Personality disorders common among people with eye injuries
Personality disorders occur more commonly among patients with open globe injuries caused by violent eye trauma, reports a recent study.
Researchers enrolled 50 patients with open globe injuries following violent eye trauma (mean age, 30.7±9.2 years; 86 percent male) and 50 without (mean age, 34.4±13.1 years; 94 percent male), who were then designated as controls. Psychiatric problems were identified using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) questionnaire.
Ten participants were positive for clinical paranoia, yielding an overall incidence rate of 10.0 percent. This was significantly more prevalent in those with violent eye traumas than in controls (16.0 percent vs 4.0 percent; p=0.046). The same was true for histrionic personality disorder (22.0 percent vs 8.0 percent; p=0.05).
Similarly, antisocial personality disorder (46.0 percent vs 20.0 percent; p=0.006) occurred significantly more frequently in those with the injury, while narcissistic personality disorder only showed borderline significance (30.0 percent vs 14.0 percent; p=0.053). Overall the chance of encountering any personality disorder was significantly higher in patients than in controls (86 percent vs 52 percent; p<0.001).
In comparison, there were no open globe injuries did not significantly correlate with other personality disorders such as schizoid (p>0.99), schizotypal (p=0.678), avoidant (p=0.269) and dependent (p=1) traits.
The present findings indicate that personality disorders or traits may potentially play a role in sustaining open globe injuries, and that these patients may benefit from appropriate psychiatric consultations, said researchers.