Association between psychological vulnerability and glaucoma progression: Protocol for a multicenter prospective cohort study in South Korea

Introduction Mental health is a significant concern for patients diagnosed with glaucoma, as visual impairment can have a profound impact on psychological well-being. Conversely, psychological vulnerability in glaucoma patients can negatively influence treatment adherence to ocular hypotensive thera...

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Published in:PloS one 2023-10, Vol.18 (10), p.e0292599-e0292599
Main Authors: Baek, Sung Uk, Kim, Jin-Soo, Kim, Dai Woo, Ha, Ahnul, Kim, Young Kook
Format: Article
Language:English
Subjects:
Analysis
Anxiety
Anxiety disorders
Biology and Life Sciences
Care and treatment
Cohort analysis
Development and progression
Diagnosis
Generalized anxiety disorder
Glaucoma
Health aspects
Health care facilities
Health surveys
Medical centers
Medicine and Health Sciences
Mental depression
Optics
Patient compliance
Patients
Photography
Psychological factors
Quality of life
Questionnaires
Social Sciences
Stress
Study Protocol
Visual acuity
Well being
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Kim, Jin-Soo
Kim, Dai Woo
Ha, Ahnul
Kim, Young Kook
description Introduction Mental health is a significant concern for patients diagnosed with glaucoma, as visual impairment can have a profound impact on psychological well-being. Conversely, psychological vulnerability in glaucoma patients can negatively influence treatment adherence to ocular hypotensive therapy, thereby potentially exacerbating disease progression in a vicious cycle. The study protocol proposed herein aims to explore the impact of psychological states such as anxiety, depression, and stress on both medication adherence and progression of glaucoma. Materials and methods This study is to be a prospective multicenter study conducted at four tertiary medical centers. Patients recently diagnosed with glaucoma and not yet treated will be enrolled. Anxiety, depression, and stress scales will be administered at baseline, one year, and two years, along with glaucomatous assessments to be performed every six months. Validated questionnaires (Generalized Anxiety Disorder Assessment [GAD-7], Patient Health Questionnaire [PHQ-9], and Perceived Stress Scale-10 [PSS-10]) will assess anxiety, depression, and stress, respectively. The primary objective is to correlate post-diagnosis psychological status with medication adherence and disease progression. The effects of pre- and post-diagnosis changes in anxiety, depression, and stress on disease progression will be analyzed. Kaplan-Meier survival analysis and logistic regression will be performed to identify clinical characteristics associated with increased risk of developing anxiety, depression, and stress in glaucoma patients.
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Conversely, psychological vulnerability in glaucoma patients can negatively influence treatment adherence to ocular hypotensive therapy, thereby potentially exacerbating disease progression in a vicious cycle. The study protocol proposed herein aims to explore the impact of psychological states such as anxiety, depression, and stress on both medication adherence and progression of glaucoma. Materials and methods This study is to be a prospective multicenter study conducted at four tertiary medical centers. Patients recently diagnosed with glaucoma and not yet treated will be enrolled. Anxiety, depression, and stress scales will be administered at baseline, one year, and two years, along with glaucomatous assessments to be performed every six months. Validated questionnaires (Generalized Anxiety Disorder Assessment [GAD-7], Patient Health Questionnaire [PHQ-9], and Perceived Stress Scale-10 [PSS-10]) will assess anxiety, depression, and stress, respectively. The primary objective is to correlate post-diagnosis psychological status with medication adherence and disease progression. The effects of pre- and post-diagnosis changes in anxiety, depression, and stress on disease progression will be analyzed. Kaplan-Meier survival analysis and logistic regression will be performed to identify clinical characteristics associated with increased risk of developing anxiety, depression, and stress in glaucoma patients.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0292599</identifier><identifier>PMID: 37816064</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Analysis ; Anxiety ; Anxiety disorders ; Biology and Life Sciences ; Care and treatment ; Cohort analysis ; Development and progression ; Diagnosis ; Generalized anxiety disorder ; Glaucoma ; Health aspects ; Health care facilities ; Health surveys ; Medical centers ; Medicine and Health Sciences ; Mental depression ; Optics ; Patient compliance ; Patients ; Photography ; Psychological factors ; Quality of life ; Questionnaires ; Social Sciences ; Stress ; Study Protocol ; Visual acuity ; Well being</subject><ispartof>PloS one, 2023-10, Vol.18 (10), p.e0292599-e0292599</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Baek et al. 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Conversely, psychological vulnerability in glaucoma patients can negatively influence treatment adherence to ocular hypotensive therapy, thereby potentially exacerbating disease progression in a vicious cycle. The study protocol proposed herein aims to explore the impact of psychological states such as anxiety, depression, and stress on both medication adherence and progression of glaucoma. Materials and methods This study is to be a prospective multicenter study conducted at four tertiary medical centers. Patients recently diagnosed with glaucoma and not yet treated will be enrolled. Anxiety, depression, and stress scales will be administered at baseline, one year, and two years, along with glaucomatous assessments to be performed every six months. Validated questionnaires (Generalized Anxiety Disorder Assessment [GAD-7], Patient Health Questionnaire [PHQ-9], and Perceived Stress Scale-10 [PSS-10]) will assess anxiety, depression, and stress, respectively. 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subjects Analysis
Anxiety
Anxiety disorders
Biology and Life Sciences
Care and treatment
Cohort analysis
Development and progression
Diagnosis
Generalized anxiety disorder
Glaucoma
Health aspects
Health care facilities
Health surveys
Medical centers
Medicine and Health Sciences
Mental depression
Optics
Patient compliance
Patients
Photography
Psychological factors
Quality of life
Questionnaires
Social Sciences
Stress
Study Protocol
Visual acuity
Well being
title Association between psychological vulnerability and glaucoma progression: Protocol for a multicenter prospective cohort study in South Korea
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