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Psychosocial distress of part-time occlusion in children with intermittent exotropia

  • Pediatrics
  • Published:
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Abstract

Purpose

To evaluate the psychosocial distress of part-time occlusion therapy in intermittent exotropia.

Methods

A total of 25 children (15 males and 10 females, aged 3 to 7 years, mean age 4.7 years) with intermittent exotropia were enrolled. Behavioral and psychosocial problems were assessed by the Korean Child Behavior Checklist (K-CBCL), which consists of eight categories of withdrawal, somatic problems, depression/anxiety, social problems, thought problems, attention problems, delinquent behavior, and aggressive behavior, and the Amblyopia Treatment Index (ATI). The ATI was designed to evaluate the three factors of compliance, adverse effect, and social stigma. The Parenting Stress Index (PSI) is a parent self-report designed to identify potentially dysfunctional parent–child systems. The K-CBCL was obtained before and after occlusion therapy, and the ATI and PSI were taken from parents only after occlusion therapy. We evaluated the change on the K-CBCL and the correlation between the K-CBCL and ATI.

Results

The attention problem assessed by the K-CBCL significantly decreased after occlusion therapy. On the ATI, the social stigma was relatively lower than compliance and adverse effect factors (Likert scale 2.64, 3.11, and 3.11, respectively). The somatic problem assessed by the K-CBCL and compliance on the ATI were significantly correlated (p = 0.014). There was no significant change in percentile scores of each subscale (parental dominant scale and child dominant scale) of the PSI. Total stress index before and after occlusion therapy was 97.16 ± 8.38 and 97.00 ± 8.16 respectively (p = 0.382).

Conclusions

Occlusion therapy may influence the psychosocial impact on intermittent exotropia patients. Part-time occlusion significantly decreased the attention problem in children with intermittent strabismus. Children with a high somatic problem score on the KCBCL showed poor compliance to the part-time occlusion.

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Authors and Affiliations

  1. Department of Ophthalmology, Kim’s Eye Hospital, Konyang University, Seoul, Korea

    Ungsoo Samuel Kim

  2. Department of Psychiatry, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea

    Subin Park & Hee Jeong Yoo

  3. Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, Gyeonggi-do, 463-707, Korea

    Jeong-Min Hwang

Authors
  1. Ungsoo Samuel Kim
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  2. Subin Park
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  3. Hee Jeong Yoo
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  4. Jeong-Min Hwang
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Corresponding author

Correspondence to Jeong-Min Hwang.

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Kim, U.S., Park, S., Yoo, H.J. et al. Psychosocial distress of part-time occlusion in children with intermittent exotropia. Graefes Arch Clin Exp Ophthalmol 251, 315–319 (2013). https://doi.org/10.1007/s00417-012-2099-0

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  • DOI: https://doi.org/10.1007/s00417-012-2099-0

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