Sjaak Pouwels1, Elijah E Sanches2, Scott R Chaiet3, Frank W de Jongh4, Carien H G Beurskens5, Stan J Monstrey6, Robin E Luijmes7, Ietske Siemann8, Dharmanand Ramnarain9, Henri A M Marres10, Koen J A O Ingels10. 1. Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands. Electronic address: Sjaakpwls@gmail.com. 2. Department of Surgery, Haaglanden Medical Center, The Hague, The Netherlands. 3. Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine & Public Health, Madison, WI, United States. 4. Department of Plastic Surgery, Haaglanden Medical Center, The Hague, The Netherlands. 5. Department of Orthopedics, section Physical Therapy, Radboudumc, Nijmegen, The Netherlands. 6. Department of Plastic Surgery, University Hospital Gent, Gent, Belgium. 7. Department of Interventions, Arbo Unie, Rotterdam Europoort, Rotterdam, The Netherlands. 8. Department of Medical Psychology, Radboudumc, Nijmegen, The Netherlands. 9. Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands. 10. Department of Otorhinolaryngology and Head & Neck Surgery, Radboudumc, Nijmegen, The Netherlands.
Abstract
BACKGROUND: Peripheral facial palsy (PFP) (paralysis) can be a devastating condition that has been shown to have associations with increased depression and worse quality of life. The aim of the present study is to better understand the complex association of psychological distress with the duration, severity, and age of patients with PFP. We hypothesize that a shorter duration of PFP is associated with higher levels of psychological distress. METHODS: Fifty-nine patients with PFP that existed longer than 3 months were included in this study. The Hospital Anxiety and Depression Scale (HADS) was used to assess the presence and severity of anxiety and depressions. Spearman's correlation analysis was used to determine correlation between psychological distress, duration, severity of the PFP, and age. RESULTS: Fifty-nine patients were included in this study, of whom 22 were male and 37 were female. The mean age was 55.6 ± 14.6 years and mean duration of PFP from onset ranged from 3 months to 35 years (with a mean duration of 5.39 ± 6.06 years). Twenty-eight patients had left-sided PFP, 30 patients had right-sided PFP, and one patient had bilateral PFP. The majority were caused by Bell's palsy (50.8%). In the group with a duration less than 5 years, there were five (12.8%) patients having a score between 11 and 15 (on HADS) compared to two (10%) patients in the group with a duration of 5 years or more(p = 0.04). CONCLUSION: There seems to be an association between moderate depression and duration of the PFP. Further studies need to substantiate our findings.
BACKGROUND:Peripheral facial palsy (PFP) (paralysis) can be a devastating condition that has been shown to have associations with increased depression and worse quality of life. The aim of the present study is to better understand the complex association of psychological distress with the duration, severity, and age of patients with PFP. We hypothesize that a shorter duration of PFP is associated with higher levels of psychological distress. METHODS: Fifty-nine patients with PFP that existed longer than 3 months were included in this study. The Hospital Anxiety and Depression Scale (HADS) was used to assess the presence and severity of anxiety and depressions. Spearman's correlation analysis was used to determine correlation between psychological distress, duration, severity of the PFP, and age. RESULTS: Fifty-nine patients were included in this study, of whom 22 were male and 37 were female. The mean age was 55.6 ± 14.6 years and mean duration of PFP from onset ranged from 3 months to 35 years (with a mean duration of 5.39 ± 6.06 years). Twenty-eight patients had left-sided PFP, 30 patients had right-sided PFP, and one patient had bilateral PFP. The majority were caused by Bell's palsy (50.8%). In the group with a duration less than 5 years, there were five (12.8%) patients having a score between 11 and 15 (on HADS) compared to two (10%) patients in the group with a duration of 5 years or more(p = 0.04). CONCLUSION: There seems to be an association between moderate depression and duration of the PFP. Further studies need to substantiate our findings.
Authors: Leonard Knoedler; Helena Baecher; Martin Kauke-Navarro; Lukas Prantl; Hans-Günther Machens; Philipp Scheuermann; Christoph Palm; Raphael Baumann; Andreas Kehrer; Adriana C Panayi; Samuel Knoedler Journal: J Clin Med Date: 2022-08-25 Impact factor: 4.964