Economic Hardship, Ocular Complications, and Poor Self-reported Visual Function are Predictors of Mental Problems in Patients with Uveitis

Ocul Immunol Inflamm. 2021 Aug 18;29(6):1045-1055. doi: 10.1080/09273948.2020.1770297. Epub 2020 Jul 13.

Abstract

Purpose: To characterize the quality of life and mental health status of patients with uveitis and investigate predictors of psychological problems.Methods: A total of 245 patients and 105 controls were enrolled in this cross-sectional study. Quality of life, psychological status, socio-demographic and clinical data were obtained from questionnaires and medical records. Multivariate regression analyses and Receiver Operating Characteristic (ROC) were applied to obtain the model predicting psychological problems of patients.Results: Of 245 patients, 16.7% and 26.5% (P< .0001) screened positive for anxiety and depression, respectively. The model predicting anxiety was comprised of low annual household income and poor self-reported visual function (P= .029,P< .0001, respectively), with an AUC of ROC of 0.744. The model predicting depression was comprised of poor self-reported visual function and ocular complications (P< .0001, P= .012, respectively), with an AUC of 0.78.Conclusions: Economic hardship, ocular complications, and poor self-reported visual function are predictors of mental problems in patients with uveitis.

Keywords: Quality of life; anxiety; depression; mental health; predictors; uveitis.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Eye Diseases / diagnosis*
  • Female
  • Financial Stress / diagnosis*
  • Health Status
  • Humans
  • Male
  • Mental Disorders / diagnosis*
  • Middle Aged
  • Multivariate Analysis
  • Quality of Life
  • ROC Curve
  • Surveys and Questionnaires
  • Uveitis / diagnosis*
  • Vision, Low / diagnosis*