Zeigen Patienten aufgrund ihres Gesichtsfeldausfalls Veränderungen in ihrer Persönlichkeit? Eine Untersuchung mittels FPI-R und NEI-VFQ

Jobke, Sandra; Kasten, Erich; Sabel, Bernhard A.

doi:10.1055/s-2008-1027417

Cited by 2 publications

(2 citation statements)

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“…While quality of life estimates (both health-related and vision-related) were severely reduced in the investigated first stroke sample, Jobke et al reported that no change in personality features could be observed in patients with visual field loss in general [36]. …”

Section: Discussionmentioning

confidence: 99%

Vision-related quality of life in first stroke patients with homonymous visual field defects

Gall

Franke

Sabel

2010

Health Qual Life Outcomes

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BackgroundTo evaluate vision-related and health-related quality of life (VRQoL, HRQoL) in first stroke patients with homonymous visual field defects (VFD) with respect to the extent of the lesion. Since VFD occur in approximately 10% of stroke patients the main purpose of the study was to investigate the additional impact of VFD in stroke patients hypothesizing that VFD causes diminished VRQoL.MethodsIn 177 first stroke patients with persisting VFD 2.5 years after posterior-parietal lesions VRQoL was assessed by the National-Eye-Institute-Visual-Functioning-Questionnaire (NEI-VFQ) and HRQoL by the Medical-Outcome-Study Short-Form-36 Health-Survey (SF-36). Questionnaire results of VFD-patients were compared with age- and sex-matched healthy controls and with general non-selected stroke samples as published elsewhere. VFD-type and visual acuity were partially correlated with questionnaire results.ResultsCompared to healthy controls VFD-patients had lower NEI-VFQ scores except ocular pain (Z-range -11.34 to -3.35) and lower SF-36 scores except emotional role limitations (Z-range -7.21 to -3.34). VFD-patients were less impaired in SF-36 scores than general stroke patients one month post lesion (6/8 subscales) but had lower SF-36 scores compared to stroke patients six months post lesion (5/8 subscales). Visual acuity significantly correlated with NEI-VFQ scores (r-range 0.27 to 0.48) and VFD-type with SF-36 mental subscales (r-range -0.26 to -0.36).ConclusionsVFD-patients showed substantial reductions of VRQoL and HRQoL compared to healthy normals, but better HRQoL compared to stroke patients one month post lesion. VFD-patients (although their lesion age was four times higher) had significantly lower HRQoL than a general stroke population at six months post-stroke. This indicates that the stroke-related subjective level of HRQoL impairment is significantly exacerbated by VFD. While VRQoL was primarily influenced by visual acuity, mental components of HRQoL were influenced by VFD-type with larger VFD being associated with more distress.

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Section: Discussionmentioning

confidence: 99%

Vision-related quality of life in first stroke patients with homonymous visual field defects

Gall

Franke

Sabel

2010

Health Qual Life Outcomes

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“…Thus, a deeper investigation of clinical manifestations not only of anxiety appears to be necessary in future large-scale studies. Additionally, personality changes after cerebral visual injury have been already reported (Jobke et al, 2008 ). For future studies, the combined use of the BSI or the long-version SCL-90 together with a personality inventory should be considered and diagnoses of mental disorders should be made available, which requires a more extensive study.…”

Section: Discussionmentioning

confidence: 83%

Mental Distress in Patients with Cerebral Visual Injury Assessed with the German Brief Symptom Inventory

Gall

Brösel²,

Franke

2015

Front. Aging Neurosci.

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BackgroundWhile there are reports on vision-related quality of life in patients with vision impairment caused by both ophthalmic and brain diseases, little is known about mental distress. In fact, mental distress after cerebral visual injury has been widely ignored.MethodsMental health symptoms were assessed in 122 participants with visual field defects after brain damage (72 male, mean age 58.1 ± 15.6 years), who completed the German Brief Symptom Inventory (BSI) at their homes after they had been asked by phone for their participation.ResultsClinically relevant mental distress was present in 25.4% of participants with cerebral visual injury. In case of multisensory impairment, an increased amount and intensity of mental distress symptoms was observed compared to the subsample with only visual impairment.ConclusionAssessment of comorbid mental health symptoms appears to be clinically meaningful in brain-damaged patients with visual sensory impairment. In case of clinically relevant mental distress, psychological supportive therapies are advisable especially in subjects with cerebral visual injury and comorbidities affecting other sensory modalities as well.

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Zeigen Patienten aufgrund ihres Gesichtsfeldausfalls Veränderungen in ihrer Persönlichkeit? Eine Untersuchung mittels FPI-R und NEI-VFQ

Abstract: Contrary to our presumptions, patients with visual field defects did not show any changes in their personality. It is supposed that they have learned to compensate for their reduced visual functions.

Cited by 2 publications

References 5 publications

Vision-related quality of life in first stroke patients with homonymous visual field defects

Vision-related quality of life in first stroke patients with homonymous visual field defects

Mental Distress in Patients with Cerebral Visual Injury Assessed with the German Brief Symptom Inventory

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