Vision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis

ABSTRACT: Purpose: To investigate visual-related quality of life (VRQL) and prevalence and severity of depressive symptoms in Brazilian individuals with toxoplasmic retinochoroiditis (TRC). Design: Comparative observational cross-sectional study. The National Eye Institute Visual Function Questionn...

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Autores principales: Jacqueline Souza Dutra Arruda, Jacqueline Domingues Tibúrcio, Salvina Maria de Campos-Carli, Antônio Lucio Teixeira, Daniel Vitor Vasconcelos-Santos
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/4b5f477a470f4094bda8e72300c38e89
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spelling oai:doaj.org-article:4b5f477a470f4094bda8e72300c38e892021-11-30T04:14:00ZVision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis1201-971210.1016/j.ijid.2021.08.051https://doaj.org/article/4b5f477a470f4094bda8e72300c38e892021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221006858https://doaj.org/toc/1201-9712ABSTRACT: Purpose: To investigate visual-related quality of life (VRQL) and prevalence and severity of depressive symptoms in Brazilian individuals with toxoplasmic retinochoroiditis (TRC). Design: Comparative observational cross-sectional study. The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) and Beck Depression Inventory-II (BDI-II) were applied to respectively assess VRQL and depression in individuals consecutively seen at a uveitis referral center. Clinical/demographical data were collected. Descriptive/analytic statistics were employed, with P<0.05. Results: Patients and controls were comparable concerning age, sex and socioeconomic level. VRQL scores for all subscales were significantly lower in TRC when compared with controls, particularly associated (P<0.05) with female sex, history of ≥2 prior TRC recurrences, concomitant use of systemic corticosteroids, monocular vision and blindness. Depressive symptoms were more prevalent in TRC (55/188; 29.2%) than in controls (34/182; 18.7%) (P=0.023), also being associated with lower VRQL scores (P<0.001). Seropositive and seronegative controls for toxoplasmosis had similar VRQL scores and comparable rates of depressive symptoms. Conclusion: TRC affects VRQL in Brazilian individuals, particularly women, using systemic corticosteroids, with visual impairment and presenting recurrences of TRC. One-third of patients with TRC had evidence of depression, which was also associated with lower VRQL scores. Mental health issues in subjects with TRC should not be overlooked.Jacqueline Souza Dutra ArrudaJacqueline Domingues TibúrcioSalvina Maria de Campos-CarliAntônio Lucio TeixeiraDaniel Vitor Vasconcelos-SantosElsevierarticleOcular toxoplasmosisUveitisQuality of lifeDepressionInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 112, Iss , Pp 66-72 (2021)
institution DOAJ
collection DOAJ
language EN
topic Ocular toxoplasmosis
Uveitis
Quality of life
Depression
Infectious and parasitic diseases
RC109-216
spellingShingle Ocular toxoplasmosis
Uveitis
Quality of life
Depression
Infectious and parasitic diseases
RC109-216
Jacqueline Souza Dutra Arruda
Jacqueline Domingues Tibúrcio
Salvina Maria de Campos-Carli
Antônio Lucio Teixeira
Daniel Vitor Vasconcelos-Santos
Vision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis
description ABSTRACT: Purpose: To investigate visual-related quality of life (VRQL) and prevalence and severity of depressive symptoms in Brazilian individuals with toxoplasmic retinochoroiditis (TRC). Design: Comparative observational cross-sectional study. The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) and Beck Depression Inventory-II (BDI-II) were applied to respectively assess VRQL and depression in individuals consecutively seen at a uveitis referral center. Clinical/demographical data were collected. Descriptive/analytic statistics were employed, with P<0.05. Results: Patients and controls were comparable concerning age, sex and socioeconomic level. VRQL scores for all subscales were significantly lower in TRC when compared with controls, particularly associated (P<0.05) with female sex, history of ≥2 prior TRC recurrences, concomitant use of systemic corticosteroids, monocular vision and blindness. Depressive symptoms were more prevalent in TRC (55/188; 29.2%) than in controls (34/182; 18.7%) (P=0.023), also being associated with lower VRQL scores (P<0.001). Seropositive and seronegative controls for toxoplasmosis had similar VRQL scores and comparable rates of depressive symptoms. Conclusion: TRC affects VRQL in Brazilian individuals, particularly women, using systemic corticosteroids, with visual impairment and presenting recurrences of TRC. One-third of patients with TRC had evidence of depression, which was also associated with lower VRQL scores. Mental health issues in subjects with TRC should not be overlooked.
format article
author Jacqueline Souza Dutra Arruda
Jacqueline Domingues Tibúrcio
Salvina Maria de Campos-Carli
Antônio Lucio Teixeira
Daniel Vitor Vasconcelos-Santos
author_facet Jacqueline Souza Dutra Arruda
Jacqueline Domingues Tibúrcio
Salvina Maria de Campos-Carli
Antônio Lucio Teixeira
Daniel Vitor Vasconcelos-Santos
author_sort Jacqueline Souza Dutra Arruda
title Vision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis
title_short Vision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis
title_full Vision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis
title_fullStr Vision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis
title_full_unstemmed Vision-Related Quality Of Life And Depression In Brazilian Patients With Toxoplasmic Retinochoroiditis
title_sort vision-related quality of life and depression in brazilian patients with toxoplasmic retinochoroiditis
publisher Elsevier
publishDate 2021
url https://doaj.org/article/4b5f477a470f4094bda8e72300c38e89
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