6533b85ffe1ef96bd12c1dfe

RESEARCH PRODUCT

Type A Behavior Pattern

Raffaella Morreale BubellaDaniele Morreale BubellaSalvatore Cillino

subject

AdultMalemedicine.medical_specialtyIntraocular pressureOpen angle glaucomaHamilton Anxiety Rating ScaleType A Behavior Patternmedia_common.quotation_subjectGlaucomaManifest Anxiety ScaleTonometry OcularRisk FactorsOphthalmologyHumansMedicinePersonalityPsychological testingIntraocular PressureAgedmedia_commonSettore MED/30 - Malattie Apparato Visivobusiness.industryType A PersonalityType A and Type B personality theoryMiddle Agedmedicine.diseaseOpen-Angle Chronic GlaucomaOphthalmologyquality of lifeChronic DiseaseVisual Field TestsAnxietyFemaleVisual Fieldsmedicine.symptombusinessGlaucoma Open-AngleStress Psychological

description

Aim : To evaluate the presence of type A behavior in patients affected by open-angle glaucoma (OAG) and the possible role of psychophysiological stress as a risk factor for OAG. Materials and methods Fifty patients, 30 women and 20 men, affected by OAG, underwent ophthalmological examination consisting of complete biomicroscopy, tonometry and daily tonometric curve, examination of the visual field by means of computerized perimeter "Octopus 1-2-3," and its assessment with the Glaucoma Staging System 2, morphologic monitoring of the retinal nerve fiber layer with GDx VCC and psychological assessment (Hamilton Anxiety Rating Scale) to evaluate the presence of anxiety and its level; type A/B personality questionnaire (Jenkin Modified Activity Survey; Ercta-B test for the further evaluation of type A personality; STAY test; Brief-cope test; Life event. Results Sixty-four percent of the subjects, 17 women and 13 men, showed type A behavior, and in these patients both trait and state anxiety were much more evident (P=0.001). In the type A subjects, there was a much more significant visual field involvement (P=0.001); this involvement showed a negative correlation (P=0.024) with the Brief-cope scale. Conclusions The personality study is an extremely important part of the diagnostic work-up and treatment of OAG.

yearjournalcountryeditionlanguage
2012-10-13Journal of Glaucoma
https://doi.org/10.1097/ijg.0b013e3182707421