Rykov S. O.¹, Mogilevskyy S. Yu.¹, Petrenko O. V.¹, Shargorodska I. V.¹, Tretyak V. V.²

¹P. L. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
²National Military Medical Clinical Centre “Main Military Clinical Hospital”, Kyiv, Ukraine

Abstract. Glaucoma is a serious medical and social problem, which significantly decreases the quality of patients’ life, decreases working capacity, affects the personality and psycho-emotional status of patients with glaucoma. Psychological maladjustment leads to inadequate reaction to treatment. In connection with this the investigation of peculiarities of psychological status and its correction in patients with glaucoma is an important and actual purpose.

 The purpose. The aim of our work was the investigation of peculiarities of psychoemotional status in patients with glaucoma.

 Materials and methods. There were 146 patients with primary open-angle glaucoma of I–IV stages included in the study without severe non-compensated accompanying pathology. Standard ophthalmological investigation was carried out in all patients. Psychological status was evaluated with the help of brief multivariable questionnaire for investigation of personality and also method of “Type of attitude to disease”, directed towards diagnostics of attitude of patient to disease. Package Statistica 8.0 was used for statistical analysis of acquired data.

 Results. It was established the connection between the progression of disease and certain mental disorder in patients with primary open-angle glaucoma. Psychological maladjustment with severe form of anxiety and depression was revealed in 77.4 % of patients. The mood of anxiety concerning their disease and excessive concentration on symptoms and self state of health were noted in 61.6 % of patients.

 Conclusions. Investigation of psychological status in patients with glaucoma is expedient for carrying out of optimal treatment of primary open-angle glaucoma with the usage of methods of psychological correction. More profound and particular studying of this problem will allow to decrease the level of social disadaptation and increase the quality of life of those patients.

 Keywords: primary open-angle glaucoma, the psychological status of glaucoma patients, psychological maladjustment.

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Received: 30 March 2016

Published: July 2016