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Master Thesis

L'impact psychosocial d'un strabisme chez l'enfant et l'adulte

Abstract : Introduction : Many studies have been published about the quality of life and functional abilities of a patients with strabismus. Strabismus can lead to three major conditions: the functional loss of an eye, the loss of stereoscopic sense and a more or less serious disfigurement. Moreover, this aesthetic prejudice can provoke psychological and social disorders. The objective of this research paper is to show the psychosocial repercussions that strabismus has on the daily life of a strabismical child or adult. Patients and Methods: In total, 31 patients were questioned throughout this research study, which included 8 adults and 23 children, all of whom answered a specific questionnaire (one for the adults and another for the children) administered by the CHU Gabriel Montpied, Clermont-Ferrand. The results of the analysis were shown on a scale of 0 to 100, depending on the following answers chosen by the patient: never, sometimes, all the time. These key words were represented by symbols for the children’s questionnaire. An average score for the whole group was calculated in order to identify the most prominent results. Furthermore, a comparison between male and female patients was conducted for both adults and children. Results: Concerning the adult patients, the psychosocial consequences that strabismus has on women is of 56% compared to of 24% for men. We can note that women are more frequently affected than men, notably in the psychological and emotional domains where there is a 70% impact on women and only 28% for men. The social and relational effect on women is of 59%, whereas it is 32% for men. 12 of the 23 children – 4 boys and 8 girls – had psychosocial issues due to their strabismus equal or superior to 50%. The remaining 11 young patients had a score between 15% and 42%. No child presented a score of 0%, which proves that strabismus has an effect on these children even if it is not present daily. Two prominent themes became apparent after analyzing the questionnaires. 65.22% of the strabismic children feel that other children make fun of them and 86.96% find that their strabismus bothers them while doing activities such as watching television, reading, writing, sports, etc. Conclusion: Strabismus has a significant negative psychosocial impact on both adults and children. We can notice that women have more issues with their strabismus than men. However, the latter are not indifferent to the psychosocial consequences. Surgery would be the prime medical treatment, which would permit the patient not to have only a more appealing aesthetic appearance, but also a better quality of life and a personal and professional well-being. Psychological treatment could also be proposed to patients suffering from an important psychosocial impact which effects their everyday life. Educational therapy with the patient’s entourage as well as empathy discussions at school could be set up to reduce the negative aspect of the preconception and stigmatizations of strabismus
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Master Thesis
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Submitted on : Wednesday, October 25, 2017 - 3:11:17 PM
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Paola Bouvard. L'impact psychosocial d'un strabisme chez l'enfant et l'adulte. Médecine humaine et pathologie. 2017. ⟨dumas-01623656⟩



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