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KMID : 0615720140310010149
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Jouranl of Korean Acupuncture and Moxibustion society
2014 Volume.31 No. 1 p.149 ~ p.158
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A Study of Psychological Distress, Anxiety and Depression on Motor Recovery of Acute Bell’s Palsy Patients’ Facial Muscle
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Kim Eun-Seok
Lee Sang-Hoon
Nam Sang-Soo
Kim Yong-Suk
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Abstract
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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 ΔY-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 ΔY-system and prognostic factors including anxiety and depression.
Results : Significant associations were found between ΔY-system and depression(CES-D) but no significant associations were found between ΔY-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 ΔY-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.
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KEYWORD
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Bell’s palsy, ΔY-system, FDI, BAI, CES-D
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