Affective symptoms - oropharyngeal dysphagia

2021-08-26

Affective symptoms in patients with oropharyngeal dysphagia: A systematic review

Conclusion The current literature revealed that affective symptoms in patients with OD are common. Screening for affective symptoms in patients with OD is clinically relevant and may help caregivers who are not aware of psychiatric comorbidity to detect cases. Although the likelihood of psychiatric comorbidity in OD patients seems obvious, therapy-effect studies to document effect of integrated care are scarce. As the present review of the literature demonstrates, there is a need for well-designed prospective research to investigate the possible benefit of integrated care in patients with OD and affective comorbidity.

Oropharyngeal dysphagia is at term that describes swallowing problems occurring in the mouth and/or the throat.


Symptoms of anxiety and depression assessed with the Hospital Anxiety and Depression Scale in patients with oropharyngeal dysphagia

Results: Clinically relevant symptoms of anxiety were observed in 37% and clinically relevant symptoms of depression in 32.6% of the present patient population, with 21.3% having symptoms of both anxiety and depression. In total, 47.3% of this population showed affective symptoms.

Conclusion: Given that psychological burden can enhance somatic complaints, the high number of patients suffering from affective symptoms is a relevant clinical outcome in dysphagic patients. The contribution of anxiety or depression to the development or worsening of oropharyngeal dysphagia and their role in interdisciplinary treatment strategy is warranting further research. 


Definition, Prevalence and Burden of Oropharyngeal Dysphagia: A Serious Problem among Older Adults Worldwide and the Impact on Prognosis and Hospital Resources.

Dysphagia has been linked with low mood or depression. More than half of the 360 patients in the Ekberg study reported that dysphagia made their life less enjoyable. Feelings of isolation, anxiety and panic at mealtimes, embarrassment and loss of self- esteem significantly reduced quality of life in individuals with dysphagia.

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