High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors

Masahiko Ayaki, Motoko Kawashima, Kazuno Negishi, Kazuo Tsubota Department of Ophthalmology, Keio University School of Medicine, Tokyo, JapanPurpose: We aimed to explore the prevalence of probable sleep and mood disorders in eye clinic visitors.Methods: This was a cross-sectional study. The partic...

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Autores principales:	Ayaki M, Kawashima M, Negishi K, Tsubota K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/d38835eecdcd46d7901ab1f0d87d1ab0
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spelling	oai:doaj.org-article:d38835eecdcd46d7901ab1f0d87d1ab02021-12-02T05:00:29ZHigh prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors1178-2021https://doaj.org/article/d38835eecdcd46d7901ab1f0d87d1ab02015-03-01T00:00:00Zhttp://www.dovepress.com/high-prevalence-of-sleep-and-mood-disorders-in-dry-eye-patients-survey-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Masahiko Ayaki, Motoko Kawashima, Kazuno Negishi, Kazuo Tsubota Department of Ophthalmology, Keio University School of Medicine, Tokyo, JapanPurpose: We aimed to explore the prevalence of probable sleep and mood disorders in eye clinic visitors.Methods: This was a cross-sectional study. The participants were outpatients at six eye clinics from January through March, 2014. Outpatients were invited to complete a questionnaire containing the Pittsburgh Sleep Quality Index (PSQI) and Hospital Anxiety and Depression Scale (HADS). A final diagnosis was made, and patients were classified into six diagnostic groups. The main outcome measures were the scores of the PSQI and HADS among the diagnostic groups. Results: A total 1,000 outpatients participated, and 730 patients (mean age 59.5±19.0 years; 487 females) were analyzed after exclusion of children and patients diagnosed with healthy eyes, acute injury, or unilateral pseudophakia. The mean PSQI and HADS scores across all patients were 5.3±3.1 and 9.2±6.2, respectively. For the diagnostic groups, the mean PSQI and HADS scores, respectively, were 5.7±3.3 and 10.2±6.0 for dry eye (n=247), 5.4±3.2 and 9.2±5.7 for bilateral cataracts (n=159), 5.3±3.3 and 8.0±5.3 for bilateral pseudophakia (n=99), and, 5.0±3.1 and 9.8±6.6 for glaucoma (n=109). Overall, 37.3% of patients were poor sleepers (PSQI ≥6), and 45.5% had possible mood disorders (HADS ≥10). Stepwise regression analysis revealed that the PSQI and HADS scores were significantly correlated with both age (P<0.05) and the presence of dry eye (P<0.05). Conclusion: The prevalence of sleep and mood disorders was significantly higher in patients with dry eye. The present results suggest consultation-liaison psychiatry services may be beneficial among eye disease patients.Keywords: depression, anxiety, cataract, liaison psychiatry, glaucomaAyaki MKawashima MNegishi KTsubota KDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 889-894 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ayaki M Kawashima M Negishi K Tsubota K High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors
description	Masahiko Ayaki, Motoko Kawashima, Kazuno Negishi, Kazuo Tsubota Department of Ophthalmology, Keio University School of Medicine, Tokyo, JapanPurpose: We aimed to explore the prevalence of probable sleep and mood disorders in eye clinic visitors.Methods: This was a cross-sectional study. The participants were outpatients at six eye clinics from January through March, 2014. Outpatients were invited to complete a questionnaire containing the Pittsburgh Sleep Quality Index (PSQI) and Hospital Anxiety and Depression Scale (HADS). A final diagnosis was made, and patients were classified into six diagnostic groups. The main outcome measures were the scores of the PSQI and HADS among the diagnostic groups. Results: A total 1,000 outpatients participated, and 730 patients (mean age 59.5±19.0 years; 487 females) were analyzed after exclusion of children and patients diagnosed with healthy eyes, acute injury, or unilateral pseudophakia. The mean PSQI and HADS scores across all patients were 5.3±3.1 and 9.2±6.2, respectively. For the diagnostic groups, the mean PSQI and HADS scores, respectively, were 5.7±3.3 and 10.2±6.0 for dry eye (n=247), 5.4±3.2 and 9.2±5.7 for bilateral cataracts (n=159), 5.3±3.3 and 8.0±5.3 for bilateral pseudophakia (n=99), and, 5.0±3.1 and 9.8±6.6 for glaucoma (n=109). Overall, 37.3% of patients were poor sleepers (PSQI ≥6), and 45.5% had possible mood disorders (HADS ≥10). Stepwise regression analysis revealed that the PSQI and HADS scores were significantly correlated with both age (P<0.05) and the presence of dry eye (P<0.05). Conclusion: The prevalence of sleep and mood disorders was significantly higher in patients with dry eye. The present results suggest consultation-liaison psychiatry services may be beneficial among eye disease patients.Keywords: depression, anxiety, cataract, liaison psychiatry, glaucoma
format	article
author	Ayaki M Kawashima M Negishi K Tsubota K
author_facet	Ayaki M Kawashima M Negishi K Tsubota K
author_sort	Ayaki M
title	High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors
title_short	High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors
title_full	High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors
title_fullStr	High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors
title_full_unstemmed	High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors
title_sort	high prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/d38835eecdcd46d7901ab1f0d87d1ab0
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_version_	1718400857023709184

High prevalence of sleep and mood disorders in dry eye patients: survey of 1,000 eye clinic visitors

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