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Kimberly Estes, Rebecca Parrish, James Sinacore, Patricia Mumby, James F McDonnell; Evaluation of the effects of corrective strabismus surgery on social anxiety and self-consciousness in adults.. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2920. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
A complete understanding of the psychosocial benefits strabismus surgery offers besides functional and cosmetic correction has yet to be fully determined. We performed a questionnaire based prospective study to evaluate the effect strabismus surgery had on private self-consciousness, public self-consciousness and social anxiety using the self-consciousness scale (SCS) developed by Scheier & Carver in 1985.
95 English speaking adult patients who were candidates for surgical correction of strabismus elected to participate in this study. Patients were eligible to participate if they were age >18 years old and able to read and complete the study questionnaires. Patients’ completed a demographics and a self-consciousness scale form both pre- and post-operatively. The self-consciousness scale was rated on a Likert-type rating scale ranging from 0 to 3 (e.g. 0 = ”not at all like me”, 3 = ”a lot like me”). The total and subscale (private self-consciousness, public self-consciousness, and social anxiety) summative scores were compared using the Wilcoxon signed-rank test with statistically significant relationships defined as p<0.05.
Preliminary data indicated an overall improvement post-operatively in total scores (-2.517 p=0.012), public self-consciousness scores (-2.628, p=0.009,) and social anxiety (-2.202, p=0.028). While improvement in scores was noted in private self-consciousness scores (-1.136 p=0.188), significance was not achieved for this subscale.
This study suggests that beyond functional and cosmetic improvements, strabismus surgery can result in a statistically significant improvement in measures of public self-consciousness and social anxiety.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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