Associations Between Chronic Pain and Depressive Symptoms in Patients With Trigeminal Neuralgia
Materials and Methods. A total of 30 patients with TN and chronic facial pain (group A, 25 women and 5 men; mean age, 64.2±3.2 years) and 30 with atypical facial pain (group B, 26 women and 4 men; mean age, 64.8±1.9 years) were examined. A standardized diagnostic protocol was applied to all of them, which consisted of the following: 1) demographic data and estimation of overall pain on a visual analog scale; and 2) evaluation of emotional status using the Sheehan Disability Scale, Covi’s Anxiety Scale, and Beck Depression Inventory.
Results. The intensity of facial pain was much higher in the group A than the group B (89.7±2.5 versus 44.0±2.9, P<0.0001). Besides, the group A reported increased scores on the disability and anxiety symptom scales (17.4±1.3 and 9.7±0.3 vs. 6.4±0.7 and 3.6±0.1, respectively, P<0.0001). Severe (46.7%) or moderate (30%) levels of depression were documented in the majority of patients in the group A, while the group B did not show depressive symptoms (P<0.0001).
Conclusions. Patients with TN and chronic facial pain had a significantly higher level of pain perception, and they presented the higher level for anxiety and depression than those with atypical facial pain. A multidisciplinary approach is needed for the additional assessment of emotional status of patients in order to improve the efficacy of treatment and patients’ quality of life.
Mačianskytė, D.; Janužis, G.; Kubilius, R.; Adomaitienė, V.; Ščiupokas, A. Associations Between Chronic Pain and Depressive Symptoms in Patients With Trigeminal Neuralgia. Medicina 2011, 47, 386.
Mačianskytė D, Janužis G, Kubilius R, Adomaitienė V, Ščiupokas A. Associations Between Chronic Pain and Depressive Symptoms in Patients With Trigeminal Neuralgia. Medicina. 2011; 47(7):386.Chicago/Turabian Style
Mačianskytė, Diana; Janužis, Gintaras; Kubilius, Ričardas; Adomaitienė, Virginija; Ščiupokas, Arūnas. 2011. "Associations Between Chronic Pain and Depressive Symptoms in Patients With Trigeminal Neuralgia." Medicina 47, no. 7: 386.