Bell's palsy: the effect on self-image, mood state and social activity

Weir, Alastair; Pentland, Brian T.; Crosswaite, A.; Murray, John A.; Mountain, Rocky

doi:10.1177/026921559500900206

Cited by 47 publications

(34 citation statements)

References 9 publications

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“…Although QoL assessed with EQ-5D showed no difference between those with FP and normal participants, our result reflects the poor lifestyle characteristics of individuals with FP, in accordance with previous studies. [29][30][31] In this analysis, we could not account for every possible confounding factor, such as the duration and aetiology of FP, or other comorbidities. This might have impeded a demonstration of detailed lifestyle characteristics in participants with FP.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of facial palsy and lifestyle characteristics: data from the Korean National Health and Nutrition Examination Survey 2010–2012

et al. 2016

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ObjectivesTo report the nationwide prevalence of facial palsy (FP) of grade III or worse in the House–Brackmann (H–B) grading system in South Korea and assess the associated factors.DesignCross-sectional analysis of a nationwide health survey.SettingsSouth Korea.MethodsWe obtained data from the 2010 to 2012 Korea National Health and Nutrition Examination Surveys, which were cross-sectional surveys of the South Korean civilian population living in households and aged ≥1 year (N=23 533). A field survey team performed interviews, physical examinations and laboratory tests. Facial expression was evaluated based on the H–B grading system.ResultsAmong the population aged ≥1 year, the prevalence of FP of grade III or worse in the H–B grading system was 0.12% (95% CI 0.07% to 0.17%). FP was more prevalent in women (p=0.01) and the prevalence rate increased with age (p<0.001). In participants aged ≥19 years, age, female gender, history of cardiovascular disease and the serum total cholesterol level were associated with FP in a multivariable analysis. In the evaluation of lifestyle, the individuals with FP had a higher rate of depressive mood and were more restricted in their daily activities.ConclusionsConsidering the significance of facial expression in psychosocial activities, public acknowledgement and further intervention are required to support patients with this distressing condition.

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Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of facial palsy and lifestyle characteristics: data from the Korean National Health and Nutrition Examination Survey 2010–2012

et al. 2016

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“…7 Functional problems such as eating and drinking can cause embarrassment. 8 The functional significance of the facial palsy extends to the eye region; a functionally dry eye with an inability to blink can result in corneal damage. 9 It has been noted that it is the inability to smile and express emotion that is most distressing to facial palsy patients.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress in people with disfigurement from facial palsy

Bundy

Sadiq

2011

Eye

167

109

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Aims Psychological distress is well documented in people with facial disfigurement. However, the prevalence of psychological distress in patients with facial palsy has not been studied. This study aims to establish the prevalence of psychological distress and the extent of anxiety and depression in a sample of facial palsy patients from the Northwest of England. Method A total of 103 participants with facial palsy completed a questionnaire pack comprising the Illness Perception Questionnaire-Revised (IPQ-R), a demographic questionnaire, and the Hospital Anxiety and Depression Scale (HADS). The severity of participants' facial palsy was measured by the House-Brackmann scale. Results In all, 32.7 and 31.3% of the sample had significant levels of anxiety and depression, respectively. The mean age of participants was 59, and 35.9% had grade 6 facial palsy. Significant associations were found between participants' perception of consequences, duration, timeline, and the level of distress. No significant associations were found between clinical severity of facial palsy and levels of distress. Females had significantly higher levels of anxiety compared with males. Conclusions There was a significant level of distress in this study group. The levels of psychological distress were higher than the levels found in other outpatient attenders. There were significant associations between participants' illness perceptions and their level of distress.

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“…Those with residual deficits may have long-term reduction in quality of life and psychological distress. 8 In this guideline, we review the evidence for treatment of Bell palsy with corticosteroids and antivirals, facial exercise, electrostimulation, physiotherapy and decompression surgery, as well as the need for eye-protective measures, specialist referral and further investigation in patients with persistent and progressive weakness.…”

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confidence: 99%