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- Title
Clinical Implications Of Psychological Comorbidities In Patients Of Trigeminal Neuralgia, A Problem Solving Approach.
- Authors
Singh Nayyar, Abhishek; Khan, Mubeen; Gayitri, H. C.
- Abstract
Background: The diagnosis of majority of facial pains is based on a careful history and examination. It is important to ascertain whether patients have other pain complaints and symptoms which might suggest a need to undertake an examination of their mental state. The aim of the study was to evaluate the anxiety and depression scale in patients with Trigeminal neuralgia with a possible review of the impact carried by these psychological co-morbidities in the treatment planning of the refractory cases of the disorder. Methods: Diagnosed cases of Trigeminal neuralgia who were being treated with carbamazepine in the age range of 40-60 years were included in the study. For each of the subject, a detailed, structured case history was recorded and the findings were recorded in a prepared proforma. Subsequently, translated versions of General Health Questionnaire (GHQ) consisting of four subscales: somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression; and the Hospital Anxiety and Depression scale (HADS) for identifying and quantifying the two most common forms of psychological disturbances in patients, namely anxiety and depression, were used for the assessment of the psychological morbidity in the selected patients. The statistical test used was Mann-Whitney test. The P-value was compared with the level of significance. Results: Higher mean HADS-A [Hospital anxiety and Depression scale, A= Anxiety], HADS-D [Hospital anxiety and Depression scale, D= Depression], GHQ-A [General Health Questionnaire, A=Somatic symptoms], GHQ-B [General Health Questionnaire, B=Anxiety / Insomnia], GHQ-C [General Health Questionnaire, C=Social dysfunction], GHQ-D [General Health Questionnaire, D=Depression], and GHQ-T, [General Health Questionnaire, T= Total] was observed in cases compared to controls and the difference was found to be statistically significant (P<0.001). Conclusion: For patients suffering from chronic pain, psychological co-morbidities are bound to be seen and in turn, affect the reactive component as well as the response to the therapy given in such types of pains. These conditions actually are seen to exacerbate pain.
- Subjects
MENTAL depression; TRIGEMINAL neuralgia; DIAGNOSIS of facial diseases; U-statistics; SLEEP deprivation; PSYCHOLOGY; PREVENTION
- Publication
Indian Journal of Dental Sciences, 2013, Vol 5, Issue 2, p028
- ISSN
0976-4003
- Publication type
Article