The Impact of Negative Emotions on the Treatment Outcome of Percutaneous Balloon Compression for Idiopathic Trigeminal Neuralgia Patients: A Longitudinal Study

IF 3.3 2区医学 Q1 PSYCHIATRY

Depression and Anxiety Pub Date : 2025-06-03 DOI:10.1155/da/5535907

Chengrong Jiang, Yulong Chong, Chenjun Jiang, Weibang Liang, Chunran Zhu

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Abstract

Background: Trigeminal neuralgia (TN) is a common yet severe facial pain condition. Percutaneous balloon compression (PBC) is a widely promoted surgical treatment method for TN due to its simplicity and effectiveness. However, patients who undergo PBC present with varying degrees of depression. This study aims to investigate the depressive factors affecting TN patients following PBC.

Methods: The Penn-FPS Scale, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), BNI Facial Numbness Scale, Pittsburgh Sleep Quality Index (PSQI), and Life Satisfaction Index-B (LSI-B) scale were used to evaluate depressive symptoms in TN patients before and after PBC, as well as at various time points during a 1-year follow-up. Factors impacting postoperative quality of life (QoL) were identified and evaluated.

Findings: Depressive symptoms improved significantly following PBC treatment; however, the presence of these symptoms could lead to delays in TN recovery. Patients with higher preoperative pain score and longer TN course showed better tolerance of numbness following PB surgery. Meanwhile, the degree of numbness was positively related to the duration of balloon compression, while previous treatments for TN were associated with increased risk of depression and anxiety.

Conclusions: PBC is an effective surgery for TN patients. Depressive disorders impact prognosis and should be carefully managed as part of a comprehensive treatment plan to improve the QoL following PBC.

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负面情绪对经皮球囊压迫治疗特发性三叉神经痛疗效的影响：一项纵向研究

背景：三叉神经痛（TN）是一种常见但严重的面部疼痛。经皮球囊压缩术（PBC）因其简单有效而被广泛推广为TN的手术治疗方法。然而，接受PBC的患者表现出不同程度的抑郁。本研究旨在探讨影响PBC后TN患者抑郁因素。方法：采用Penn-FPS量表、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、BNI面部麻木量表、匹兹堡睡眠质量指数（PSQI）、生活满意度- b量表（LSI-B）评估TN患者PBC前后及1年随访期间各时间点的抑郁症状。确定并评估影响术后生活质量（QoL）的因素。结果：PBC治疗后抑郁症状明显改善；然而，这些症状的出现可能导致TN恢复的延迟。术前疼痛评分较高、TN疗程较长的患者对PB术后麻木的耐受性较好。同时，麻木程度与球囊压缩时间呈正相关，而先前的TN治疗与抑郁和焦虑风险增加相关。结论：PBC是治疗TN患者的有效手术方法。抑郁症影响预后，应作为综合治疗计划的一部分进行仔细管理，以改善PBC后的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Depression and Anxiety 医学-精神病学

CiteScore

15.00

自引率

1.40%

发文量

审稿时长

4-8 weeks

期刊介绍： Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.