因素.
- 无论是PVS还是PEP都没有前性地预测焦虑,抑郁或生活质量的结果.
结论:
- 幻眼症状在化后是普遍和持久的,通常在六个月内出现.
- 由于PVS和PEP可能不构成统一的综合征,这表明存在不同的潜在机制.
- 研究结果为临床实践和未来的研究方向提供了信息,以管理幻眼症状.
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