The negative psychosocial impact of strabismus in adults

Olitsky, Scott E.; Sudesh, Sudha; Graziano, Anthony M.; Hamblen, Jessica L.; Brooks, Steven E.; Shaha, Steven H.

doi:10.1016/s1091-8531(99)70004-2

Cited by 185 publications

(120 citation statements)

References 8 publications

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“…2,5,15,16 In contrast in studies with people rating patients with strabismus, esotropes are usually rated worse. 17,18 Female gender correlated significantly with a lower preoperative AS-20 score. Interestingly, the psychosocial subscale, although showing a difference, is not significantly different to that of males indicating that the Abbreviations: AS-20fn, score for the functional subscale; AS-20py, score for the psychosocial subscale; AS-20 total, total score for AS-20 questionnaire.…”

Section: Resultsmentioning

confidence: 93%

Improvement in patients' quality-of-life following strabismus surgery: evaluation of postoperative outcomes using the Adult Strabismus 20 (AS-20) score

Glasman

Cheeseman

Wong

et al. 2013

Eye

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Section: Resultsmentioning

confidence: 93%

Improvement in patients' quality-of-life following strabismus surgery: evaluation of postoperative outcomes using the Adult Strabismus 20 (AS-20) score

Glasman

Cheeseman

Wong

et al. 2013

Eye

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“…Evaluations of photographs of people with esotropic strabismus resulted in more negative ratings of personality traits such as intelligence, communication skills, and attentiveness than photographs of people without the condition. 5 Patients with strabismus, ptosis, or dermatatochalasis were also viewed as less dateable, less attractive, less likeable, and less successful in studies, in which people were asked to rate photographs and headshots of potential dates. 6,7 Difficulties obtaining employment 8,9 and career progression and promotion within the US Army 10 have also been highlighted by the research.…”

Section: Introductionmentioning

confidence: 99%

The psychological well-being and appearance concerns of patients presenting with ptosis

Richards

Jenkinson

Rumsey

et al. 2013

Eye

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Purpose Ptosis affects both the function and appearance of the eyes and face, because of drooping of the eyelids. Previous research has focused on functional impairment; however, similar appearance altering eye conditions have been demonstrated to have major impacts on psychosocial functioning. Methods This study examines the psychological well-being and appearance concerns of patients presenting with ptosis recruited from Bristol Eye Hospital using validated questionnaires focusing on demographics and psychosocial factors before surgery. Results Patients reported higher levels of anxiety, depression, and appearance concern than population norms, with scores comparable to previous research examining the impact of other disfiguring eye conditions. Gender differences were observed, with almost half of females experiencing significant psychosocial issues related to appearance concern about their ptosis compared with 20% of males. Linear regressions revealed that the main predictor of poor adjustment to the appearance of ptosis was the level of concern an individual had regarding the negative perceptions of other people. These results implicate psychosocial factors and demographics as predictors of the development of appearancerelated distress and compromised psychological well-being for patients with ptosis who are currently seeking surgery. Conclusions This study provides clinicians with a greater understanding of the concerns of affected patients, and treatment motivations. The findings may also inform the development of patient reported outcome measures and support for patients, which targets the psychosocial impact of the condition.

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“…1 Approximately 80% of patients with strabismus have been found to attribute problems in their personal life to their squint, with all patients adversely affected by the 'cosmetic blemish of squint' and reporting problems making and maintaining friends. 2,3 Avoidance, concealment, and behaviours indicating self-consciousness such as reduced eye contact, eye rubbing, abnormal head posture, dark glasses, staying at home, and avoiding situations that bring attention to their eye have also been described.…”

Section: Introductionmentioning

confidence: 99%

Appearance concerns in ophthalmic patients

James

Jenkinson

Harrad

et al. 2011

Eye

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Aims This study aimed to determine the psychosocial and appearance-related concerns of a sample of ophthalmic patients by measuring a range of psychological, social, and demographic factors. Methods Standardized psychological measures including anxiety, depression, appearance-related distress, self-discrepancy, appearance salience and valence were administered to 98 participants attending ophthalmic outpatient clinics in either London, Bristol, Sheffield or Bradford. Differences between groups were explored using t-tests and ANOVA, relationships between all variables were investigated using Pearson's correlation coefficient. Results Although mean scores for psychological adjustment were within the normal range, some participants were experiencing considerable levels of generalized anxiety. Being older, male, and married or living with a partner was related to significantly better adjustment. Better adjustment was also related to a less visible area of concern, greater disguisability of the affected area, a more positive evaluation of their own appearance, less engagement in comparing themselves with others, greater feelings of being accepted by others, appearance being less important to their selfconcept, and a smaller discrepancy between the persons ideal and actual appearance. Conclusions A majority of ophthalmic patients adjust positively to the demands placed on them. By identifying the variables that are associated with successful adaptation, the specific psychological interventions and appropriate systems of support can be put in place to help those who are adversely affected.

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The negative psychosocial impact of strabismus in adults

Cited by 185 publications

References 8 publications

Improvement in patients' quality-of-life following strabismus surgery: evaluation of postoperative outcomes using the Adult Strabismus 20 (AS-20) score

Improvement in patients' quality-of-life following strabismus surgery: evaluation of postoperative outcomes using the Adult Strabismus 20 (AS-20) score

The psychological well-being and appearance concerns of patients presenting with ptosis

Appearance concerns in ophthalmic patients

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