Purpose To investigate the emotional status of children un-dergoing active treatment for ambly opia.Design Postal survey,in the context of a prospecti ve,multicenter,ran-domized controlled trial.Particip ants Parents ...Purpose To investigate the emotional status of children un-dergoing active treatment for ambly opia.Design Postal survey,in the context of a prospecti ve,multicenter,ran-domized controlled trial.Particip ants Parents of 177chil-dren with a unilateral visual impair ment referred from preschool vision screening.The chi ldren had been re-cruited to a randomized controlled t rial of treatment for u-nilateral visual impairment and ran domly assigned to re-ceive either glasses with or without patches,glasses alone,or treatment deferred for 1year.Methods A self-completion questionnaire,including a psychom etric behavioral scale,was sent to the parents of all childre n recruited to the trial at age 4years,to 66whose deferred tr eatment began at age5years,and finally to 151remaining in the trial at the end of follow-up.Main outcome measures Mean scores per treatment group on the Revised Rutte r Parent Scale for Preschool Children.Comparison of p arent responses to questions assessing the child’s general well-being and dif-ficulties associated with treatmen t.Results Completed questionnaires were returned for 144of 177(81%)chil-dren at a mean age(standard deviation)of 48months(5.0),for 45of 66(68%)at a mean age of 61months(5.8),and for 78of 151(52%)at a mean age of 67 months(5.0).Most parents reported having diffi culty with patching their child regardless of a ge(77%at age 4years and 73%at age 5years),with fewer reporting difficulties with glasses alone(42%and 53%,respectively).Chil-dren were significantly more upset b y patching than by glasses only(chi-square test,P=0.03for age 4years and P=0.01for age 5years),as were the parents of4-year-olds(chi-square test,P=0.01).Most parents thought their children were happy,c ooperative,and good tempered,and behavioral scores did not differ between treatment groups.Conclusions Treatment for unilateral vi-sual impairment is not easy to implem ent and is commonly associated with some degree of distr ess.Despite this,no impact on the childs global well-being or behavior was seen either during or after the treatment period.展开更多
文摘Purpose To investigate the emotional status of children un-dergoing active treatment for ambly opia.Design Postal survey,in the context of a prospecti ve,multicenter,ran-domized controlled trial.Particip ants Parents of 177chil-dren with a unilateral visual impair ment referred from preschool vision screening.The chi ldren had been re-cruited to a randomized controlled t rial of treatment for u-nilateral visual impairment and ran domly assigned to re-ceive either glasses with or without patches,glasses alone,or treatment deferred for 1year.Methods A self-completion questionnaire,including a psychom etric behavioral scale,was sent to the parents of all childre n recruited to the trial at age 4years,to 66whose deferred tr eatment began at age5years,and finally to 151remaining in the trial at the end of follow-up.Main outcome measures Mean scores per treatment group on the Revised Rutte r Parent Scale for Preschool Children.Comparison of p arent responses to questions assessing the child’s general well-being and dif-ficulties associated with treatmen t.Results Completed questionnaires were returned for 144of 177(81%)chil-dren at a mean age(standard deviation)of 48months(5.0),for 45of 66(68%)at a mean age of 61months(5.8),and for 78of 151(52%)at a mean age of 67 months(5.0).Most parents reported having diffi culty with patching their child regardless of a ge(77%at age 4years and 73%at age 5years),with fewer reporting difficulties with glasses alone(42%and 53%,respectively).Chil-dren were significantly more upset b y patching than by glasses only(chi-square test,P=0.03for age 4years and P=0.01for age 5years),as were the parents of4-year-olds(chi-square test,P=0.01).Most parents thought their children were happy,c ooperative,and good tempered,and behavioral scores did not differ between treatment groups.Conclusions Treatment for unilateral vi-sual impairment is not easy to implem ent and is commonly associated with some degree of distr ess.Despite this,no impact on the childs global well-being or behavior was seen either during or after the treatment period.
