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Sklebar, Duska; Sklebar, Ivan; Cesarik, Marijan; Catipovic, Vinko; Barada, Ante; Milosevic, Milan; Kes, Vanja Basic
Acta clinica Croatica (Tisak), 06/2023, Volume: 62, Issue: 2Journal Article
This study compared the self-assessed health-related quality of life (HRQoL) and degree of depression between patients with chronic neuropathic nonodontogenic orofacial pain (NOFP) and healthy controls using the Short Form Survey (SF-36) health status questionnaire and Beck Depression Inventory II (BDI-II).This controlled cross-sectional study included 100 patients and 119 healthy controls. The diagnostic protocol recorded the following: 1) pain intensity using a visual analog scale for the time of examination and during the one-month prior; 2) evidence for neuropathic pain using the Leeds questionnaire for neuropathic signs and symptoms (LANSS); 3) emotional status using the BDI-II; and 4) HRQoL using the SF-36 questionnaire. The mean LANSS score was 17.18 in the patient group and 0.0 in the control group. The mean BDI-II score was 18.31 in the patient group and 5.87 in the control group. The SF-36 scores were shown with Mann-Whitney U testing to have statistically significant differences between the patient and healthy control groups in all categories. Vitality was the only SF-36 category in which the patient group scored higher than the control group. In conclusion, NOFP significantly reduces the self-reported HRQoL. NOFP is also related to the development of depression, but does not affect its severity. There is a significant correlation between depression and low quality of life in patients with NOFP. Key words: Neuropathic pain; Orofacial pain; Nonodontogenic pain; Quality of life; Depression Cilj istrazivanja bio je usporediti procijenjenu sa zdravljem povezanu kvalitetu zivota i stupanj depresije ispitanika s kronicnom neuropatskom neodontogenom orofacijalnom boli (NOFP) s rezultatima zdravih ispitanika kontrolne skupine. U studiju je ukljuceno 100 ispitanika srednje dobi od 56,95+ or -13,58 godina s klinickom dijagnozom NOFP u trajanju od najmanje sest mjeseci i 119 zdravih ispitanika srednje dobi od 57,21+ or -13,87 godina koji su bili kontrolna skupina. Primijenjen je standardni dijagnosticki protokol: 1) odredivanje intenziteta boli vizualno numerickom ljestvicom u trenutku ispitivanja te tijekom protekloga mjeseca; 2) procjena prisutnosti neuropatske boli Leedskim upitnikom neuropatskih znakova i simptoma (LANSS); 3) procjena emocionalnog statusa Beckovim inventarom depresije II (BDI-II); 4) procjena o zdravlju ovisne kvalitete zivota (HRQoL) upitnikom SF-36. Prosjecan rezultat LANSS za skupinu oboljelih iznosio je 17,18, a za kontrolnu skupinu 0. Prosjecan rezultat BDI-II u skupini oboljelih bio je 18,31 prema 5,87 u kontrolnoj skupini. Mann-Whitneyjevim U testom svaka od devet kategorija koje mjere SF-36 statisticki se znacajno razlikovala izmedu bolesnih i zdravih ispitanika. U svim kategorijama osim jedne (vitalnost) kontrolna skupina imala je visi indeks u odnosu na skupinu s NOFP. Rezultat kontrolne skupine bio je veci od 60% u sest od devet kategorija, dok skupina oboljelih nije prelazila granicu od 60% niti u jednoj kategoriji. Kronicna NOFP uzrokuje depresiju i utjece na gotovo sve odrednice kvalitete zivota mjerene upitnikom SF-36. Nije dokazan utjecaj na stupanj depresije. Postoji jaka povezanost izmedu depresije i snizene kvalitete zivota oboljelih od NOFP. Kljucne rijeci: Neuropatska bol; Orofacijalna bol; Neodontogena bol; Kvaliteta zivota; Depresija
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