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Psychosocial Well-Being and Quality of Life in Uveitis: A Review.

Authors :
Zhang, Zheting
Griva, Konstadina
Rojas-Carabali, William
Patnaik, Gazal
Liu, Renee
Sobrin, Lucia
Kempen, John H.
Finger, Robert P.
Gupta, Vishali
Ang, Bryan
Agrawal, Rupesh
Source :
Ocular Immunology & Inflammation; Sep2024, Vol. 32 Issue 7, p1380-1394, 15p
Publication Year :
2024

Abstract

Purpose: As a potentially sight-threatening disease with ocular, systemic, and treatment-related complications, uveitis diminishes quality of life (QOL) and affects psychosocial well-being. This review summarizes the existing tools for evaluating psychosocial well-being and/or QOL in patients with uveitis, explores the biological and non-biological factors affecting psychosocial well-being and/or QOL, and proposes future directions for incorporating these tools into clinical practice. Methods: A systematic search of the MEDLINE, Embase, and Cochrane databases from inception to June 8, 2022 was conducted, screening for articles focused on psychosocial well-being and/or QOL in patients with uveitis. Both quantitative and qualitative analyses were performed. Results: In uveitis research, the most frequently studied patient-reported outcome measures were vision-related QOL (e.g. Visual Function Questionnaire [VFQ-25]) and health-related QOL (e.g. Short Form Survey [SF-36]), followed by mental health indicators including depression and anxiety. Instruments have also been developed specific to the pediatric population (e.g. Effects of Youngsters' Eyesight on Quality of Life [EYE-Q]). Generally, studies report worse psychosocial outcomes and QOL in patients with uveitis compared to the general population. Contributory factors include both clinical (e.g. visual impairment, ocular comorbidities) and patient-related (e.g. older age, female sex) factors. Conclusion: Given the heterogeneity of instruments used, it is worth considering standardization across large uveitis studies and trials. Beyond research, given the biopsychosocial effects on patients with uveitis, there are benefits to incorporating QOL and psychosocial assessments into clinical practice. Simplification of questionnaires into abridged forms, focusing on the most clinically relevant aspects of patient care, may be considered. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09273948
Volume :
32
Issue :
7
Database :
Complementary Index
Journal :
Ocular Immunology & Inflammation
Publication Type :
Academic Journal
Accession number :
179273432
Full Text :
https://doi.org/10.1080/09273948.2023.2247077