ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2023-2-221-227ophthalmology-2100Research ArticleОБЗОРЫREVIEWSПсихологические особенности пациентов с центральной серозной хориоретинопатией. Обзор литературыPsychological Traits of Patients with Central Serous Chorioretinopathy (Literature Review)https://orcid.org/0000-0001-5586-5042ШаимоваВ. А.ShaimovaV. A.

Шаимова Венера Айратовна - доктор медицинских наук, профессор кафедры офтальмологии

Волоколамское шоссе, 91, Москва, 125310, Российская Федерация

Shaimova Venera A. - МD, Professor of the Ophthalmology department

Volokolamskoye highway, 91, Moscow, 125371, Russian Federation 

Komsomolsky ave., 99D, Chelyabinsk, 454021, Russian Federation 

shaimova.v@mail.ruhttps://orcid.org/0000-0002-9351-9789КравченкоТ. Г.KravchenkoT. G.

Кравченко Татьяна Геннадьевна - кандидат биологических наук, старший научный сотрудник

проспект Победы, 287, Челябинск, 454138, Российская Федерация

Kravchenko Tatyana G. - PhD in Biology, senior researcher

Pobedy ave., 287, Chelyabinsk, 454138, Russian Federation 

https://orcid.org/0000-0003-1258-0228АрслановГ. М.ArslanovG. M.

Арсланов Глеб Маратович - врач‑офтальмолог

Лиговский проспект 52, г. Санкт‑Петербург, 191040, Российская Федерация

Arslanov Gleb M. - MD, оphthalmologist

Ligovskiy ave., 52, Saint-Petersburg, 191040, Russian Federation

https://orcid.org/0000-0002-7020-5349ШаимовТ. Б.ShaimovT. B.

Шаимов Тимур Булатович - кандидат медицинских наук, врач‑офтальмолог

Комсомольский проспект, 99д, Челябинск, 454021, Российская Федерация

Shaimov Timur B. - PhD, ophthalmologist

Komsomolsky ave., 99D, Chelyabinsk, 454021, Russian Federation

https://orcid.org/0000-0002-9123-2354ШаимовР. Б.ShaimovR. B.

Шаимов Руслан Булатович - кандидат медицинских наук, директор, офтальмохирург

Комсомольский проспект, 99д, Челябинск, 454021, Российская Федерация

Shaimov Ruslan B. - PhD, director, ophthalmologist

Komsomolsky ave., 99D, Chelyabinsk, 454021, Russian Federation

ФПК «Академия постдипломного образования» ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий» ФМБА; ООО «Центр зрения»РоссияAcademy of Postgraduate Education of the Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of Federal Medical‑Biological Agency; “Center Zreniya” Medical ClinicRussian FederationГБУЗ «Многопрофильный центр лазерной медицины» Министерства здравоохранения Челябинской областиРоссияMultidisciplinary Center for Laser MedicineRussian FederationКлиника микрохирургии глаза «Счастливый Взгляд»РоссияEye Microsurgery Clinic “Happy Look”Russian FederationООО «Центр зрения»Россия“Center Zreniya” Medical ClinicRussian Federation202329062023202221227Copyright © Шаимова В.А., Кравченко Т.Г., Арсланов Г.М., Шаимов Т.Б., Шаимов Р.Б., 20232023Шаимова В.А., Кравченко Т.Г., Арсланов Г.М., Шаимов Т.Б., Шаимов Р.Б.Shaimova V.A., Kravchenko T.G., Arslanov G.M., Shaimov T.B., Shaimov R.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/2100

В данном обзоре показано, что центральная серозная хориоретинопатия (ЦСХ) является полиэтиологическим заболеванием. ЦСХ — одно из немногих заболеваний глаз, для которого продемонстрирована связь между встречаемостью, течением заболевания и психосоциальными характеристиками: свойствами личности и уровнем внешних стрессовых факторов. Избыточная стимуляция в виде стрессовых условий жизни, экзогенные факторы и личная предрасположенность могут привести к ЦСХ. Заболевание часто возникает на фоне острого или хронического стресса. Для пациентов с центральной серозной хориоретинопатией характерны определенные личностные черты: тип личности А, включающий склонность к сверхдостижениям, конкуренции, перфекционизм, стеничное стремление сохранить профессиональный статус. При этом среди факторов риска называют бессонницу и сонное апноэ, депрессивные и тревожные состояния, посттравматическое стрессовое расстройство и алекситимию, повышенное артериальное давление, инфицирование Helicobacter pylori, аутоиммунные заболевания, прием психофармакологических препаратов, гормонотерапию.

Central serous chorioretinopathy (CSC) is a polyethological disease. CSC is one of the few eye diseases for which the relationship between the occurrence, course of the disease and patient psychosocial characteristics has been demonstrated including personality traits and the level of external stress factors. Excessive stimulation such as stressful living conditions, exogenous factors and personal predisposition can lead to CSH. The disease often occurs against the background of acute or chronic stress. Patients with central serous chorioretinopathy are characterized by certain personality traits i.e., type A personality, including a tendency to overachievement, competition, perfectionism, and a sthenic desire to maintain professional status. At the same time, insomnia and sleep apnea, depressive and anxiety states, post-traumatic stress disorder and alexithymia, high blood pressure, Helicobacter pylori, autoimmune diseases, psychopharmacological medication, hormone therapy are among the risk factors.

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The authors declare that there are no conflicts of interest present.