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Article: Psychological interventions to reduce intraocular pressure (IOP) in glaucoma patients: a review

TitlePsychological interventions to reduce intraocular pressure (IOP) in glaucoma patients: a review
Authors
KeywordsGlaucoma: Mental health
Intraocular pressure
Meditation
Psychological
Quality of life
Issue Date1-May-2023
PublisherSpringer
Citation
Graefe's Archive for Clinical and Experimental Ophthalmology, 2023, v. 261, n. 5, p. 1215-1227 How to Cite?
Abstract

Purpose

Glaucoma has been increasing recognised to cause significant mental health burden to patients while psychological factors also play important roles in the development and progression of glaucoma. This review presents the current evidence of the impact of psychological interventions in glaucoma patients to improve their holistic care in terms of both physical and mental health by modulating psychological symptoms and supporting glaucoma control.

Methods

A literature search was conducted on PubMed for relevant studies up to February 2022. Types of psychological interventions include meditation, autogenic relaxation, music, hypnosis, motivational interviewing, psychological nursing and bright light exposure. Outcomes investigated were ocular parameters including intraocular pressure, mental health, patient motivation and satisfaction, and overall quality of life.

Results

Seventeen studies investigating the effects of psychological interventions on improving the care of glaucoma patients were reviewed. Daily meditation for 30 to 60 min has been shown to be effective in improving glaucoma control in terms of reducing intraocular pressure by 1.5 to 6.1 mmHg and improving ocular perfusion and quality of life. The impacts of music, autogenic training and psychological nursing on glaucoma control, vision outcomes and psychological symptoms are also promising while bright light exposure has shown some effects on sleeping quality. However, there is insufficient basis to support the adoption of motivational interviewing or hypnosis in glaucoma patients yet.

Conclusion

Psychological interventions, especially meditation, can play a bigger role in the holistic care of glaucoma patients by controlling disease progression as an adjunct to conventional approaches and alleviating the mental health burden caused by the disease through stress reduction and emotional regulation. They empower patients to gain greater control of their disease and provides additional advantages of low cost, non-invasiveness and minimal side effects. Future research should involve well-conducted randomised trials with larger sample sizes and longer duration of intervention and follow-up to establish the long-term benefits for glaucoma patients.


Persistent Identifierhttp://hdl.handle.net/10722/344596
ISSN
2023 Impact Factor: 2.4
2023 SCImago Journal Rankings: 1.014

 

DC FieldValueLanguage
dc.contributor.authorWu, Anson Chun Long-
dc.contributor.authorChoy, Bonnie Nga Kwan-
dc.date.accessioned2024-07-31T06:22:27Z-
dc.date.available2024-07-31T06:22:27Z-
dc.date.issued2023-05-01-
dc.identifier.citationGraefe's Archive for Clinical and Experimental Ophthalmology, 2023, v. 261, n. 5, p. 1215-1227-
dc.identifier.issn0721-832X-
dc.identifier.urihttp://hdl.handle.net/10722/344596-
dc.description.abstract<h3>Purpose</h3><p>Glaucoma has been increasing recognised to cause significant mental health burden to patients while psychological factors also play important roles in the development and progression of glaucoma. This review presents the current evidence of the impact of psychological interventions in glaucoma patients to improve their holistic care in terms of both physical and mental health by modulating psychological symptoms and supporting glaucoma control.</p><h3>Methods</h3><p>A literature search was conducted on PubMed for relevant studies up to February 2022. Types of psychological interventions include meditation, autogenic relaxation, music, hypnosis, motivational interviewing, psychological nursing and bright light exposure. Outcomes investigated were ocular parameters including intraocular pressure, mental health, patient motivation and satisfaction, and overall quality of life.</p><h3>Results</h3><p>Seventeen studies investigating the effects of psychological interventions on improving the care of glaucoma patients were reviewed. Daily meditation for 30 to 60 min has been shown to be effective in improving glaucoma control in terms of reducing intraocular pressure by 1.5 to 6.1 mmHg and improving ocular perfusion and quality of life. The impacts of music, autogenic training and psychological nursing on glaucoma control, vision outcomes and psychological symptoms are also promising while bright light exposure has shown some effects on sleeping quality. However, there is insufficient basis to support the adoption of motivational interviewing or hypnosis in glaucoma patients yet.</p><h3>Conclusion</h3><p>Psychological interventions, especially meditation, can play a bigger role in the holistic care of glaucoma patients by controlling disease progression as an adjunct to conventional approaches and alleviating the mental health burden caused by the disease through stress reduction and emotional regulation. They empower patients to gain greater control of their disease and provides additional advantages of low cost, non-invasiveness and minimal side effects. Future research should involve well-conducted randomised trials with larger sample sizes and longer duration of intervention and follow-up to establish the long-term benefits for glaucoma patients.</p>-
dc.languageeng-
dc.publisherSpringer-
dc.relation.ispartofGraefe's Archive for Clinical and Experimental Ophthalmology-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectGlaucoma: Mental health-
dc.subjectIntraocular pressure-
dc.subjectMeditation-
dc.subjectPsychological-
dc.subjectQuality of life-
dc.titlePsychological interventions to reduce intraocular pressure (IOP) in glaucoma patients: a review-
dc.typeArticle-
dc.identifier.doi10.1007/s00417-022-05912-2-
dc.identifier.pmid36441225-
dc.identifier.scopuseid_2-s2.0-85142781254-
dc.identifier.volume261-
dc.identifier.issue5-
dc.identifier.spage1215-
dc.identifier.epage1227-
dc.identifier.eissn1435-702X-
dc.identifier.issnl0721-832X-

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