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An overview of psychological and social factors in Charles Bonnet syndrome

Jones, L., Ditzel-Finn, L., Enoch, J. ORCID: 0000-0002-4614-6676 and Moosajee, M. (2021). An overview of psychological and social factors in Charles Bonnet syndrome. Therapeutic Advances in Ophthalmology, 13, doi: 10.1177/25158414211034715

Abstract

Charles Bonnet syndrome (CBS) is a condition where cognitively normal individuals with sight impairment experience simple and/or complex visual hallucinations. The exact pathogenesis of CBS is unknown; however, deafferentation is often recognised as a causal mechanism. Studies have provided insight into the multifaceted impact of CBS on wellbeing. Onset of CBS may cause distress among those believing visual hallucinations are indicative of a neurological condition. Hallucinatory content is often congruent with the emotional response. For example, hallucinations of a macabre nature typically result in a fearful response. Visual hallucinations may be highly disruptive, causing everyday tasks to become challenging. Clinical management relies on forewarning and pre-emptive questioning. Yet, knowledge and awareness of CBS is typically low. In this review, we provide a summary of the social and psychological implications of CBS and explore recent developments aimed at raising awareness and improving patient management.

Publication Type: Article
Additional Information: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). This article has been published in Therapeutic Advances in Ophthalmology by Sage, doi: https://doi.org/10.1177/25158414211034715
Publisher Keywords: Charles Bonnet syndrome; patient experience; wellbeing
Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RE Ophthalmology
Departments: School of Health Sciences > Optometry & Visual Science
Project Input:
Project IDFunder NameFunder ID
205174/Z/16/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
UNSPECIFIEDThomas Pocklington TrustUNSPECIFIED
Date available in CRO: 08 Dec 2021 09:29
Date deposited: 8 December 2021
Date of acceptance: 6 July 2021
Date of first online publication: 30 July 2021
URI: https://openaccess.city.ac.uk/id/eprint/27181
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