A Study of Psychological Distress, Anxiety and Depression on Motor Recovery of Acute Bell’s Palsy Patients’ Facial Muscle

Abstract

Objectives : The aim of this study is to investigate the influence of anxiety and depression on motor recovery of acute Bell's palsy to estimate how much psychological factors affect the clinical prognosis. Methods : A total of 20 inpatients with acute unilateral Bell's palsy within 1 week of onset participated in this study. The severity of participants' facial palsy was measured by Yanagihara(Y-system) score, FDI and House-Brackmann scale at the time of 1 week and 3 weeks from the onset. The motor recovery of acute Bell's palsy is defined as ∆Y-system during 2 weeks. Beck anxiety scale(BAI) and the center for epidermiologic studies depression scale(CES-D) were adopted to assess anxiety and depression, respectively. Correlation analysis and linear regression analysis were conducted between ∆Y-system and prognostic factors including anxiety and depression. Results : Significant associations were found between ∆Y-system and depression(CES-D) but no significant associations were found between ∆Y-system and other prognostic factors, hypertension, diabetes, postauricular pain, disgeusia, age, degree of initial palsy and anxiety(BAI). And a regression equation with 0.295 for coefficient of determination was obtained. Through this analysis, the ∆Y-system can be predicted using regression equation which cover 29.5 % of depression index(CES-D). Conclusion : Depression is a significant clinical prognostic factor on motor recovery of acute Bell's palsy. So, Bell's palsy treatment should be combined with psychological care and support.

Experience of Bell’s Palsy Patients on Facial Qigong Exercise and Efficient Educational Program: a Qualitative Study※

“…Kim et al 6) 의 또한 질적 연구에 있어서 표준 가이드라인으로 사용되는 consolidated criteria for reporting qualitative studies (COREQ) 항목을 준수하도록 하였다 14) (Appendix 2). …”