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Personality disorders common among people with eye injuries

06 Aug 2019

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.

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Most Read Articles
Roshini Claire Anthony, 11 Sep 2019

Beta-blockers could reduce mortality risk in patients with heart failure with reduced ejection fraction (HFrEF) and moderate or moderately-severe renal dysfunction without causing harm, according to the BB-META-HF* trial presented at ESC 2019.

Elvira Manzano, Yesterday

The US Preventive Services Task Force (USPSTF), in an update of its 2013 recommendations, called on clinicians to offer risk-reducing medications to women who are at increased risk for breast cancer but at low risk for adverse effects.

Pearl Toh, 2 days ago
The use of SGLT-2* inhibitors was not associated with a higher risk of severe or nonsevere urinary tract infections (UTIs) in patients with type 2 diabetes (T2D) compared with DPP**-4 inhibitors or GLP-1*** receptor agonists, a population-based cohort study shows.
5 days ago
In type 2 diabetes patients taking sulfonylureas, hypoglycaemia duration is longer at night and is inversely correlated with the level of glycated haemoglobin (HbA1c), a new study reports.