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Psychological implications of Graves' orbitopathy

Lookup NU author(s): Sarah Frewin, Dr Petros PerrosORCiD

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Abstract

Patients with thyroid eye disease, Graves' orbitopathy (GO), often appear distressed and it is likely that features of the condition such as disturbances in visual function, orbital discomfort and alterations in facial appearance can impart significant psychological morbidity upon the patient, which in turn can be detrimental to their quality of life. When considering the psychological impact of GO, two elements of the disease are important. The disfiguring changes to the eyes and face can have a direct effect upon psychological health, while physical aspects of the disease such as altered visual acuity, diplopia. orbital pain and lacrimation may influence psychological function as a secondary phenomenon, due to interference with daily living. Evidence appears to confirm the anecdotal impression of many clinicians dealing with GO patients that the prevalence of psychological morbidity in this patient group is high. A 'biopsychosocial' approach to care that addresses biological and psychosocial functioning as major determinants of health is an appropriate strategy when treating patients with GO.

Publication metadata

Author(s): Coulter I, Frewin S, Krassas GE, Perros P

Publication type: Review

Publication status: Published

Journal: European Journal of Endocrinology

Year: 2007

Volume: 157

Issue: 2

Pages: 127-131

ISSN (print): 0804-4643

ISSN (electronic): 1479-683X

URL: http://dx.doi.org/10.1530/EJE-07-0205

DOI: 10.1530/EJE-07-0205

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