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Kuru Gözün Anksiyete ve Depresyon ile İlişkisi

Amaç: Bu çalışmanın amacı, kuru göz sendromunda anksiyeteye ve depresyona eğilimin daha önce psikiyatrik tanı veya tedavi almamış hastalarda değerlendirmektir.Materyal ve metod: 32 kuru göz hastası ve 31 kontrol grubu hastasının dahil edildiği çalışmada, tüm katılımcılara Schirmer ve Gözyaşı Kırılma Zamanı (GKZ) testleri, Oküler Yüzey Hastalığı İndeksi (OSDI) uygulandı ve psikolojik değerlendirmeleri için Beck Anksiyete Ölçeği (BAÖ), Beck Depresyon Ölçeği (BDÖ) kullanıldı.Bulgular: Her iki grup arasında schirmer, GKZ, OSDI değerleri arasında anlamlı fark vardır (p<0,001). BDÖ sonuçlarına göre hasta grubunun %53,1’i depresyon olan gruptaydı. Kontrol grubunda ise %35,5’i depresyon olan gruptaydı. Depresyon pozitif hasta sayısı kontrol grubunda daha düşük olmakla birlikte anlamlı farklılık saptanmadı (p> 0,05). BAÖ sonuçlarına göre hasta grubunda anksiyete olan %71,9 hasta bulunurken kontrol grubunda ise %41,9 hasta vardı. Gruplarda anksiyete varlığına göre istatistiksel anlamlı fark saptanmıştır (p<0,05). Anksiyetesi olmayan hasta sayısı, kontrol grubunda hasta grubunun iki katı kadardır. Kontrol grubunda şiddetli anksiyetesi olanlar (%3,2) ile çalışma grubundaki şiddetli anksiyetesi olanlar (%21,9) arasında anlamlı fark saptandı (p<0,05).Sonuç: Bu çalışmada kuru göz sendromunun özellikle anksiyete ile ilişki gösterdiği sonucuna varılmıştır. Kuru göz sendromu tedavi uyumunda ve psikiyatri kliniklerindeki tedavi uygulamalarında bu ilişkinin göz önünde bulundurulması gerekmektedir.Anahtar Kelimeler: Kuru Göz, Depresyon, Anksiyete

Anahtar Kelimeler:

kuru göz, anksiyete, depresyon

The Relationship of Dry Eye with Anxiety And Depression

Background: The aim of this study was to evaluate the tendercy to anxiety and depression in dry eye disease patients who had not previously received psychiatric diagnose or treatment.Materials and Methods: The study included 32 dry eye, 31 control group patients. Schirmer, Tear Break Up Time (TBUT) and The Ocular Surface Disease Index (OSDI) were performed. Beck Anxiety Inventory and Beck Depression Inventory were used for psychological evaluation.Results: Schirmer test, TBUT, OSDI values were significantly different in both groups (p <0.001). In the patient group 53.1% had positive depression score while 35.5% had positive depression score in the control group. Although the number of patients with depression was lower in the control group, there was no significant difference between the patient group (p> 0.05). According to positive anxiety results, there was a statistically significant difference between the patient group (71.9% vs 41.9%) (p <0.05). The patients with severe anxiety were significally lower in the control group (3.2% vs 21.9%) (p <0.05).Conclusion: In this study, dry eye syndrome was associated with anxiety. This relationship needs to be taken into consideration in compliance with dry eye treatment and treatment practices in psychiatry clinicsKey words: Dry eye, Depression, Anxiety

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