Anxiety and Depression among Patients with Uveitis and Ocular Inflammatory Disease at a Tertiary Center in Southern Thailand: Vision-Related Quality of Life, Sociodemographics, and Clinical Characteristics Associated

Ocul Immunol Inflamm. 2019;27(5):731-742. doi: 10.1080/09273948.2018.1484495. Epub 2018 Jul 3.

Abstract

Purpose: To estimate the prevalence of positive anxiety and depression screening in patients with ocular inflammatory disease (OID). The predictors associated with anxiety and depressive symptoms were investigated. Methods: A cross-sectional study was conducted. The Thai Hospital Anxiety and Depression Scale (HADS), a sociodemographic questionnaire, and the Thai Visual Functioning Questionnaire 28 were administered to all participants. Associations were estimated using the Cox regression. Results: Of the 86 participants, 12.8% and 8.1% screened positive for anxiety and depression, respectively. Predictors of an increase in both HADS-Anxiety and HADS-Depression scores comprised poor understanding of OIDs [adjusted relative probability (aRP) = 1.56; p = 0.021 and 1.59; p = 0.012, respectively], and low overall composite score (aRP = 1.45; p = 0.022 and 1.6; p = 0.002, respectively). Conclusions: Approximately one-tenth of our patients screened positive for anxiety and depression. Patients with poor understanding of their OID and poor self-reported visual function were at an increased risk.

Keywords: Anxiety; HADS; Thailand; depression; ocular inflammation; uveitis; visual functioning.

MeSH terms

  • Adult
  • Aged
  • Anxiety Disorders / epidemiology*
  • Cross-Sectional Studies
  • Depressive Disorder / epidemiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Quality of Life
  • Regression Analysis
  • Thailand / epidemiology
  • Uveitis / psychology*
  • Vision, Low / psychology
  • Young Adult