Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.
Department of Surgery, Haaglanden Medical Center, The Hague, The Netherlands.
J Plast Reconstr Aesthet Surg. 2021 Nov;74(11):3048-3054. doi: 10.1016/j.bjps.2021.03.092. Epub 2021 Apr 18.
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.
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.
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).
There seems to be an association between moderate depression and duration of the PFP. Further studies need to substantiate our findings.
周围性面瘫（PFP）（瘫痪）可能是一种毁灭性的疾病，已被证明与抑郁增加和生活质量下降有关。本研究旨在更好地了解心理困扰与 PFP 患者的病程、严重程度和年龄之间的复杂关系。我们假设 PFP 的病程越短，心理困扰的程度越高。
本研究纳入了 59 例病程超过 3 个月的 PFP 患者。采用医院焦虑抑郁量表（HADS）评估焦虑和抑郁的发生和严重程度。采用 Spearman 相关分析评估心理困扰、PFP 病程、严重程度和年龄之间的相关性。
本研究纳入了 59 例患者，其中男性 22 例，女性 37 例。平均年龄为 55.6±14.6 岁，PFP 发病病程从 3 个月到 35 年不等（平均病程为 5.39±6.06 年）。28 例患者为左侧 PFP，30 例为右侧 PFP，1 例为双侧 PFP。大多数患者由贝尔麻痹引起（50.8%）。病程小于 5 年的患者中，有 5 例（12.8%）HADS 评分在 11-15 分之间，而病程 5 年及以上的患者中只有 2 例（10%）（p=0.04）。
PFP 病程与中度抑郁之间似乎存在关联。需要进一步的研究来证实我们的发现。
