Psychiatric Evaluation of Children with Vernal Keratoconjunctivitis
Makaleler > Tam Makale · 2013
Yazarlar: Melis PALAMAR ONAY, Nazlı Burcu ÖZBARAN, Serpil ERERMİŞ, AYŞE YAĞCI
Turkiye Klinikleri Journal of Medical Sciences, Uluslararası, Scopus, 2013, cilt 33, ss 522-529
DOI: 10.5336/medsci.2012-31585
Özet
Objective: To evaluate the psychiatric effects of vernal keratoconjunctivitis (VKC) in children. Material and Methods: Psychiatric evaluation forms were filled out through an interview with 25 children with vernal keratoconjunctivitis (VKC, study group) and 36 myopic (-0.50 and -1.50 D) and otherwise healthy children (control group). Both groups' mothers filled the Child Behavior Check List (CBCL). All children filled the Children Depression Inventory (CDI), the State-Trait Anxiety Inventory (STAI), and were interviewed using Kiddie Schedule for Affective Disorders and Schizophrenia. The Diagnostic and Statistical Manual for Psychiatric Disorders, 4th edition was used for psychiatric diagnosis. Results: The CBCL scores of activities (p<0.0001), and sociability (p=0.003) were significantly lower, and the scores of withdrawn (p=0.48), somatization (p<0.0001), anxiety depression (p=0.045), attention problems (p=0.001), total problems (p=0.020), internalizing (p=0.001) were significantly higher in the study group. The scores of STAI I (p<0.0001) and STAI II (p<0.0001) were significantly higher in the study group. The CDI scores of the study group were significantly higher (p<0.0001). A psychiatric diagnosis was made in 64.00% of the study group, and in 2.77% of the control group patients (p< 0.0001). Conclusion: VKC is a chronic disorder which affects the activity and sociability of children, and tends to cause depression and anxiety disorders. Ophthalmologists should be aware of the possible psychiatric effects of VKC in pediatric population, and should remember to consult these children to child psychiatrists.