Mental health status of low vision (LV) patients is not a routine evaluation. This study was carried out to determine the mental health status among LV patient using Depression Anxiety Stress Scale (DASS-21) and Hospital Anxiety and Depression (HAD) Scale questionnaires. A total of 100 LV patients were recruited in this cross-sectional study. Standard LV assessment and mental health screening using DASS-21 and HAD Scale questionnaires were administered. The mean age of the subjects was 62.77+9.15 years old. There were 63% Malays, followed by 26% Chinese and 11% Indians. The mean visual acuity of the subjects was 0.45+0.24 LogMAR. Results showed the mean score for depression and anxiety for HAD scale questionnaire were 3.11+3.35 and 2.85+3.21, respectively. The mean score for depression, anxiety and stress for DASS questionnaire were 4.83+6.90, 3.58+3.79 and 6.18+6.92, respectively. The mean scores fell into the normal range classification of severity on both HAD scale and DASS. The HAD Scale showed that 12% of the subjects experienced depression and 8% experienced anxiety while the DASS showed that 7% had depression, 17% had anxiety and 24% experienced stress. These findings illustrate that the mental health of the LV patients can be affected due to visual impairment. In conclusion, the mental health status of LV patients can be screened objectively using DASS-21 and HAD Scale questionnaire. Understanding the mental health status of LV patients will enable us to provide better LV assessment and rehabilitation.
Mental Health State of Low Vision Patients using the Hospital Anxiety and Depression Scale and The Depression, Anxiety and Stress Scale
Abstrak
Penilaian status kesihatan mental dalam kalangan pesakit penglihatan terhad (LV) bukan merupakan rutin pemeriksaan. Kajian ini dijalankan untuk mengenal pasti status kesihatan mental dalam kalangan pesakit LV menggunakan soal selidik "Depression Anxiety Stress Scale (DASS-21) and Hospital Anxiety and Depression (HAD) Scale". Seramai 100 pesakit LV telah dipilih secara rawak. Pemeriksaan piawai LV dan penilaian kesihatan mental menggunakan soal selidik DASS-21 dan HAD scale telah dijalankan. Purata umur subjek adalah 62.77+9.15 tahun. Subjek terdiri daripada 63% Melayu, diikuti 26% Cina dan 11% India. Purata tahap penglihatan subjek adalah 0.45+0.24 LogMAR. Keputusan kajian menunjukkan min skor kemurungan dan kerisauan bagi soal selidik HAD Scale adalah 3.11+3.35 dan 2.85+3.21. Min skor kemurungan, kegelisahan dan tekanan bagi soal selidik DASS adalah 4.83+6.90, 3.58+3.79 dan 6.18+6.92. Ini menunjukkan min skor bagi kedua-dua soal selidik adalah dalam julat normal mengikut klasikasi tahap keterukan HAD dan DASS. Soal selidik HAD Scale menunjukkan 12% daripada subjek mengalami kemurungan dan 8% mengalami kegelisahan, manakala soal selidik DASS menunjukkan 7% mengalami kemurungan, 17% mengalami kegelisahan dan 24% mengalami tekanan. Ini menggambarkan bahawa kesihatan mental pesakit LV boleh terjejas disebabkan oleh gangguan penglihatan. Kesimpulannya, status kesihatan mental pesakit LV boleh ditentukan secara objektif menggunakan soal selidik DASS-21 dan HAD Scale. Penentuan status ini juga memastikan rawatan dan rehabilitasi yang lebih optimum dapat diberikan kepada pesakit LV.
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