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Personality Trends in Keratoconus: An Analysis

Personality Trends in Keratoconus: An Analysis Abstract • Patients with keratoconus frequently are described as having peculiar personality characteristics, despite the lack of controlled studies in the ophthalmologic or psychiatric literature. We studied 109 subjects, using a standardized personality inventory (the Millon Clinical Multiaxial Inventory) that measures 20 personality scales—both normal and pathologic. Subjects were divided into three agematched groups: (1) patients with keratoconus, (2) patients with other chronic eye diseases, and (3) normal controls. Results indicated that although chronic eye disease, including keratoconus, did have an impact on personality functioning in young and middle-aged adults, no specific complex of personality characteristics attributable to keratoconus could be identified. Patients with keratoconus differed from normal controls in much the same way as did patients with other chronic eye diseases, being less conforming and more passive-aggressive, paranoid, and hypomanic. They tended to more disorganized patterns of thinking and scored higher on substance abuse indicators. The influence of keratoconus on personality may be a function of the timing and nature of its onset in the context of the patient's psychosocial development. References 1. Krachmer JH, Feder RS, Belin MW: Keratoconus and related noninflammatory corneal thinning disorders . Surv Ophthalmol 1984;28:293-322.Crossref 2. Millon T: Millon Clinical Multiaxial Inventory Manual . Minneapolis, Interpretive Scoring Systems, 1983. 3. Copeman PWM: Eczema and keratoconus . Br Med J 1965;2:977-979.Crossref 4. Ridley F: Scleral contact lenses in keratoconus , in Contact Lenses: Symposium Munich-Feldafing . New York, S Karger AG, 1966, pp 163-173. 5. Karseras AG, Ruben M: Aetiology of keratoconus . Br J Ophthalmol 1976;60:522-525.Crossref 6. Besançon G, Baikoff G, Deneux A, et al: Note préliminaire sur l'état psychologique et mental des porteurs de keratocone . Bull Soc Ophthalmol Fr 1980;80:4-5. 7. Kennedy RH, Bourne WM, Dyer JA: A 48-year clinical and epidemiologic study of keratoconus . Am J Ophthalmol 1986;101:267-273. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1987.01060060084038
Publisher site
See Article on Publisher Site

Abstract

Abstract • Patients with keratoconus frequently are described as having peculiar personality characteristics, despite the lack of controlled studies in the ophthalmologic or psychiatric literature. We studied 109 subjects, using a standardized personality inventory (the Millon Clinical Multiaxial Inventory) that measures 20 personality scales—both normal and pathologic. Subjects were divided into three agematched groups: (1) patients with keratoconus, (2) patients with other chronic eye diseases, and (3) normal controls. Results indicated that although chronic eye disease, including keratoconus, did have an impact on personality functioning in young and middle-aged adults, no specific complex of personality characteristics attributable to keratoconus could be identified. Patients with keratoconus differed from normal controls in much the same way as did patients with other chronic eye diseases, being less conforming and more passive-aggressive, paranoid, and hypomanic. They tended to more disorganized patterns of thinking and scored higher on substance abuse indicators. The influence of keratoconus on personality may be a function of the timing and nature of its onset in the context of the patient's psychosocial development. References 1. Krachmer JH, Feder RS, Belin MW: Keratoconus and related noninflammatory corneal thinning disorders . Surv Ophthalmol 1984;28:293-322.Crossref 2. Millon T: Millon Clinical Multiaxial Inventory Manual . Minneapolis, Interpretive Scoring Systems, 1983. 3. Copeman PWM: Eczema and keratoconus . Br Med J 1965;2:977-979.Crossref 4. Ridley F: Scleral contact lenses in keratoconus , in Contact Lenses: Symposium Munich-Feldafing . New York, S Karger AG, 1966, pp 163-173. 5. Karseras AG, Ruben M: Aetiology of keratoconus . Br J Ophthalmol 1976;60:522-525.Crossref 6. Besançon G, Baikoff G, Deneux A, et al: Note préliminaire sur l'état psychologique et mental des porteurs de keratocone . Bull Soc Ophthalmol Fr 1980;80:4-5. 7. Kennedy RH, Bourne WM, Dyer JA: A 48-year clinical and epidemiologic study of keratoconus . Am J Ophthalmol 1986;101:267-273.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1987

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