Abstract：
OBJECTIVE: Artificial eye clinics address physical and aesthetic aspects of orbital prostheses, but psychological effects may not be formally addressed. In general, without effective coping mechanisms, stress can lead to anxiety and depression. This study aims to determine, in the context of having an artificial eye, whether coping strategies, as well as perception of illness and other demographic and clinical variables are associated with anxiety or depression.
METHODS: Consecutive patients attending two artificial eye clinics were invited to participate in this audit. Participants completed questionnaires: HADS, Brief IPQ and Brief COPE. Variables with a correlation coefficient of ≥0.2 with anxiety or depression were included in regression modeling. The extent to which the participants\' emotional and cognitive representations of their artificial eye related to feelings of anxiety and depression was determined.
RESULTS: In the cohort of 208, clinically significant anxiety was present in 29.5% and clinically significant depression was present in 8.4%. Perceptions of the impact of the artificial eye and self-blame as a coping strategy were correlated with anxiety. Depression levels were higher when participants believed that their artificial eye had a greater impact on their life, when they lived alone, and when they used substances as a coping strategy.
CONCLUSIONS: Significant levels of anxiety exist in those living with artificial eyes, with various coping strategies used. Addressing this and offering alternative coping strategies may improve patient well being and overall satisfaction.
METHODS: Consecutive patients attending two artificial eye clinics were invited to participate in this audit. Participants completed questionnaires: HADS, Brief IPQ and Brief COPE. Variables with a correlation coefficient of ≥0.2 with anxiety or depression were included in regression modeling. The extent to which the participants\' emotional and cognitive representations of their artificial eye related to feelings of anxiety and depression was determined.
RESULTS: In the cohort of 208, clinically significant anxiety was present in 29.5% and clinically significant depression was present in 8.4%. Perceptions of the impact of the artificial eye and self-blame as a coping strategy were correlated with anxiety. Depression levels were higher when participants believed that their artificial eye had a greater impact on their life, when they lived alone, and when they used substances as a coping strategy.
CONCLUSIONS: Significant levels of anxiety exist in those living with artificial eyes, with various coping strategies used. Addressing this and offering alternative coping strategies may improve patient well being and overall satisfaction.
摘要：
目的：人工眼诊所涉及眼眶假体的物理和美学方面，但是心理影响可能不会得到正式解决。总的来说,没有有效的应对机制，压力会导致焦虑和抑郁。本研究旨在确定,在拥有人造眼睛的情况下，无论是应对策略，以及对疾病的感知和其他人口统计学和临床变量与焦虑或抑郁有关。
方法：连续参加两个人工眼诊所的患者被邀请参加本次审核。参与者填写了问卷：HADS，简要IPQ和简要COPE。回归模型中包括与焦虑或抑郁相关系数≥0.2的变量。确定了参与者对其人工眼的情感和认知表征与焦虑和抑郁情绪相关的程度。
结果：在208个队列中，有29.5%的患者出现有临床意义的焦虑，有8.4%的患者出现有临床意义的抑郁。对人工眼的影响和自责作为应对策略的感知与焦虑相关。当参与者认为他们的人造眼对他们的生活有更大的影响时，抑郁水平更高，当他们独自生活时，当他们使用物质作为应对策略时。
结论：假眼患者存在显著的焦虑，使用各种应对策略。解决这一问题并提供替代应对策略可以改善患者的健康状况和整体满意度。
方法：连续参加两个人工眼诊所的患者被邀请参加本次审核。参与者填写了问卷：HADS，简要IPQ和简要COPE。回归模型中包括与焦虑或抑郁相关系数≥0.2的变量。确定了参与者对其人工眼的情感和认知表征与焦虑和抑郁情绪相关的程度。
结果：在208个队列中，有29.5%的患者出现有临床意义的焦虑，有8.4%的患者出现有临床意义的抑郁。对人工眼的影响和自责作为应对策略的感知与焦虑相关。当参与者认为他们的人造眼对他们的生活有更大的影响时，抑郁水平更高，当他们独自生活时，当他们使用物质作为应对策略时。
结论：假眼患者存在显著的焦虑，使用各种应对策略。解决这一问题并提供替代应对策略可以改善患者的健康状况和整体满意度。
