Assessing anxiety, depression and quality of life in patients with peripheral facial palsy: a systematic review

Author:

Cuenca-Martínez Ferran12ORCID,Zapardiel-Sánchez Eva1,Carrasco-González Enrique1,La Touche Roy123ORCID,Suso-Martí Luis24ORCID

Affiliation:

1. Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain

2. Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain

3. Instituto de Neurociencia y Dolor Craneofacial (INDCRAN), Madrid, Spain

4. Departament of Physiotherapy, Universidad CEU Cardenal Herrera, CEU Universities, Valencia, Spain

Abstract

Objective Peripheral facial palsy (PFP) is predominantly a unilateral disorder of the facial nerve, which can lead to psychological disorders that can result in decreased quality of life. The aim of this systematic review was to assess anxiety, depression and quality of life symptoms associated with PFP. Data sources We searched the Medline, PEDro, CINAHL and Google Scholar databases to conduct this systematic review while following Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards. The search was performed by two independent reviewers, and differences between the two reviewers were resolved by consensus. Study Selection The search terms used were derived from the combination of the following MeSH terms: “facial paralysis”, “bell palsy”, “anxiety”, “anxiety disorders”, “depression”, “depressive disorders”, “quality of life” and not MeSH: “facial palsy”, “hemifacial paralysis”, “facial paresis”, “Peripheral Facial Paralysis”, using the combination of different Boolean operators (AND/OR). Data Extraction On November 1st (2019). Data Synthesis In total, 18 cross-sectional articles and two case-control studies were selected. Conclusions The cross-sectional articles showed low methodological quality, while the case-control studies showed acceptable methodological quality. Limited evidence suggests that patients with PFP might have increased levels of anxiety and depressive symptoms. A qualitative analysis also showed limited evidence that quality of life might be diminished in patients with PFP. PROSPERO CRD42020159843.

Publisher

PeerJ

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology,General Medicine,General Neuroscience

Reference50 articles.

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3. Physiotherapy in patients with facial nerve paresis: description of outcomes;Beurskens;American Journal of Otolaryngology—Head and Neck Medicine and Surgery,2004

4. Psychological and social factors in reconstructive surgery for hemi-facial palsy;Bradbury;Journal of Plastic, Reconstructive and Aesthetic Surgery,2006

5. The structure of the self-concept and its relation to psychological adjustment;Campbell;Journal of Personality,2003

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